Báo cáo y học: " Time needed to achieve completeness and accuracy in bedside lung ultrasound reporting in Intensive Care Unit"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Time needed to achieve completeness and accuracy in bedside lung ultrasound reporting in Intensive Care Unit | Tutino et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2010 18 44 http content 18 1 44 SCANDINAVIAN JOURNAL OF t emergency medicine ORIGINAL RESEARCH Open Access Time needed to achieve completeness and accuracy in bedside lung ultrasound reporting in Intensive Care Unit 1 1-2 1 2 2 2 Lorenzo Tutino Giovanni Cianchi Francesco Barbani Stefano Batacchi Rita Cammelli Adriano Peris Abstract Background The use of lung ultrasound LUS in ICU is increasing but ultrasonographic patterns of lung are often difficult to quantify by different operators. The aim of this study was to evaluate the accuracy and quality of LUS reporting after the introduction of a standardized electronic recording sheet. Methods Intensivists were trained for LUS following a teaching programme. From April 2008 an electronic sheet was designed and introduced in ICU database in order to uniform LUS examination reporting. A mark from 0 to 24 has been given for each exam by two senior intensivists not involved in the survey. The mark assigned was based on completeness of a precise reporting scheme concerning the main finding of LUS. A cut off of 15 was considered sufficiency. Results The study comprehended 12 months of observations and a total of 637 LUS. Initially although some improvement in the reports completeness still the accuracy and precision of examination reporting was below 15. The time required to reach a sufficient quality was 7 months. A linear trend in physicians progress was observed. Conclusions The uniformity in teaching programme and examinations reporting system permits to improve the level of completeness and accuracy of LUS reporting helping physicians in following lung pathology evolution. Introduction Bedside lung ultrasound can provide accurate information on lung status in critically ill patients in Intensive Care Unit ICU 1 2 and the important role of defining standards in critical care ultrasonography has been recently discussed 3 . .

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