McCreary David, Sarvesh Bhaskar, Munir Maria
Paediatric Emergency Department, Sunderland Royal Hospital, Kayll Road, Sunderland, GBR.
POCUS J. 2025 Apr 15;10(1):110-118. doi: 10.24908/pocusj.v10i01.18072. eCollection 2025 Apr.
We aimed to evaluate and appraise the existing evidence on the use of point of care ultrasound (POCUS) for identifying soft tissue foreign bodies (FBs).
We searched PubMed, Medline, CINAHL, and Cochrane databases for prospective and retrospective studies evaluating the reliability of POCUS in identifying soft tissue FBs. Our primary intention was to review the paediatric-specific evidence base. However, due to a paucity of literature in this area, we also included relevant adult studies and case reports.
We identified a total of 42 unique articles with relevance to our study objective, of which 3 were paediatric cohort studies and 5 were cohort studies involving paediatric patients. There were two paediatric case series and six individual case reports relating to paediatric patients. The remaining studies either involved adults, did not specify the age of their subjects, or were relevant in-vitro studies.
POCUS-users regard it as an effective tool for detecting soft tissue FBs. However, the existing evidence base for POCUS use in paediatric patients is limited. Evidence in adults is also relatively lacking compared with other areas of POCUS research, with few large studies evaluating its reliability. This literature review highlights the need for a large prospective paediatric study in order to confirm its effectiveness compared to traditional radiological imaging.
我们旨在评估和评价关于使用床旁超声（POCUS）识别软组织异物（FBs）的现有证据。
我们在PubMed、Medline、CINAHL和Cochrane数据库中检索了评估POCUS识别软组织FBs可靠性的前瞻性和回顾性研究。我们的主要目的是回顾儿科特定的证据基础。然而，由于该领域文献匮乏，我们也纳入了相关的成人研究和病例报告。
我们共识别出42篇与我们研究目标相关的独特文章，其中3篇是儿科队列研究，5篇是涉及儿科患者的队列研究。有两个儿科病例系列和六篇与儿科患者相关的个体病例报告。其余研究要么涉及成人，未明确其研究对象的年龄，要么是相关的体外研究。
POCUS使用者认为它是检测软组织FBs的有效工具。然而，POCUS在儿科患者中使用的现有证据基础有限。与POCUS研究的其他领域相比，成人方面的证据也相对缺乏，很少有大型研究评估其可靠性。这篇文献综述强调需要进行一项大型前瞻性儿科研究，以确认其与传统放射影像学相比的有效性。
