Summary of best evidence for bedside ultrasound-based pulmonary assessment and intervention in adult critically ill patients
10.3760/cma.j.cn211501-20240829-02366
- VernacularTitle:基于床旁超声的成人重症患者肺部评估与干预的最佳证据总结
- Author:
Xin LI
1
;
Zhangshuangzi LI
;
Feng SHEN
;
Bentao JIA
;
Aoran XU
;
Yaxian HAN
;
Yahong JIANG
;
Yajing SHANG
Author Information
1. 贵州医科大学护理学院，贵阳 550004
- Publication Type:Journal Article
- Keywords:
Ultrasonography;
Critically ill patients;
Pulmonary assessment;
Evidence summary;
Evidence-based care
- From:
Chinese Journal of Practical Nursing
2025;41(22):1710-1719
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and summarize the best evidence on the use of bedside ultrasound by ICU nurses to assess the lungs of adult critically ill patients, and to provide a reference for clinical practice and the construction of related processes and protocols.Methods:Based on the "6S" pyramid model, a computer-based search was conducted on relevant computer decision support system, guideline networks, professional associations, and domestic and international databases, the search time limit was from the establishment of the database to June 5, 2024. The panel members who had been trained in the evidence-based course evaluated the included literature with corresponding tools, extracted evidence according to the theme.Results:Twenty-five papers were finally included, including 6 guidelines, 8 expert consensus, 2 expert opinion, 3 clinical decision-making, 3 systematic evaluation, and 3 randomized controlled trials. A total of 35 pieces of evidence were formed from 4 aspects, including personnel training, operation specifications, clinical application (including dyspnea screening, intervention implementation, efficacy evaluation, diaphragm function evaluation) and precautions.Conclusions:The best evidence for lung assessment and intervention in adult critically ill patients based on bedside ultrasound can provide a reference for the adjustment and decision-making of nursing measures for adult critically ill patients. In the subsequent process of evidence transformation, attention should be paid to combining clinical practice and the joint cooperation of medical staff.
