Summary of best evidence for bedside ultrasound assessment of muscle mass in critically ill adults
10.3760/cma.j.cn211501-20230901-00437
- VernacularTitle:成年重症患者肌肉质量床旁超声评估实践的最佳证据总结
- Author:
Jiaqi LI
1
;
Yao XU
;
Juntao ZUO
;
Zhen HAN
;
Wenhui XIE
;
Cuili WU
;
Xianghong YE
Author Information
1. 南京大学医学院附属金陵医院普通外科，南京 210002
- Keywords:
Ultrasonography;
Critically ill patients;
Muscle mass;
Sarcopenia;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2024;40(6):427-433
- CountryChina
- Language:Chinese
-
Abstract:
Objective:The evidence on the use of bedside ultrasound to assess muscle mass in critically ill adults was retrieved and screened, and the best evidence was summarized.Methods:A computer search was conducted for relevant literature on ultrasound measurement of muscle mass in critically ill adults in domestic and foreign databases such as BMJ Best Clinical Practice, UpToDate, PubMed, CNKI, and guide website and professional association website. The search time limit was from the establishment of the database to August 30, 2023. Literature quality was evaluated by four researchers trained in systematic evidence-based courses according to literature type.Results:A total of 15 literatures were included, including 2 guideline, 4 expert consensus, 5 systematic reviews and 4 randomized controlled studies. A total of 22 pieces of evidence were summarized, including 6 aspects: position and patient preparation, feasibility of implementation by nursing staff, selection of probe and matters needing attention, muscle positioning, evaluation of muscle structure by ultrasound and the guiding significance of ultrasound evaluation of muscle mass.Conclusions:The best evidence summary of bedside ultrasound assessment of muscle mass in critically ill adults summarized in this study is scientific and systematic, and provides evidence-based basis for establishing standardized ultrasound assessment procedures in clinic.
