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心脏床旁超声命名法建议

Recommendations for Cardiac Point-of-Care Ultrasound Nomenclature.

作者信息

Kirkpatrick James N, Panebianco Nova, Díaz-Gómez José L, Adhikari Srikar, Bremer Merri L, Bronshteyn Yuriy S, Damewood Sara, Jankowski Madeline, Johri Amer, Kaplan Judith R H, Kimura Bruce J, Kort Smadar, Labovitz Arthur, Lu Jimmy C, Ma Irene W Y, Mayo Paul H, Mulvagh Sharon L, Nikravan Sara, Cole Sheela Pai, Picard Michael H, Sorrell Vincent L, Stainback Raymond, Thamman Ritu, Tucay Edwin S, Via Gabriele, West Frances Mae

机构信息

Division of Cardiology and Department of Bioethics and Humanities, Department of Medicine, University of Washington, Seattle, Washington.

Department of Emergency Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

出版信息

J Am Soc Echocardiogr. 2024 Jul 11. doi: 10.1016/j.echo.2024.05.001.

Abstract

Point-of-care ultrasound (POCUS) involves the acquisition, interpretation, and immediate clinical integration of ultrasonographic imaging performed by a treating clinician. The current state of cardiac POCUS terminology is heterogeneous and ambiguous, in part because it evolved through siloed specialty practices. In particular, the medical literature and colloquial medical conversation contain a wide variety of terms that equate to cardiac POCUS. While diverse terminology aided in the development and dissemination of cardiac POCUS throughout multiple specialties, it also contributes to confusion and raises patient safety concerns. This statement is the product of a diverse and inclusive Writing Group from multiple specialties, including medical linguistics, that employed an iterative process to contextualize and standardize a nomenclature for cardiac POCUS. We sought to establish a deliberate vocabulary that is sufficiently unrelated to any specialty, ultrasound equipment, or clinical setting to enhance consistency throughout the academic literature and patient care settings. This statement (1) reviews the evolution of cardiac POCUS-related terms; (2) outlines specific recommendations, distinguishing between intrinsic and practical differences in terminology; (3) addresses the implications of these recommendations for current practice; and (4) discusses the implications for novel technologies and future research.

摘要

床旁超声检查(POCUS)涉及由主治临床医生进行的超声成像的采集、解读及立即进行临床整合。目前心脏POCUS术语的状况参差不齐且含混不清,部分原因是它是通过孤立的专科实践发展而来的。特别是,医学文献和日常医学对话中包含各种各样等同于心脏POCUS的术语。虽然多样化的术语有助于心脏POCUS在多个专科的发展和传播,但它也会造成混乱并引发患者安全问题。本声明是一个由包括医学语言学在内的多个专科组成的多元化且包容性强的写作小组的成果,该小组采用迭代过程来对心脏POCUS的命名进行背景化和标准化。我们试图建立一个与任何专科、超声设备或临床环境充分无关的审慎词汇表,以提高学术文献和患者护理环境中的一致性。本声明(1)回顾了与心脏POCUS相关术语的演变;(2)概述了具体建议,区分术语的内在差异和实际差异;(3)阐述这些建议对当前实践的影响;(4)讨论对新技术和未来研究的影响。

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