Eco focused nel reparto di emergenza: una revisione sistematica.

• 
  

L'ecografia focused eseguita da infermieri di emergenza è risultata estremamente accurata, coerente e sicura. 

è stata identificata la standardizzazione della formazione e dello sviluppo professionale degli infermieri di

emergenza nell'uso dell'ecografia . 

                Australas Emerg Care. 2018 Nov;21(4):121-130. doi: 10.1016/j.auec.2018.09.003. Epub 2018 Oct 15.

            Nurse-performed focused ultrasound in the emergency department:

                A systematic review.

Varndell W1, Topacio M2, Hagness C2, Lemon H2, Tracy D2.

Author information

1

Prince of Wales Hospital Emergency Department, Barker Street, Sydney, Australia; University of 

Technology Sydney, Faculty of Health, Sydney, Australia. Electronic address: 

Wayne.Varndell@health.nsw.gov.au.

2

Prince of Wales Hospital Emergency Department, Barker Street, Sydney, Australia.

Abstract

AIM:

The objective of this systematic review was to examine the characteristics and diagnostic accuracy
 of focused ultrasonography performed by emergency nurses.

BACKGROUND:

Focused ultrasonography is a limited, real-time, goal-directed examination performed 

to answer specific clinical questions. Its use within the ED setting has increased rapidly over the past

 two decades. However, little is known about the accuracy of focused ultrasonography performed by 

emergency nurses.

DESIGN:

Systematic review.

DATABASES AND DATA TREATMENT:

Four databases - ProQuest, Medline, SCOPUS, CINAHL -

 the Cochrane Library and the National Institute of Clinical Excellence were searched from date

 of inception to July 2018; with no language restrictions applied. Studies were identified using

 predetermined inclusion criteria. Data were extracted and summarised, and underwent evaluation

 using published valid criteria.

RESULTS:

Sixteen studies met inclusion; three main applications of focused ultrasonography by 

emergency nurses were identified: procedural guidance, trauma, and soft tissue and musculoskeletal 

injuries. Overall study quality was high; 9 studies included a form of comparison group. Majority of 

studies examined nurse accuracy; three studies additionally investigated patient orientated outcomes 

that included pain, comfort and satisfaction.

CONCLUSION:

Focused ultrasonography performed by emergency nurses was found to be highly 

accurate, consistent and safe. Standardisation of training and professional development of emergency 

nurses in use of focused ultrasonography has been identified. Further research is needed to examine

 diagnostic accuracy of nurse-performed ultrasonography across a wider range of acute conditions

 commonly managed by advanced nurse roles in the emergency department setting.

Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.

KEYWORDS:

Advanced practice; Emergency department; Point-of-care; Systemic review; Ultrasound

PMID:

 

30998887

 

DOI:

 

10.1016/j.auec.2018.09.003