Point-of-care ultrasound in the neonatal intensive care unit: international perspectives
Point-of-care ultrasound in the neonatal intensive care unit: international perspectives
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DOI：
10.1016/j.siny.2010.06.005
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发表时间：
2011-02-01
影响因子：
3
通讯作者：
Mertens, Luc
中科院分区：
文献类型：
--
作者：
Evans, Nick;Gournay, Veronique;Mertens, Luc
为了探讨在新生儿重症监护病房（NICU）实施即时超声的国际差异，邀请了六个国家的新生儿学家和儿科心脏病学家进行贡献。贡献者显示了国家实施的差异，从几乎完全覆盖到少数具有即时超声能力的新生儿重症监护病房。在所有系统中，主要障碍在不同程度上是来自传统上使用超声的咨询专业的担忧，涉及误诊的风险，但也涉及不同的临床需求，责任问题和缺乏基于结果的证据。所有贡献者都同意，安全的护理点超声取决于与咨询专业的密切合作，也需要为使用超声的新生儿医生制定培训和认证结构。英国皇家版权所有(C) 2010出版的爱思唯尔有限公司版权所有。
To explore international variation in implementation of point-of-care ultrasound in the neonatal intensive care unit (NICU), contributions were invited from neonatologists and paediatric cardiologists in six countries. The contributors show variation in national implementation that ranges from almost total coverage through to a minority of NICUs having point-of-care ultrasound capability. To a varying degree in all systems the main barriers have been concerns from the consultative specialties that traditionally use ultrasound, relating to the risk of misdiagnosis but also involving different clinical needs, liability concerns and lack of outcome-based evidence. All contributors agreed that safe point-of-care ultrasound depends on close collaboration with the consultative specialties and also that there is a need to develop training and accreditation structures for neonatologists using ultrasound. Crown Copyright (C) 2010 Published by Elsevier Ltd. All rights reserved.