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床旁超声检查作为新型的“雷奈克听诊器”。

Point of care ultrasonography as the new "Laennec Sthetoscope".

作者信息

Sabath Ernesto

机构信息

Renal and Metabolism Unit, Hospital General de Querétaro, Queretaro 76180, Mexico.

出版信息

World J Nephrol. 2024 Mar 25;13(1):90542. doi: 10.5527/wjn.v13.i1.90542.

DOI:10.5527/wjn.v13.i1.90542
PMID:38596268
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11000039/
Abstract

Point of care ultrasonography (POCUS) has evolved to become the fifth pillar of the conventional physical examination, and use of POCUS protocols have significantly decreased procedure complications and time to diagnose. However, lack of experience in POCUS by preceptors in medical schools and nephrology residency programs are significant barriers to implement a broader use. In rural and low-income areas POCUS may have a transformative effect on health care management.

摘要

床旁超声检查(POCUS)已发展成为传统体格检查的第五大支柱,并且使用POCUS方案已显著减少了操作并发症和诊断时间。然而,医学院校的带教老师以及肾脏病住院医师培训项目中缺乏POCUS经验,是更广泛应用该技术的重大障碍。在农村和低收入地区,POCUS可能会对医疗保健管理产生变革性影响。

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1
Point of care ultrasonography as the new "Laennec Sthetoscope".床旁超声检查作为新型的“雷奈克听诊器”。
World J Nephrol. 2024 Mar 25;13(1):90542. doi: 10.5527/wjn.v13.i1.90542.
2
An Introduction to Point-of-Care Ultrasound: Laennec to Lichtenstein.即时超声入门:从拉埃内克到利希滕斯坦。
Adv Chronic Kidney Dis. 2021 May;28(3):193-199. doi: 10.1053/j.ackd.2021.07.002.
3
Canadian national survey of point-of-care ultrasound training in family medicine residency programs.加拿大家庭医学住院医师培训项目中即时超声培训的全国性调查。
Can Fam Physician. 2018 Oct;64(10):e462-e467.
4
Point-of-care ultrasound in pediatric nephrology.儿科肾脏病中的即时超声检查。
Pediatr Nephrol. 2023 Jun;38(6):1733-1751. doi: 10.1007/s00467-022-05729-5. Epub 2022 Sep 26.
5
POCUS for Nephrologists: Basic Principles and a General Approach.超声医学入门:基本原理与一般方法。
Kidney360. 2021 Aug 5;2(10):1660-1668. doi: 10.34067/KID.0002482021. eCollection 2021 Oct 28.
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PoCUS in nephrology: a new tool to improve our diagnostic skills.超声在肾脏病学中的应用:提高诊断技能的新工具。
Clin Kidney J. 2022 Sep 12;16(2):218-229. doi: 10.1093/ckj/sfac203. eCollection 2023 Feb.
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Point-of-care ultrasonography in Canadian anesthesiology residency programs: a national survey of program directors.加拿大麻醉学住院医师培训计划中的即时超声检查:对项目主任的全国性调查。
Can J Anaesth. 2017 Oct;64(10):1023-1036. doi: 10.1007/s12630-017-0935-8. Epub 2017 Jul 28.
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The state of point-of-care ultrasonography use and training in neonatal-perinatal medicine and pediatric critical care medicine fellowship programs.新生儿围产期医学和儿科重症医学 fellowship 项目中即时超声检查的使用和培训状况。
J Perinatol. 2016 Nov;36(11):972-976. doi: 10.1038/jp.2016.126. Epub 2016 Aug 11.
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Current Use and Barriers to Point-of-Care Ultrasound in Primary Care: A National Survey of VA Medical Centers.基层医疗中即时超声的使用现状和障碍:一项针对退伍军人事务部医疗中心的全国性调查。
Am J Med. 2023 Jun;136(6):592-595.e2. doi: 10.1016/j.amjmed.2023.01.038. Epub 2023 Feb 23.
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[Point-of-care ultrasound: Is it time to include it in the paediatric specialist training program?].[床旁超声:是时候将其纳入儿科专科培训项目了吗?]
An Pediatr (Engl Ed). 2019 Sep;91(3):206.e1-206.e13. doi: 10.1016/j.anpedi.2019.06.012. Epub 2019 Aug 6.

引用本文的文献

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Roadmap to success: Blueprint for enterprise-wide deployment of a point-of-care ultrasound platform, inclusive of governance, policy, education, credentialing, and quality assurance.成功路线图:企业范围内部署即时超声平台的蓝图,包括治理、政策、教育、资质认证和质量保证。
J Clin Imaging Sci. 2024 Sep 16;14:35. doi: 10.25259/JCIS_96_2024. eCollection 2024.

本文引用的文献

1
Seeing through the myths: Practical aspects of diagnostic point-of-care ultrasound in nephrology.识破误区:肾脏病学中即时诊断超声的实践要点
World J Nephrol. 2023 Dec 25;12(5):112-119. doi: 10.5527/wjn.v12.i5.112.
2
Point-of-Care Ultrasound Overview and Curriculum Implementation in Internal Medicine Residency Training Programs in the United States.美国内科住院医师培训项目中的床旁超声概述与课程实施
Cureus. 2023 Aug 5;15(8):e42997. doi: 10.7759/cureus.42997. eCollection 2023 Aug.
3
Evaluation of a survey for acute care programme directors on the utilisation of point-of-care ultrasound.急性护理项目主任对即时护理超声应用的评估调查。
Postgrad Med J. 2022 Sep 1;98(1163):694-699. doi: 10.1136/postgradmedj-2021-140127.
4
Point-of-care ultrasonography in nephrology comes of age.床旁超声在肾脏病学领域已走向成熟。
Clin Kidney J. 2022 Jun 22;15(12):2220-2227. doi: 10.1093/ckj/sfac160. eCollection 2022 Dec.
5
Point-of-Care Abdominal Ultrasonography (POCUS) on the Way to the Right and Rapid Diagnosis.即时护理腹部超声检查(POCUS)迈向正确快速诊断之路。
Diagnostics (Basel). 2022 Aug 24;12(9):2052. doi: 10.3390/diagnostics12092052.
6
The assessment of point-of-care-ultrasound (POCUS) in acute care settings is benefitted by early medical school integration and fellowship training.在急症护理环境中,通过早期医学院整合和奖学金培训,可以受益于即时护理超声检查(POCUS)评估。
J Osteopath Med. 2022 Sep 20;123(2):65-72. doi: 10.1515/jom-2021-0273. eCollection 2023 Jan 1.
7
Handheld Point-of-Care Ultrasound: Safety Considerations for Creating Guidelines.手持式即时超声:制定指南的安全注意事项。
J Intensive Care Med. 2022 Sep;37(9):1146-1151. doi: 10.1177/08850666221076041. Epub 2022 Feb 4.
8
Point-of-Care Ultrasonography.即时超声检查
N Engl J Med. 2021 Oct 21;385(17):1593-1602. doi: 10.1056/NEJMra1916062.
9
Point-of-care ultrasonography in nephrology: a cross-sectional national survey among Brazilian nephrologists.肾脏病学中的即时超声检查:巴西肾病学家的横断面全国调查。
J Bras Nefrol. 2021 Jan-Mar;43(1):68-73. doi: 10.1590/2175-8239-JBN-2020-0023.
10
Environmental and Patient Impact of Applying a Point-of-Care Ultrasound Model in Primary Care: Rural vs. Urban Centres.应用即时超声模型于初级保健中的环境和患者影响:农村与城市中心比较。
Int J Environ Res Public Health. 2020 May 11;17(9):3333. doi: 10.3390/ijerph17093333.