看穿神话:肾脏病学护理点超声诊断的实用方面

Abhilash Koratala, A. Kazory
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摘要

护理点超声波检查(POCUS)正在成为床旁指导病人护理的重要工具,为临床医生提供实时诊断信息。如今,POCUS 与检查、触诊、叩诊和听诊一样,被认为是床旁临床检查的第五大支柱。尽管人们对 POCUS 的兴趣与日俱增,但肾脏内科对 POCUS 诊断的采用仍然有限,只有少数研究员课程提供肾脏超声以外的综合培训。此外,在将 POCUS 纳入日常肾脏病学实践方面还存在一些误解和障碍。其中包括对其范围、效用、对患者预后的影响以及法律影响的误解。在本小视图中,我们将讨论其中的一些问题,以鼓励更广泛、更适当地使用 POCUS。
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Seeing through the myths: Practical aspects of diagnostic point-of-care ultrasound in nephrology
Point of care ultrasonography (POCUS) is emerging as an invaluable tool for guiding patient care at the bedside, providing real-time diagnostic information to clinicians. Today, POCUS is recognized as the fifth pillar of bedside clinical examination, alongside inspection, palpation, percussion, and auscultation. In spite of growing interest, the adoption of diagnostic POCUS in nephrology remains limited, and comprehensive training beyond kidney ultrasound is offered in only a few fellowship programs. Moreover, several misconceptions and barriers surround the integration of POCUS into day-to-day nephrology practice. These include myths about its scope, utility, impact on patient outcomes and legal implications. In this minireview, we address some of these issues to encourage wider and proper utilization of POCUS.
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