Analyse des protocoles de POCUS thoracique les plus utilisés dans le but d'identifier les éléments à intégrer dans un cursus vétérinaire

Abstract

POCUS is becoming more and more widespread in the veterinary world, because it provides crucial information while being minimally invasive, low-stress and feasible on an unstable animal. Different protocols have emerged, and some have become more popular than others. After reviewing the basics of lung ultrasound and the artifacts that can be visualized in lung pathology, pleural effusion and pneumothorax, this TFE looks at four thoracic POCUS protocols: TFAST, Vet BLUE, VetFAST-ABCDE and PLUS. For each of them, in addition to a description of the protocol, an analysis of the literature was carried out to assess their sensitivity and specificity for the detection of pulmonary pathology, pleural effusion and pneumothorax. In the interest of addressing the sensitivity shortcomings observed in some of these protocols, this work gathers some of the possible causes for these shortcomings, and how to best increase this sensitivity. Finally, in a world where interest for online teaching is increasing, this work compares the different variations of online POCUS teaching in their effect on students and suggests the use of the OSAUS scale to assess the competence of a person performing POCUS.