关键词: Best Practice Clinical Ultrasound Consensus Emergency ultrasound Guidelines POCUS Sonography

来  源:   DOI:10.24908/pocus.v9i1.17240   PDF(Pubmed)

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.
摘要:
尽管在当代医疗实践中越来越多地使用护理点超声(POCUS),并且存在解决其特定应用的临床指南,对于POCUS使用的几个领域,仍然缺乏标准化和最佳实践的共识。护理点超声协会(SPOCUS)于2022年成立了一个工作组,以建立一套推荐的POCUS最佳实践,适用于临床医生,无论他们的培训,专业,资源设置,或实践范围。使用三轮修改的Delphi过程,由22名美国POCUS专家组成的多学科小组就以下领域的57项声明达成共识:(1)POCUS的定义和临床作用;(2)培训途径;(3)认证;(4)POCUS设备的清洁和维护;(5)同意和教育;(6)安全,storage,分享POCUS研究;(7)上传,存档,并审查POCUS研究;(8)记录POCUS研究。这里提供了协商一致的声明。虽然不打算建立护理标准或取代更有针对性的指导方针,本文件可作为指导临床医生的有用基准,领导人,以及考虑启动或增强POCUS计划的系统。
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