Global survey on point-of-care ultrasound (pocus) use in child surgery.

IF 1.5 3区医学 Q2 PEDIATRICS

Pediatric Surgery International Pub Date : 2024-09-05 DOI:10.1007/s00383-024-05797-8

Gerlin Naidoo, Mohammed Salim, Andrew Jackson, Ashok Handa, Kokila Lakhoo, Judith Lindert

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引用次数: 0

Abstract

Purpose: To undertake a global assessment of existing ultrasound practices, barriers to access, point-of-care ultrasound (POCUS) training pathways, and the perceived clinical utility of POCUS in Child Surgery.

Methods: An electronic survey was disseminated via the GICS (Global Initiative of Children's Surgery) network. 247 anonymized responses from 48 countries were collated. 71.3% (176/247) worked in child surgery.

Results: Ultrasound was critical to practice with 84% (147/176) of requesting one daily or multiple times per week. Only 10% (17/176) could access emergency ultrasound < 1 h from request. The main barrier was a lack of trained personnel. HIC surgeons were more likely to have ultrasound training (24/29; 82.8%) compared with LMICs (74/147; 50.3%) (p = .001319; CI 95%). Self-perceived POCUS competence was associated with regularity of POCUS use (p < 0.001; CI 95%). Those who already practice POCUS most commonly use it for trauma, intussusception, and ultrasound-guided procedures. Majority (90%; 159/176) of child surgeons would attend formal POCUS training if available.

Conclusions: Ultrasound is critically important in children's surgery globally, however, many surgeons experience barriers to timely access. There is a strong interest in learning POCUS for relevant pediatric surgical applications. Further research is needed to evaluate the best methods of training, accreditation, and governance.

Abstract Image

查看原文本刊更多论文

关于儿童手术中使用护理点超声波 (pocus) 的全球调查。

目的：对儿童外科中现有的超声检查实践、使用障碍、床旁超声检查（POCUS）培训途径以及床旁超声检查的临床实用性进行全球评估：方法：通过 GICS（全球儿童外科倡议）网络进行电子调查。对来自 48 个国家的 247 份匿名回复进行了整理。71.3%（176/247）的受访者从事儿童外科工作：结果：84%（147/176）的受访者要求每天或每周多次使用超声波。只有 10%（17/176）能获得紧急超声检查结论：在全球范围内，超声波对儿童外科手术至关重要，但许多外科医生在及时获取超声波方面遇到了障碍。人们对学习相关儿科手术应用的 POCUS 有着浓厚的兴趣。需要进一步开展研究，以评估培训、认证和管理的最佳方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Surgery International 医学-外科

CiteScore

3.00

自引率

5.60%

发文量

215

审稿时长

3-6 weeks

期刊介绍： Pediatric Surgery International is a journal devoted to the publication of new and important information from the entire spectrum of pediatric surgery. The major purpose of the journal is to promote postgraduate training and further education in the surgery of infants and children. The contents will include articles in clinical and experimental surgery, as well as related fields. One section of each issue is devoted to a special topic, with invited contributions from recognized authorities. Other sections will include: -Review articles- Original articles- Technical innovations- Letters to the editor