Handheld ultrasound in training - The future is getting smaller!
Handheld ultrasound in training - The future is getting smaller!
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DOI：
10.1177/1751143720914216
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发表时间：
2021-08-01
影响因子：
2.7
通讯作者：
Saxhaug, Lars Molgaard
中科院分区：
文献类型：
--
作者：
Wilkinson, Jonathan N.;Saxhaug, Lars Molgaard
传统的超声教学通常使用大型、昂贵且通常相当先进的推车系统。这些推车通常是带轮子的大型系统，通常仅限于拥有它们的部门，即诊所、病房或放射科。便携式电脑系统的发展进一步提高了便携性，更容易在病人/科室之间移动。根据我们的经验和轶事，许多这些系统可能会让新手望而生畏，并可能导致早期磨损或超声在临床实践中的不良吸收。手推车还会限制可交付给从业者的培训数量，因为由于成本的原因，它们的数量有限，并且可能需要相当长的时间来启动，从而降低了便利性。随着小型手持设备的出现，这一教条正在逐渐改变，其中一些显然在大多数从业人员的经济能力范围内，甚至医学院也为学生提供了自己的个人设备。这种相对便宜的价格会导致人们为了新奇和方便而过度购买这些设备。在这些情况下，显然需要谨慎，但随着购买的便利性，更好的可用性和内置的简单性，超声学习可以无缝地集成到日常实践中。这篇综述讨论了现代医学中最具颠覆性的创新之一是如何将超声从经典的成像方式转变为临床检查的第五大支柱，以及这些新设备如何成为更先进的超声培训的跳板。事实上，在临床检查的一个更大的领域里，事情变得越来越小。
Traditional ultrasound teaching is normally delivered using large, costly and often quite advanced cart-based systems. These carts are often large systems on wheels, usually limited to the departments that own them i.e. clinics, wards or radiology. Portability has been further improved by the development of laptop style systems, which are easier to wheel in-between patients/departments. In our experience and anecdotally, many of these systems can be intimidating to the novice and can lead to early attrition or poor uptake of ultrasound into clinical practice. Carts can also restrict the amount of training deliverable to practitioners, as they are limited in number due to cost and can take quite some time to boot up, reducing convenience.This dogma is being progressively changed with the advent of smaller handheld devices, some clearly within the financial grasps of most practitioners, and even to the point of medical schools offering students their own personal device.(1,2) This relative inexpensiveness can lead to the purchase of these devices for novelty and convenience, over need. Obvious caution is needed in these circumstances, but with increased ease of purchase, better availability and inbuilt simplicity, ultrasound learning can be seamlessly integrated into day-to-day practice.This review discusses how one of the most disruptive innovations in modern medicine is changing ultrasound from a classic imaging modality to become integrated as the fifth pillar of clinical examination, and how these new devices can serve as springboards to more advanced ultrasound training. In fact, within what has become a bigger area of clinical examination, things are getting smaller.