Simon Robert, Petrișor Cristina, Bodolea Constantin, Antal Oana, Băncișor Marta, Moldovan Orlanda, Puia Ion Cosmin
Doctoral School, Faculty of Medicine, University of Oradea, 410087 Oradea, Romania.
Anesthesia and Intensive Care Department, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.
Diagnostics (Basel). 2025 Feb 3;15(3):354. doi: 10.3390/diagnostics15030354.
Point-of-care ultrasound (POCUS) in the intensive care unit (ICU) has gained much attention in the last few years as an alternative to the classic ways of assessing and diagnosing life-threatening conditions in critical patients. During the COVID-19 pandemic, we proposed a POCUS protocol based on the airway, breathing, and circulation (ABC) approach to quickly evaluate and diagnose life-threatening diseases in critical patients with acute respiratory failure and shock, and later, we used it as a curriculum to teach POCUS to anesthesia and intensive care trainees. We developed an evaluation protocol where evaluators with experience in POCUS in critically ill patients had to assess the trainee's ultrasound scan; this was based on the ABC protocol taught in the simulation laboratory and applied in a clinical setting at the bedside. Statistically significant differences were observed in some categories evaluated regarding independence and diagnosis. Initial POCUS simulation-based training using an ABC POCUS protocol (that demonstrated good results in the simulation laboratory) is useful when transferring US skills to the bedside and is applicable in daily clinical practice with good results in terms of operator independence.
近年来，重症监护病房（ICU）中的床旁超声（POCUS）作为评估和诊断危重症患者危及生命状况的传统方法的替代手段，备受关注。在新冠疫情期间，我们提出了一种基于气道、呼吸和循环（ABC）方法的POCUS方案，用于快速评估和诊断急性呼吸衰竭和休克的危重症患者中的危及生命疾病，后来，我们将其用作课程，向麻醉和重症监护实习医生教授POCUS。我们制定了一项评估方案，让在危重症患者POCUS方面有经验的评估人员评估实习医生的超声扫描；这是基于在模拟实验室教授并应用于床边临床环境的ABC方案。在评估的关于独立性和诊断的某些类别中观察到了统计学上的显著差异。使用ABC POCUS方案进行的基于POCUS模拟的初始培训（在模拟实验室中显示出良好效果）在将超声技能应用于床边时很有用，并且在日常临床实践中适用于操作员独立性方面取得了良好效果。
