Department of Emergency Medicine, University of British Columbia and Vancouver General Hospital, Vancouver, BC, Canada.
Discipline of Emergency Medicine, Memorial University of Newfoundland, St. John's, NF, Canada.
CJEM. 2024 Oct;26(10):713-720. doi: 10.1007/s43678-024-00755-8. Epub 2024 Aug 26.
Although point of care ultrasound (POCUS) use has become prevalent in medicine, clinicians may not be familiar with the evidence supporting its utility in patient care. The objective of this study is to identify the top five most influential papers published on the use of cardiac POCUS and lung POCUS in adult patients.
A 14-member expert panel from the Canadian Association of Emergency Physicians (CAEP) Emergency Ultrasound Committee and the Canadian Ultrasound Fellowship Collaborative used a modified Delphi process. Panel members are ultrasound fellowship trained or equivalent, are engaged in POCUS scholarship, and are leaders in POCUS locally and nationally in Canada. The modified Delphi process consisted of three rounds of sequential surveys and discussion to achieve consensus on the top five most influential papers on cardiac POCUS and lung POCUS.
A total of 66 relevant papers on cardiac POCUS and 68 relevant papers on lung POCUS were nominated by the panel. There was 100% participation by the panel members in all three rounds of the modified Delphi process. At the end of this process, we identified the top five most influential papers on cardiac POCUS and lung POCUS. Papers include studies supporting the use of POCUS for accurately assessing left ventricular systolic function, diagnosing pericardial effusion, clarifying its test characteristics for pulmonary embolism, identifying pulmonary edema and pneumonia, as well as consensus statements on the use of cardiac and lung POCUS in clinical practice.
We have created a list of the top five influential papers on cardiac POCUS and lung POCUS as an evidence-based resource for trainees, clinicians, and researchers. This will help trainees and clinicians better understand how to use POCUS when scanning the heart and lungs, and it will also help researchers better understand where to direct their scholarly efforts with future research.
尽管即时护理超声（POCUS）的应用在医学领域已变得普遍，但临床医生可能并不熟悉支持其在患者护理中应用的证据。本研究的目的是确定发表的关于成人患者心脏 POCUS 和肺部 POCUS 使用的最具影响力的前五篇论文。
加拿大急诊医师协会（CAEP）急诊超声委员会和加拿大超声奖学金合作组织的 14 名专家组成员使用了改良 Delphi 流程。小组成员均接受过超声奖学金培训或同等学历，从事 POCUS 学术研究，并且在加拿大本地和全国范围内都是 POCUS 领域的领导者。改良 Delphi 流程包括三轮连续调查和讨论，以就心脏 POCUS 和肺部 POCUS 的前五篇最具影响力的论文达成共识。
心脏 POCUS 和肺部 POCUS 的小组提名了总共 66 篇相关论文和 68 篇相关论文。在所有三轮改良 Delphi 流程中，小组成员的参与率均为 100%。在这个过程结束时，我们确定了心脏 POCUS 和肺部 POCUS 的前五篇最具影响力的论文。这些论文包括支持使用 POCUS 准确评估左心室收缩功能、诊断心包积液、澄清其对肺栓塞的测试特征、识别肺水肿和肺炎的研究，以及关于在临床实践中使用心脏和肺部 POCUS 的共识声明。
我们创建了一份关于心脏 POCUS 和肺部 POCUS 的最具影响力的前五篇论文清单，作为培训人员、临床医生和研究人员的循证资源。这将帮助培训人员和临床医生更好地理解如何在扫描心脏和肺部时使用 POCUS，也将帮助研究人员更好地理解在未来的研究中应该将学术努力集中在何处。
