ESR statement on portable ultrasound devices

,

doi:10.1186/s13244-019-0775-x

Cited by 53 publications

(32 citation statements)

References 31 publications

(17 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While numerous HHU devices are available, and large, robust data to support their interchangeable use with the traditional machines is lacking [ 2 , 3 ••], the American College of Emergency Physicians (ACEP) released a consensus statement recognizing HHU-generated images as “comparable” to those of traditional machines [ 1 •, 2 – 4 ]. In order to better navigate the myriad handheld devices, this paper will serve as an overview of what is currently known about HHU devices: the mechanics of how they work, nuances of their use in practice, how they compare to traditional machines, and what this technology portends for the future of POCUS in the ED and beyond.…”

Section: Introductionmentioning

confidence: 99%

The Use of Handheld Ultrasound Devices in Emergency Medicine

Malik

Rowland

Haber

et al. 2021

Curr Emerg Hosp Med Rep

View full text Add to dashboard Cite

Purpose of Review Ultraportable handheld ultrasound (HHU) devices are being rapidly adopted by emergency medicine (EM) physicians. Though knowledge of the breadth of their utility and functionality is still limited compared to cart-based systems, these machines are becoming more common due to ease-of-use, extreme affordability, and improving technology. Recent Findings Images obtained with HHU are comparable to those obtained with traditional machines but create unique issues regarding billing and data management. HHU devices are increasingly used successfully to augment the education of practitioners-in-training, by emergency physicians in austere environments, and in the burgeoning fields of “tele-ultrasound” and augmented reality scanning. Summary This review seeks to describe the current state of use of HHU devices in the emergency department (ED) including device overview, institutional concerns, unique areas of use, recent literature since their adoption into clinical EM, and their future potential.

show abstract

Section: Introductionmentioning

confidence: 99%

The Use of Handheld Ultrasound Devices in Emergency Medicine

Malik

Rowland

Haber

et al. 2021

Curr Emerg Hosp Med Rep

View full text Add to dashboard Cite

show abstract

“…A previous study demonstrating the feasibility of performing limited TTE, and lung ultrasound, in critically ill patients, used a cart-based system [13]. Handheld ultrasound devices have several advantages over cart-based systems [14][15][16], particularly in the context of COVID-19 [16]. Yet, despite their widespread use, it is not known whether the image quality obtained from handheld devices is adequate to determine the etiology of shunt.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of using a handheld ultrasound device to detect and characterize shunt and deep vein thrombosis in patients with COVID-19: an observational study

et al. 2020

View full text Add to dashboard Cite

Background Coronavirus disease 2019 (COVID-19) causes an atypical acute respiratory distress syndrome associated with thromboembolism and high shunt fraction. Shunt may be intrapulmonary, or extrapulmonary. Handheld devices are increasingly being used for point-of-care ultrasound, but their use to characterize shunt has not been reported. Objectives Determine the feasibility of using handheld ultrasound to detect and characterize anatomical substrates of hypoxia and deep vein thrombosis (DVT) in patients with COVID-19 suspected to have severe shunt. Methods A handheld ultrasound device (iQ, Butterfly, USA) was used to perform lung ultrasound, vascular assessment for DVT, and limited transthoracic echocardiography (TTE) with color Doppler and saline microbubble contrast in patients with COVID-19 suspected to have severe shunt. Images were reassessed by an independent reviewer. Results After screening 40 patients, six patients who fulfilled the inclusion criteria were identified. Two were excluded because palliation had been initiated. So, four patients were studied. Interpretable images were obtained in all cases. Interobserver agreement was good. All patients had abnormal lung ultrasound (lung ultrasound score range 17–22). Identified lung pathology included interstitial syndrome with light beams and small peripheral consolidation (4), lobar consolidation (1), and pleural effusion (1). Abnormal echocardiographic findings included interatrial shunt (2), intrapulmonary shunt (1), and dilated right ventricle with tricuspid valve regurgitation (1). Significant DVT was not detected. Conclusion Use of handheld ultrasound to perform combined lung ultrasound, DVT ultrasound, and limited TTE with color Doppler and saline microbubble contrast is feasible, and may be able to characterize shunt in critically hypoxic patients. Serial studies could be used to monitor changes in shunt. Further studies are required to determine whether this can guide treatment to improve the outcomes of patients with refractory hypoxia.

show abstract

“…Our category postoperative pain blocks included lower extremity and TAP blocks, which cover areas potentially amenable to be covered by spinal anesthesia. Although speculative, the increased affordability of ultrasound devices combined with a growing interest in regional anesthesia techniques may lead to an increase in PNB utilization at the expense of neuraxial anesthesia in the future [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study

et al. 2021

View full text Add to dashboard Cite

Introduction Regional anesthesia offers an alternative to general anesthesia and may be advantageous in low resource environments. There is a paucity of data regarding the practice of regional anesthesia in low- and middle-income countries. Using access data from a free Android app with curated regional anesthesia learning modules, we aimed to estimate global interest in regional anesthesia and potential applications to clinical practice stratified by World Bank income level. Methods We retrospectively analyzed data collected from the free Android app “Anesthesiologist” from December 2015 to April 2020. The app performs basic anesthetic calculations and provides links to videos on performing 12 different nerve blocks. Users of the app were classified on the basis of whether or not they had accessed the links. Nerve blocks were also classified according to major use (surgical block, postoperative pain adjunct, rescue block). Results Practitioners in low- and middle-income countries accessed the app more frequently than in high-income countries as measured by clicks. Users from low- and middle-income countries focused mainly on surgical blocks: ankle, axillary, infraclavicular, interscalene, and supraclavicular blocks. In high-income countries, more users viewed postoperative pain blocks: adductor canal, popliteal, femoral, and transverse abdominis plane blocks. Utilization of the app was constant over time with a general decline with the start of the COVID-19 pandemic. Conclusion The use of an in app survey and analytics can help identify gaps and opportunities for regional anesthesia techniques and practices. This is especially impactful in limited-resource areas, such as lower-income environments and can lead to targeted educational initiatives.

show abstract

ESR statement on portable ultrasound devices

Cited by 53 publications

References 31 publications

The Use of Handheld Ultrasound Devices in Emergency Medicine

The Use of Handheld Ultrasound Devices in Emergency Medicine

Feasibility of using a handheld ultrasound device to detect and characterize shunt and deep vein thrombosis in patients with COVID-19: an observational study

Regional anesthesia educational material utilization varies by World Bank income category: A mobile health application data study

Contact Info

Product

Resources

About