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心肺物理治疗和呼吸治疗实践中的肺部床旁超声(POCUS):现状与未来方向。

Lung Point of Care Ultrasound (POCUS) in Cardiorespiratory Physiotherapy and Respiratory Therapy Practices: Current Status and Future Directions.

作者信息

Ntoumenopoulos George, Pizimolas Georgina A, Mani Sarine, Hayward Simon, Lockstone Jane

机构信息

Department of Physiotherapy, Royal Perth Hospital Perth AUS.

Department of Physiotherapy, The Queensland Children's Hospital Brisbane AUS.

出版信息

POCUS J. 2024 Nov 15;9(2):9-11. doi: 10.24908/pocus.v9i2.17854. eCollection 2024.

DOI:10.24908/pocus.v9i2.17854
PMID:39634695
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11616986/
Abstract

Lung Point of Care Ultrasound (POCUS) strongly influences physiotherapy and respiratory therapy clinical decision-making in the intensive care unit (ICU). The uptake of Lung POCUS training by physiotherapists and respiratory therapists is low in some countries, often due to many barriers to its implementation. The safe and appropriate integration of Lung POCUS into physiotherapy and respiratory therapy clinical practice may be achieved by various means. This article describes the pathway for physiotherapists to become Lung POCUS-accredited in Australia, focusing on a novel fast-track approach that may apply internationally and in other professions, such as respiratory therapy. While a fast-track approach is resource intensive, such resource allocation may be justified to support the growth of Lung POCUS in physiotherapy and respiratory therapy practice where mentor support may be inconsistent, lacking, or absent.

摘要

肺部床旁超声(POCUS)对重症监护病房(ICU)的物理治疗和呼吸治疗临床决策有重大影响。在一些国家,物理治疗师和呼吸治疗师对肺部POCUS培训的接受程度较低,这通常是由于其实施存在诸多障碍。可通过多种方式实现将肺部POCUS安全、适当地整合到物理治疗和呼吸治疗临床实践中。本文介绍了澳大利亚物理治疗师获得肺部POCUS认证的途径,重点介绍了一种新颖的快速通道方法,该方法可能适用于国际范围以及呼吸治疗等其他专业。虽然快速通道方法资源密集,但在物理治疗和呼吸治疗实践中,当导师支持可能不一致、缺乏或不存在时,这种资源分配可能是合理的,以支持肺部POCUS的发展。

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本文引用的文献

1
An international survey exploring the adoption and utility of diagnostic lung ultrasound by physiotherapists and respiratory therapists in intensive care.一项探索重症监护领域物理治疗师和呼吸治疗师对诊断性肺部超声的应用及效用的国际调查。
J Intensive Care Soc. 2023 Nov;24(4):364-371. doi: 10.1177/17511437221148920. Epub 2023 Feb 1.
2
The Impact of Respiratory Therapist Performed Point-of-Care Lung Ultrasound on the Respiratory Care in Neonates, Manitoba Experience, Canada.呼吸治疗师实施的床旁肺部超声对加拿大曼尼托巴省新生儿呼吸护理的影响
Am J Perinatol. 2024 May;41(S 01):e1539-e1545. doi: 10.1055/s-0043-1768042. Epub 2023 Apr 18.
3
A cross-sectional survey on the lung ultrasound training and practice of respiratory therapists in mainland China.中国大陆呼吸治疗师的肺部超声培训和实践的横断面调查。
BMC Pulm Med. 2022 Nov 18;22(1):425. doi: 10.1186/s12890-022-02213-6.
4
Interprofessional Team Collaboration and Work Environment Health in 68 US Intensive Care Units.68 家美国重症监护病房中的跨专业团队协作和工作环境健康。
Am J Crit Care. 2022 Nov 1;31(6):443-451. doi: 10.4037/ajcc2022546.
5
A proposed framework for point of care lung ultrasound by respiratory physiotherapists: scope of practice, education and governance.呼吸治疗师即时护理肺部超声的拟议框架:实践范围、教育与管理
Ultrasound J. 2022 Jun 16;14(1):24. doi: 10.1186/s13089-022-00266-6.
6
Barriers and facilitators to achieving competence in lung ultrasound: A survey of physiotherapists following a lung ultrasound training course.实现肺部超声技能掌握的障碍与促进因素:对参加肺部超声培训课程后的物理治疗师的一项调查。
Aust Crit Care. 2023 Jul;36(4):573-578. doi: 10.1016/j.aucc.2022.04.005. Epub 2022 Jun 7.
7
Challenges and opportunities in point-of-care ultrasound: A qualitative exploration of respiratory physiotherapists' experiences of lung ultrasound training and its adoption in critical care.床旁超声检查的挑战与机遇:对呼吸治疗师肺部超声培训经历及其在重症监护中应用的质性探索。
Ultrasound. 2022 May;30(2):126-133. doi: 10.1177/1742271X211034199. Epub 2021 Aug 2.
8
Point-of-care ultrasound training for respiratory therapists: A scoping review.呼吸治疗师的床旁超声培训:一项范围综述。
Can J Respir Ther. 2022 Mar 7;58:28-33. doi: 10.29390/cjrt-2021-065. eCollection 2022.
9
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Thorax. 2023 Feb;78(2):169-175. doi: 10.1136/thoraxjnl-2021-218217. Epub 2022 Mar 23.
10
Lung ultrasound has greater accuracy than conventional respiratory assessment tools for the diagnosis of pleural effusion, lung consolidation and collapse: a systematic review.肺部超声在诊断胸腔积液、肺实变和肺萎陷方面比传统的呼吸评估工具具有更高的准确性:系统评价。
J Physiother. 2021 Jan;67(1):41-48. doi: 10.1016/j.jphys.2020.12.002.