Department of Anesthesiology, University of Nebraska College of Medicine, Children's Nebraska, Omaha, Nebraska.
Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
Curr Opin Anaesthesiol. 2024 Jun 1;37(3):259-265. doi: 10.1097/ACO.0000000000001371. Epub 2024 Mar 13.
To discuss considerations surrounding the use of point-of-care ultrasound (POCUS) in pediatric anesthesiology.
POCUS is an indispensable tool in various medical specialties, including pediatric anesthesiology. Credentialing for POCUS should be considered to ensure that practitioners are able to acquire images, interpret them correctly, and use ultrasound to guide procedures safely and effectively. In the absence of formal guidelines for anesthesiology, current practice and oversight varies by institution. In this review, we will explore the significance of POCUS in pediatric anesthesiology, discuss credentialing, and compare the specific requirements and challenges currently associated with using POCUS in pediatric anesthesia.
Point-of-care ultrasound is being utilized by the pediatric anesthesiologist and has the potential to improve patient assessment, procedure guidance, and decision-making. Guidelines increase standardization and quality assurance procedures help maintain high-quality data. Credentialing standards for POCUS in pediatric anesthesiology are essential to ensure that practitioners have the necessary skills and knowledge to use this technology effectively and safely. Currently, there are no national pediatric POCUS guidelines to base credentialing processes on for pediatric anesthesia practices. Further work directed at establishing pediatric-specific curriculum goals and competency standards are needed to train current and future pediatric anesthesia providers and increase overall acceptance of POCUS use.
讨论在儿科麻醉中使用即时超声（POCUS）的注意事项。
POCUS 在包括儿科麻醉学在内的多个医学专业中是不可或缺的工具。应考虑对 POCUS 进行认证，以确保从业者能够获取图像、正确解读并安全有效地将超声用于指导操作。在没有麻醉学正式指南的情况下，目前的实践和监督因机构而异。在本次综述中，我们将探讨 POCUS 在儿科麻醉中的重要性，讨论认证，并比较目前在儿科麻醉中使用 POCUS 时的具体要求和挑战。
即时超声正在被儿科麻醉医师使用，具有改善患者评估、操作指导和决策的潜力。指南提高了标准化程度，质量保证程序有助于维持高质量的数据。儿科麻醉学中 POCUS 的认证标准对于确保从业者具备有效和安全使用该技术所需的技能和知识至关重要。目前，儿科麻醉实践没有基于儿童特定 POCUS 指南的认证流程。需要进一步开展工作，制定儿科特定的课程目标和能力标准，以培训当前和未来的儿科麻醉提供者，并提高 POCUS 使用的整体接受度。
