sabato 27 giugno 2020

Video su ecografia polmonare

Eccovi link che illustrano l'importanza dell'ecografia polmonare

https://www.youtube.com/watch?v=shjtgS3mFnk

https://www.youtube.com/watch?v=nx6eHINDveM

https://www.youtube.com/watch?v=WQBuaLnh_U4

https://www.youtube.com/watch?v=Cl6F_hGwxuI

https://www.youtube.com/watch?v=gd3pHXo-j4U

Ecografia polmonare in corso di COVID19

Ecco il link per il materiale reperibile su youtube.
Buona visione!

https://www.youtube.com/watch?v=WJoQYRsDUmg

2019 Dec 20. pii: S0965-206X(19)30085-3. doi: 10.1016/j.jtv.2019.12.005. [Epub ahead of print]

Vascular assessment in venous leg ulcer diagnostics and management in Australian primary care: Clinician experiences.

Weller C¹, Richards C², Turnour L², Green S³, Team V².

Author information

1: Monash Nursing and Midwifery, Monash University, Victoria, Australia. Electronic address: carolina.weller@monash.edu.
2: Monash Nursing and Midwifery, Monash University, Victoria, Australia.
3: Public Health and Preventive Medicine, Monash University, Victoria, Australia.

Abstract

AIM:

In this article, we focus on primary health clinicians' experiences of vascular assessment in venous leg ulcer (VLU) diagnostics and management, including ankle brachial pressure index (ABPI) measurements using Doppler ultrasonography.

METHODS:

We conducted semi-structured face-to-face and telephone interviews with general practitioners [15] and practice nurses [20] from primary health care settings in Australia. Twenty-one participants were recruited from practices located in Melbourne metropolitan settings and 14 from rural Victoria. We used the theory driven thematic analysis as a method of data analysis. The Theoretical Domains Framework informed this analysis.

RESULTS:

Five domains were identified as relevant, including Environmental Context and Resources, Motivation and Goals, Skills, Knowledge, and Beliefs about Capabilities. Although the Australian and New Zealand clinical practice guideline for prevention and management of venous leg ulcers recommend that vascular assessment is conducted for all patients with suspected VLUs, findings from our study indicate vascular assessments are not routinely performed in many primary care settings. Our study also found that a lack of awareness of clinical practice guidelines among clinicians might be one of the main issues for not following the latest clinical recommendations for vascular assessment in venous leg ulcer diagnostics and wound management practice.

CONCLUSION:

We recommend development of theory-informed interventions for clinicians in primary health care settings to optimise VLU management and healing outcomes for patients with VLUs. Implementation and evaluation of these interventions have the potential to reduce the evidence-practice gap in VLU management and optimise healing outcomes.

PMID:: 31879057
DOI:: 10.1016/j.jtv.2019.12.005