内部状静脉护理点超声波标准化能力工具的有效性证据的发展:国际专家的共识建议
Laura Aguilar Franco1,2, Noah Rosenberg3, Aditya Mohanty3
1Department of Cardiology, Beth Israel Deaconess Medical Center/Harvard Medical School, Boston, MA, USA.
这项研究开发了标准化检查清单,用于评估内静脉 (IJV) 护理点超声波 (POCUS) 的能力. 这些工具旨在提高使用超声波的中央静脉压 (CVP) 估计的准确性和一致性.
科学领域:
- 护理地点超声波 (POCUS) 超声波检查
- 医学教育 医学教育
- 评估心血管系统的情况.
背景情况:
- 传统的通过状静脉压 (JVP) 估计中央静脉压 (CVP) 是主观的,并因患者解剖学和操作员技能而有所不同.
- 内 jugular 静脉 (IJV) 的护理点超声波 (POCUS) 为 JVP 评估提供了一个有希望的替代方案.
- 目前还没有IJV POCUS的标准化基于能力的评估工具.
研究的目的:
- 开发和验证教育工具,以评估内静脉 (IJV) 护理点超声波 (POCUS) 的能力.
- 通过超声波来评估关静脉压力 (JVP) 的基本检查清单项目建立共识.
- 确定IJV POCUS能力评估的通过分数和关键项目.
主要方法:
- 经验丰富的内科医生为超声波引导的JVP (u-JVP) 和直立的JVP评估制定了两个能力检查清单.
- 经过修改的Delphi流程,涉及9名POCUS专家,用于在检查清单项目上达成共识 (≥80%的同意).
- 使用修改后的Angoff方法来确定通过分数并确定关键评估项目.
主要成果:
- 在23项中的18项 (77%) 的u-JVP检查清单和18项中的15项 (83%) 的垂直JVP检查清单达成共识.
- 建立的通过分数为U-JVP检查清单的69.6%,直立JVP检查清单的70.2%.
- 关键项目被确定为 u-JVP 的 4/18 (22%) 和直立 JVP 的 3/15 (20%).
结论:
- 经过修改的Delphi方法成功地在IJV POCUS的两个能力评估工具上达成共识.
- 开发的18项 (u-JVP) 和15项 (垂直JVP) 检查清单,定义了关键项目和通过分数,可以标准化学员熟练度评估.
- 这些工具有望提高使用POCUS. JVP评估的可靠性和一致性.
更多相关视频
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
06:15Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
相关概念视频
Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Assessing Blood pressure using a doppler ultrasound
Pre-Procedural Guidelines for Doppler Ultrasound Blood Pressure Assessment:
Preparation of Equipment:
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Assessment of the Cardiovascular System IV: Auscultation
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
Imaging Studies for Cardiovascular System I:Echocardiography
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
