床边肺部超声波例行实施对机械通风儿童胸部X射线要求的影响:一个前后不受控制的质量改进项目
Farah Thabet1, Seyfeddine Zayani2, Abir Daya2
1Pediatric Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia. thabetfarah@yahoo.fr.
European journal of pediatrics
|August 3, 2024
概括
在儿科重症监护室 (PICU) 实施床边肺部超声波显著减少了39%的胸部X射线使用. 这种无辐射成像方法也降低了成本和患者的辐射暴露.
科学领域:
- 儿科重症监护 儿科重症监护
- 医疗成像医学成像
- 超声波技术 超声波技术
背景情况:
- 床边胸部X射线是重症监护室中通风儿科患者的主要成像方法.
- 胸部X射线虽然有价值,但对重症儿童有辐射暴露的风险.
- 肺部超声波为儿科重症监护中的肺部成像提供了一个无辐射,实时的替代方案.
研究的目的:
- 评估实施例行床边肺部超声波对呼吸器儿童患者胸部X射线利用的影响.
- 评估肺部超声波整合后辐射暴露的变化和相关成本.
主要方法:
- 在2022年1月至2023年12月期间,在转诊儿科重症监护室 (PICU) 进行的前后质量改进项目.
- 包括被直管和通风的儿科患者 (年龄小于14岁),需要机械通风30天以上.
- 根据临床指示,利用了肺部超声波和胸部X射线的标准化协议.
主要成果:
- 常规的床边肺部超声波的实施导致胸部X射线请求减少了39% (p < 0.001).
- 观察到患者辐射暴露的显著下降.
- 实现了27%的降低与胸部X射线成像相关的成本.
结论:
- 常规的床边肺部超声波是减少在PICU中对胸部X射线的依赖的有效工具.
- 这种做法导致严重病情的儿科患者的辐射暴露减少.
- 肺部超声波的整合为儿童重症监护机构提供了潜在的成本节约.
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