在严酷的环境中使用护理点的超声波:范围审查
Aubree Anderson1, Rebecca G Theophanous1,2
1Department of Emergency Medicine, Duke University School of Medicine, Durham, NC, United States of America.
PloS one
|December 5, 2024
概括
护理点超声波 (POCUS) 越来越多地用于严格的环境,大多数研究是在资源有限的环境中进行的. 需要更多高质量的研究来指导培训和改善不同环境中的临床结果.
科学领域:
- 医学超声波 医学超声波
- 紧急医疗 紧急医疗
- 全球健康 全球健康
背景情况:
- 便携式护理点超声波 (POCUS) 的技术进步正在扩大其在资源有限的环境 (RLS) 和严格的环境中的实用性.
- 在各种具有挑战性的环境中,POCUS有可能提高诊断准确性,包括军事区,低资源地区,微重力和高海拔地区.
研究的目的:
- 在各种全球严苛环境中对护理点超声波 (POCUS) 应用进行更新的叙事范围审查.
- 描述POCUS在不同于传统医院环境的环境中使用的现状.
主要方法:
- 在PubMed,Embase和Web of Science中使用PRISMA-ScR指南进行了系统的文献搜索.
- 在独立查和数据抽象后,包括了324篇描述POCUS在医疗保健专业人员参与的严格环境中的英语文章.
- 研究使用GRADE质量评估工具进行了批判性评估,以评估证据质量.
主要成果:
- 大多数研究是在资源有限的环境 (RLS) 和医院前环境中进行的.
- 确定了广泛的研究设计,包括观察性研究,案例报告和评论,具有可变的GRADE质量评估.
- 具体的严格环境包括军事区,医院前设置,低收入和中等收入国家,太空和高海拔地区.
结论:
- 目前在严格环境中对POCUS的文献多样化,但在研究设置,设计和考试类型方面存在差异.
- 进一步的高质量研究对于在非医院环境中标准化POCUS培训和应用至关重要.
- 在各种严格的环境中优化POCUS的使用需要额外的证据来最大限度地影响其临床结果.
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