Ultraschall Med 2022; 43(04): 354-366
DOI: 10.1055/a-1816-8548
Guidelines & Recommendations

Point-of-Care Ultrasound in Neurology – Report of the EAN SPN/ESNCH/ERcNsono Neuro-POCUS Working Group

Point-of-Care-Ultraschall in der Neurologie – Bericht der EAN SPN/ESNCH/ERcNsono Neuro-POCUS Arbeitsgruppe
Jurgita Valaikiene
1   Center of Neurology, Clinic of Neurology and Neurosurgery, Vilnius University Faculty of Medicine, Vilnius, Lithuania
,
Felix Schlachetzki
2   Department of Neurology, Center for Vascular Neurology and Intensive Care, medbo Bezirksklinikum Regensburg, University of Regensburg, Germany
,
Elsa Azevedo
3   Department of Neurology, Centro Hospitalar Universitário de São João, Porto, Portugal
,
Manfred Kaps
4   Neurology, Justus Liebig University Giessen Faculty of Medicine, Giessen, Germany
,
Piergiorgio Lochner
5   Department of Neurology, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Germany
,
Aristeidis H. Katsanos
6   Division of Neurology, Population Health Research Institute, McMaster University, Hamilton, Canada
,
Uwe Walter
7   Department of Neurology, Rostock University Medical Center, Rostock, Germany
,
Claudio Baracchini
8   Stroke Unit and Neurosonology Laboratory, Padua University Hospital, Padova, Italy
,
Eva Bartels
9   Neurology, Center for Neurological Vascular Diagnostics, Munich, Germany
,
David Školoudík 
10   Center for Health Research, University of Ostrava Faculty of Medicine, Ostrava, Czech Republic
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Abstract

In the last decade, ultrasound examination in neurology has been undergoing a significant expansion of its modalities. In parallel, there is an increasing demand for rapid and high-quality diagnostics in various acute diseases in the prehospital setting, the emergency room, intensive care unit, and during surgical or interventional procedures. Due to the growing need for rapid answers to clinical questions, there is particular demand for diagnostic ultrasound imaging. The Neuro-POCUS working group, a joint project by the European Academy of Neurology Scientific Panel Neurosonology, the European Society of Neurosonology and Cerebral Hemodynamics, and the European Reference Centers in Neurosonology (EAN SPN/ESNCH/ERcNsono Neuro-POCUS working group), was given the task of creating a concept for point-of-care ultrasound in neurology called “Neuro-POCUS”. We introduce here a new ultrasound examination concept called point-of-care ultrasound in neurology (Neuro-POCUS) designed to streamline conclusive imaging outside of the ultrasound center, directly at the bedside. The aim of this study is to encourage neurologists to add quick and disease-oriented Neuro-POCUS to accompany the patient in the critical phase as an adjunct not a substitution for computed tomography, magnetic resonance imaging, or standard comprehensive neurosonology examination. Another goal is to avoid unwanted complications during imaging-free periods, ultimately resulting in advantages for the patient.

Zusammenfassung

Im letzten Jahrzehnt hat die Ultraschalldiagnostik in der Neurologie eine deutliche Ausweitung ihrer Modalitäten erfahren. Parallel dazu steigt der Bedarf an schneller und qualitativ hochwertiger Diagnostik bei verschiedenen akuten Erkrankungen sowohl im prähospitalen Umfeld, in der Notaufnahme, auf der Intensivstation und bei chirurgischen oder interventionellen Eingriffen. Die Neuro-POCUS Working Group, eine gemeinsame Aktivität des European Academy of Neurology Scientific Panel Neurosolonogy, der European Society of Neurosonology and Cerebral Hemodynamics und der European Reference Centers in Neurosonology (EAN SPN/ESNCH/ERcNsono Neuro-POCUS Working Group) hat sich zum Ziel gesetzt, ein Konzept des Point-of-Care-Ultraschalls in der Neurologie mit dem Namen „Neuro-POCUS“ zu erstellen. Die bildgebende Diagnostik wird durch den wachsenden Bedarf an schnellen Antworten auf klinische Fragen besonders herausgefordert. Wir stellen hier ein neues Konzept der Ultraschalluntersuchung vor, den sogenannten Point-of-Care-Ultraschall in der Neurologie (Neuro-POCUS), der eine aussagekräftige Diagnostik fernab des Ultraschalllabors direkt am Krankenbett ermöglichen soll. Ziel dieser Arbeit ist es, Neurologen zu ermutigen, den Patienten in der kritischen Phase mit einem schnellen und krankheitsorientierten Neuro-POCUS zu begleiten und nicht als Ersatz für die Computertomographie, die Magnetresonanztomographie oder die umfassende neurosonologische Standarduntersuchung zu dienen. Ein weiteres Ziel besteht darin, unerwünschte Komplikationen innerhalb bildgebungsfreier Zeiträume zu vermeiden und das outcome des Patienten Vorteile zu verbessern.

Key words

neurology - neurocritical care - stroke - point-of-care ultrasound - ultrasound

Supplement



Publikationsverlauf

Eingereicht: 27. Juni 2021

Angenommen: 17. März 2022

Artikel online veröffentlicht:
05. Mai 2022

© 2022. Thieme. All rights reserved.

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Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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