Ambulatory Use of Handheld Point-of-Care Ultrasound (HH-POCUS) in Rural Brandenburg – A Pilot Study

Lo, Hendra; Frauendorf, Vilmar; Wischke, Sandra; Schimmath-Deutrich, Christin; Kersten, Markus; Nuernberg, Maria; Nuernberg, Dieter; Jenssen, Christian

doi:10.1055/a-1354-5958

Cited by 16 publications

(25 citation statements)

References 29 publications

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“…The quality of the included articles will be evaluated using the mixed method appraisal tool [ 23 ] version 2018 [ 24 ]. Using MMAT, the methodological quality of five categories of research will be appraised, which include the following: qualitative research, randomized controlled trials, nonrandomized studies, quantitative descriptive studies, and mixed methods studies.…”

Section: Methodsmentioning

confidence: 99%

A scoping review protocol on integration of mobile-linked POC diagnostics in community-based healthcare: User experience

et al. 2023

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Background Mobile-linked point-of-care diagnostics forms an integral part of diagnostic health services for efficient communication between patients and healthcare professionals despite geographical location and time of diagnosis. The efficiency of this technology lies in the user experience which means that the interaction of the user with the implemented technology needs to be simple, convenient, and consistent. Having a well-structured user experience of these devices in community-based healthcare will aid in sustainable implementation. Herein, we propose to conduct a literature search to systematically map out evidence based on mobile-linked POC diagnostics user experience at a community level in resource-limited settings. Methodology The proposed scoping review will be guided by the advanced Arksey and O’Malley methodological framework and further advanced by Levac et al. A comprehensive search will be conducted to find relevant published literature from the following electronic databases: Scopus, Web of Science, EBSCOhost (Medline, CINAHL, Africa-wide, Academic Search Complete). Grey literature will also be searched, including reports from government and international organizations such as World Health Organization (WHO), Foundation for Innovative New Diagnostics (FIND), and the Food and Drug Administration (FDA). Two independent reviewers will screen the relevant studies and the degree of the agreement will be determined by calculating Cohen’s kappa statistic. The quality of eligible data will also be appraised using the mixed method appraisal tool version 2018. Discussion We anticipate that the planned scoping review will present useful evidence to inform stakeholders on the integration of mobile-linked diagnostic devices in community-based healthcare which will guide further research on the subject.

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Section: Methodsmentioning

confidence: 99%

A scoping review protocol on integration of mobile-linked POC diagnostics in community-based healthcare: User experience

et al. 2023

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“…In our recently published HH-POCUS study [28], the most common findings in PC patients with dyspnea (n = 65) were a large amount of ascites (n = 28), followed by pleural effusion (n = 11) (▶ Fig. 1) and a combination of both pleural effusion and ascites (n = 9) (▶Fig.…”

Section: The Role Of Handheld Ultrasound In Palliative Care Patients ...mentioning

confidence: 97%

“…For example, it has been used in hospice and outpatient clinical settings to assess bladder volume before catheterization and degree of ascites before paracentesis, thereby saving patients an uncomfortable trip to the hospital or any unnecessary catheterization [23,27]. In a recently published study [28], we demonstrated the feasibility of using HH-POCUS as a bedside examination tool to assess some of the most common acute symptoms in palliative patients, such as pain, dyspnea, and nausea/vomi-ting during homecare visits by a group of general practitioners and PCPs. Considering the lack of physicians in rural regions of Germany predicted for 2030 with distances of more than 30-50 km to the nearest family practice or hospital, PCNs were included in this study.…”

Section: Interventionsmentioning

confidence: 99%

Handheld Ultrasound (HHUS): Potential for Home Palliative Care

Eder

Boten

et al. 2022

Ultrasound Int Open

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Due to the severity of their disease, palliative care patients often present complex clinical symptoms and complaints like pain, shortness of breath, nausea, loss of appetite, and fatigue. Solely relying on the information available from the history and physical examination often causes uncertainty among palliative care physicians regarding treatment decisions during home visits, potentially leading to unnecessary hospitalizations or transfer to cross-sectional imaging in radiological practices. A rational approach is essential to avoid diagnostic aggressiveness while still providing the imaging information required for optimal palliative care. Bedside use of handheld ultrasound (HHUS) has the potential to expand the diagnostic and therapeutic spectrum in the case of symptom exacerbation but is still underutilized. In this review, we evaluate the potential uses of HHUS in home care settings to provide a more accurate diagnosis of the most common symptoms in palliative patients and to guide bedside interventions such as bladder catheterization, thoracentesis, paracentesis, venous access, and regional anesthesia. Specific training programs for ultrasound in palliative care are currently not available. Adequate documentation is warranted but fraught with technological and privacy issues. Expert supervision and quality assurance are necessary. Despite its limitation and challenges, we suggest that HHUS leads to improved clinical decision-making, expedited symptom relief, and reduced complications without burdening of the patient and costly transfer to hospital or specialty consultations.

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“…Handheld ultrasound devices have transformed the application of POCUS in the home-based palliative care setting. [1,20,21] Palliative care physicians should receive mandatory training in POCUS to enable diagnostic proficiency. This would need acquiring higher training, as well as improvised skill sets, along with overcoming the associated implementation barriers to effective clinical practice.…”

Section: Indian Journal Of Palliative Carementioning

confidence: 99%

“…Handheld ultrasound devices have transformed the application of POCUS in the home-based palliative care setting. [ 1 , 20 , 21 ]…”

Section: Introductionmentioning

confidence: 99%

Time to FOCUS - ‘Palliative Medicine Point-of-Care Ultrasound’

Thota

Ramkiran

Ramanjulu³

2023

IJPC

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Point-of-care diagnosis has become the need of the hour and along with its guided interventions, ultrasound could be utilised bedside in a palliative care patient. Point-of-care ultrasound (POCUS) in palliative care medicine is fast emerging and has varied applications ranging from performing bedside diagnostic evaluation to the performance of interventional paracentesis, thoracocentesis and chronic pain interventions. Handheld ultrasound devices have transformed the application of POCUS and should revolutionise the future of home-based palliative care. Palliative care physicians should be enabled to carry out bedside ultrasounds at home care and hospice setting for achieving rapid symptom relief. The aim of POCUS in palliative care medicine should be adequate training of palliative care physicians, transforming the applicability of this technology to OPD as well as community driven to achieve home outreach. The goal is towards empowering technology by reaching out to the community rather than the terminally ill patient transported for the hospital admission. Palliative care physicians should receive mandatory training in POCUS to enable diagnostic proficiency and early triaging. The inclusion of ultrasound machine in an outpatient palliative care clinic brings about value addition in rapid diagnosis. Limiting POCUS application to certain selected sub-specialities such as emergency medicine, internal medicine and critical care medicine should be overcome. This would need acquiring higher training as well as improvised skill sets to perform bedside interventions. Ultrasonography competency among palliative care providers proposed as palliative medicine point-of-care ultrasound (PM-POCUS) could be achieved by imparting dedicated POCUS training within the core curriculum.

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Ambulatory Use of Handheld Point-of-Care Ultrasound (HH-POCUS) in Rural Brandenburg – A Pilot Study

Cited by 16 publications

References 29 publications

A scoping review protocol on integration of mobile-linked POC diagnostics in community-based healthcare: User experience

A scoping review protocol on integration of mobile-linked POC diagnostics in community-based healthcare: User experience

Handheld Ultrasound (HHUS): Potential for Home Palliative Care

Time to FOCUS - ‘Palliative Medicine Point-of-Care Ultrasound’

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