Diagnostic Ultrasound Safety Review for Point-of-Care Ultrasound Practitioners

被引:46
作者
Miller, Douglas L. [1 ]
Abo, Alyssa [2 ]
Abramowicz, Jacques S. [3 ]
Bigelow, Timothy A. [4 ]
Dalecki, Diane [5 ]
Dickman, Eitan [6 ]
Donlon, John [7 ]
Harris, Gerald [8 ]
Nomura, Jason [9 ]
机构
[1] Univ Michigan, Sch Med, 3240A Med Sci Bldg 1,1301 Catherine St, Ann Arbor, MI 48109 USA
[2] George Washington Univ, Sch Med & Hlth Sci, Dept Emergency Med, Washington, DC 20052 USA
[3] Univ Chicago, Dept Obstet & Gynecol, Chicago, IL 60637 USA
[4] Iowa State Univ, Ctr Nondestruct Evaluat, Ames, IA USA
[5] Univ Rochester, Dept Biomed Engn, Rochester, NY USA
[6] Maimonides Hosp, Dept Emergency Med, Brooklyn, NY 11219 USA
[7] Philips Healthcare, Acoust Measurements, Bothell, WA USA
[8] US FDA, Ctr Devices & Radiol Hlth, Silver Spring, MD USA
[9] Christiana Hosp, Dept Emergency Med, Newark, DE USA
关键词
as low as reasonably achievable; diagnostic ultrasound safety; Food and Drug Administration regulation; mechanical index; output display standard; point-of-care ultrasound; safety of the eye; lung; and fetus; thermal index; ultrasound bioeffects; PULMONARY CAPILLARY HEMORRHAGE; CONTRAST-ENHANCED ULTRASOUND; INDUCED LUNG HEMORRHAGE; EMERGENCY-DEPARTMENT; CRITICALLY-ILL; CARDIAC ULTRASONOGRAPHY; THRESHOLD ESTIMATION; POSTNATAL SUBJECTS; MEDICAL-EDUCATION; TEMPERATURE RISE;
D O I
10.1002/jum.15202
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Potential ultrasound exposure safety issues are reviewed, with guidance for prudent use of point-of-care ultrasound (POCUS). Safety assurance begins with the training of POCUS practitioners in the generation and interpretation of diagnostically valid and clinically relevant images. Sonographers themselves should minimize patient exposure in accordance with the as-low-as-reasonably-achievable principle, particularly for the safety of the eye, lung, and fetus. This practice entails the reduction of output indices or the exposure duration, consistent with the acquisition of diagnostically definitive images. Informed adoption of POCUS worldwide promises a reduction of ionizing radiation risks, enhanced cost-effectiveness, and prompt diagnoses for optimal patient care.
引用
收藏
页码:1069 / 1084
页数:16
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