POCUS journal最新文献_第4页

Best Practices for Point of Care Ultrasound: An Interdisciplinary Expert Consensus 医疗点超声最佳实践：跨学科专家共识

POCUS journal Pub Date : 2024-04-22 DOI: 10.24908/pocus.v9i1.17240

Brandon Oto, Robert Baeten, Leon Chen, Puja Dalal, Ria Dancel, Steven Fox, Carl William Lange, Cameron M. Baston, Paul Bornemann, Siddharth P. Dugar, Andrew Goldsmith, M. Herbst, James N. Kirkpatrick, Abhilash Koratala, Michael J Lanspa, Viveta Lobo, Jason Nomura, A. Pustavoitau, Mourad Senussi, Vincent L Sorrell, Frances Mae West, A. Sarwal

{"title":"Best Practices for Point of Care Ultrasound: An Interdisciplinary Expert Consensus","authors":"Brandon Oto, Robert Baeten, Leon Chen, Puja Dalal, Ria Dancel, Steven Fox, Carl William Lange, Cameron M. Baston, Paul Bornemann, Siddharth P. Dugar, Andrew Goldsmith, M. Herbst, James N. Kirkpatrick, Abhilash Koratala, Michael J Lanspa, Viveta Lobo, Jason Nomura, A. Pustavoitau, Mourad Senussi, Vincent L Sorrell, Frances Mae West, A. Sarwal","doi":"10.24908/pocus.v9i1.17240","DOIUrl":"https://doi.org/10.24908/pocus.v9i1.17240","url":null,"abstract":"Abstract Despite the growing use of point of care ultrasound (POCUS) in contemporary medical practice and the existence of clinical guidelines addressing its specific applications, there remains a lack of standardization and agreement on optimal practices for several areas of POCUS use. The Society of Point of Care Ultrasound (SPOCUS) formed a working group in 2022 to establish a set of recommended best practices for POCUS, applicable to clinicians regardless of their training, specialty, resource setting, or scope of practice. Using a three-round modified Delphi process, a multi-disciplinary panel of 22 POCUS experts based in the United States reached consensus on 57 statements in domains including: (1) The definition and clinical role of POCUS; (2) Training pathways; (3) Credentialing; (4) Cleaning and maintenance of POCUS devices; (5) Consent and education; (6) Security, storage, and sharing of POCUS studies; (7) Uploading, archiving, and reviewing POCUS studies; and (8) Documenting POCUS studies. The consensus statements are provided here. While not intended to establish a standard of care or supersede more targeted guidelines, this document may serve as a useful baseline to guide clinicians, leaders, and systems considering initiation or enhancement of POCUS programs.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"24 23","pages":"95 - 108"},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140673247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Point of Care Ultrasound Used to Diagnose Nontyphoidal Endocarditis 用于诊断非类风湿性心内膜炎的护理点超声检查

POCUS journal Pub Date : 2024-04-22 DOI: 10.24908/pocus.v9i1.16937

Zahraa Yousef Alqallaf, O. Maadarani, M. Elhabibi, Mohamad AbdelFatah, Z. Bitar

引用次数: 0

Vaginal Bleeding in a Peri-Menopausal Woman 围绝经期妇女的阴道出血问题

POCUS journal Pub Date : 2024-04-22 DOI: 10.24908/pocus.v9i1.16621

Ambika Shivarajpur, Brian Kohen

引用次数: 0

Point of Care Ultrasound Identification and Aspiration of a Neck Lymph Node 颈部淋巴结的定点超声波识别和抽吸

POCUS journal Pub Date : 2024-04-22 DOI: 10.24908/pocus.v9i1.16761

Andrew W. Moore, Ali Mrad, Leonard Riley, Sonia Castillo

引用次数: 0

The Application of Point of Care Ultrasound to Screen for Pulmonary Hypertension: A Narrative Review 应用护理点超声波筛查肺动脉高压：叙述性综述

POCUS journal Pub Date : 2024-04-22 DOI: 10.24908/pocus.v9i1.17494

Danny Yu Jia Ke, Melissa Tso, Amer Johri

{"title":"The Application of Point of Care Ultrasound to Screen for Pulmonary Hypertension: A Narrative Review","authors":"Danny Yu Jia Ke, Melissa Tso, Amer Johri","doi":"10.24908/pocus.v9i1.17494","DOIUrl":"https://doi.org/10.24908/pocus.v9i1.17494","url":null,"abstract":"Abstract Background: Pulmonary Hypertension (PH) is a condition with several cardiopulmonary etiologies that has the potential of progressing to right heart failure without proper intervention. After a history, physical exam, and investigations, cases of suspected PH typically undergo imaging via a transthoracic echocardiogram (TTE). This is a resource-intensive procedure that is less accessible in remote communities. However, point of care ultrasound (POCUS), a portable ultrasound administered at the bedside, has potential to aid in the diagnostic process of PH. Methods: The MEDLINE, Embase, and CENTRAL databases were searched to screen the intersection of POCUS and PH. Studies involved adult patients, and only English articles were accepted. Reviews, case reports, unfinished research, and conference abstracts were excluded. Our aim was to identify primary studies that correlated POCUS scan results and additional clinical findings related to PH. Results: Nine studies were included after our search. In these studies, POCUS was effective in identifying dilatation of inferior vena cava (IVC); internal jugular vein (IJV); and hepatic, portal, and intrarenal veins in patients with PH. The presence of pericardial effusion, pleural effusion, or b-lines on POCUS are also associated with PH. Conclusions: This review suggests important potential for the use of POCUS in the initial screening of PH. IVC and basic cardiopulmonary POCUS exams are key for PH screening in patients with dyspnea. Right-heart dilatation can be visualized, and peripheral veins may be scanned based on clinical suspicion. POCUS offers screening as an extension of a physical exam, with direct visualization of cardiac morphology. However, more studies are required to develop a statistically validated POCUS exam for PH diagnosis. More studies should also be conducted at the primary-care level to evaluate the value of screening using POCUS for PH in less-differentiated patients.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"17 21","pages":"109 - 116"},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140672176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of a Brief Point of Care Ultrasound Course at a National Nephrology Conference 在全国肾脏病学会议上举办简短的护理点超声课程的效果

POCUS journal Pub Date : 2024-04-22 DOI: 10.24908/pocus.v9i1.16858

Abhilash Koratala, Nilam J Soni, Rupal Mehta, Nathaniel C Reisinger

{"title":"Effectiveness of a Brief Point of Care Ultrasound Course at a National Nephrology Conference","authors":"Abhilash Koratala, Nilam J Soni, Rupal Mehta, Nathaniel C Reisinger","doi":"10.24908/pocus.v9i1.16858","DOIUrl":"https://doi.org/10.24908/pocus.v9i1.16858","url":null,"abstract":"Abstract The rising demand for point of care ultrasound (POCUS) instruction during nephrology fellowship has been limited due to a shortage of trained faculty and courses designed specifically for nephrologists. A hands-on POCUS pre-course was organized during the April 2023 National Kidney Foundation (NKF) Spring Clinical Meeting to address this challenge. The course consisted of pre-recorded lectures and a 4-hour hands-on workshop guided by multidisciplinary POCUS experts. The anonymous post-course survey received responses from 25 out of 39 participants, yielding a 64.1% response rate. On a scale of 0-10, confidence levels for acquiring kidney images rose from 2.6 + 2.3 (mean + SD) pre-workshop to 7.8 + 1.5 post-workshop (p<0.001). Similarly, a remarkable improvement in confidence for acquiring lung and cardiac images was seen as scores increased from 1.8 + 2.4 to 7.7 + 1.5 (p<0.001) and from 1.5 + 2.2 to 7.2 + 1.3 (p<0.001), respectively. Additionally, respondents reported a substantial improvement in their confidence to interpret kidney, lung, and cardiac POCUS images, with scores increasing from 4.5 + 2.2 to 7.7 + 1.1 (p<0.001), 2.3 + 2.4 to 7.6 + 1.5 (p<0.001), and 2 + 2 to 7.3 + 1.5 (p<0.001), respectively. Barriers to implementing POCUS use at institutions included a perceived lack of trained faculty, limited protected time for faculty, and insufficient support from division leadership. The NKF POCUS pre-course successfully improved participants’ confidence in acquiring and interpreting basic POCUS images.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"43 19","pages":"71 - 74"},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140676098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gas Forming Pyogenic Liver Abscess Diagnosed by Point of Care Ultrasound 通过医疗点超声诊断出气体形成的化脓性肝脓肿

POCUS journal Pub Date : 2024-04-22 DOI: 10.24908/pocus.v9i1.16854

Wei Ven Chin, Mae Jane Khaw

引用次数: 0

Testicular Torsion with Intact Blood Flow: A Point of Care Ultrasound Case-Series 血流完整的睾丸扭转：护理点超声病例系列

POCUS journal Pub Date : 2024-04-22 DOI: 10.24908/pocus.v9i1.17201

E. Scheier

引用次数: 0

Trends in Point of Care Ultrasound Familiarity Among Undergraduate Medical Clerkship Educators 本科生实习医生对护理点超声波熟悉程度的变化趋势

POCUS journal Pub Date : 2024-04-22 DOI: 10.24908/pocus.v9i1.16678

Nilan Schnure, Mahmoud Mohamed Elfadil, Wilma Chan, Cameron M. Baston, Frances Shofer, Nova Panebianco

{"title":"Trends in Point of Care Ultrasound Familiarity Among Undergraduate Medical Clerkship Educators","authors":"Nilan Schnure, Mahmoud Mohamed Elfadil, Wilma Chan, Cameron M. Baston, Frances Shofer, Nova Panebianco","doi":"10.24908/pocus.v9i1.16678","DOIUrl":"https://doi.org/10.24908/pocus.v9i1.16678","url":null,"abstract":"Abstract Objectives: Despite growing use of point of care ultrasound (POCUS), there remains a paucity of data about familiarity with POCUS among educators who dictate curricular content in undergraduate medical education. This paper aims to longitudinally characterize the level of comfort and frequency of POCUS use among faculty involved in undergraduate clerkship education. Methods: A web-based cross-sectional survey assessing comfort, frequency of use, and awareness of indications for POCUS among faculty involved in Internal Medicine, Family Medicine, and Surgery undergraduate clerkship education in a single urban academic medical center in 2016 and again in 2022. Results: A total of 45 responses from 2016 and 30 responses from 2022 are included. The percentage of faculty “not comfortable” with performing POCUS decreased from 78% to 46%, although the overall change in comfort was not statistically significant. Comfort interpreting POCUS images, frequency of POCUS use, and familiarity with the clinical applications of POCUS all improved. Faculty identified multiple barriers to more frequent POCUS use. Conclusions: Over a six-year period at one urban, academic medical center, comfort with POCUS and frequency of use have increased slightly but remain low among core faculty responsible for clerkship education. There are still large gaps in knowledge and very few faculty regularly use POCUS, which can be attributed to multiple different barriers.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"55 8","pages":"80 - 86"},"PeriodicalIF":0.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140677391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hematometra: A Rare Case of Pelvic Pain in Females Identified with Point of Care Ultrasound 子宫出血：通过医疗点超声波检查发现的女性盆腔疼痛罕见病例

POCUS journal Pub Date : 2024-04-22 DOI: 10.24908/pocus.v9i1.16988

Andrew Helber, Margaret Provencher, Christy Moore, Nova Panebianco

引用次数: 0