Learning to apply the pocket ultrasound device on the critically ill: comparing six 'quick-look' signs for quality and prognostic values during initial use by novices

Mai, Tuan V; Shaw, David; Amundson, Stanley; Agan, Donna L.; Kimura, Bruce J.

doi:10.1186/cc12875

Cited by 8 publications

(6 citation statements)

References 11 publications

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“…In a previously reported retrospective review of 251 consecutive echocardiograms with incidentally detected left pleural effusions during standard echo imaging, an association with high 1‐year (range, 0%–47%) and 5‐year (range, 22%–56%) mortality was noted, depending on the etiology of the effusion, and was particularly worse in patients with malignancy . Our study used 2 dedicated posterobasal coronal views of both lungs specifically for detection of smaller amounts of pleural fluid by visualization of the diaphragm as a landmark and found a similar association with mortality.…”

Section: Discussionsupporting

confidence: 70%

Lung Ultrasound Findings Detected During Inpatient Echocardiography Are Common and Associated With Short‐ and Long‐term Mortality

Garibyan

Amundson

Shaw

et al. 2017

J of Ultrasound Medicine

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Section: Discussionsupporting

confidence: 70%

Lung Ultrasound Findings Detected During Inpatient Echocardiography Are Common and Associated With Short‐ and Long‐term Mortality

Garibyan

Amundson

Shaw

et al. 2017

J of Ultrasound Medicine

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“…The identification of fluid overload within the lungs by the visualization of multiple ring-down artifacts in the image known as B-lines or "lung rockets" has been shown to be reliably achievable with HHUSDs and can be taught to other members of the patient care team [35]. In a prospective study using HHUSDs for the assessment of 185 outpatients with established heart failure (HF), 8 chest zones were scanned by skilled investigators for a median of 2 minutes, with all recorded clips reviewed offline.…”

Section: Echocardiography and Lung Ultrasoundmentioning

confidence: 99%

The Use of Handheld Ultrasound Devices – An EFSUMB Position Paper

et al. 2018

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The miniaturization of ultrasound equipment in the form of tablet- or smartphone-sized ultrasound equipment is a result of the rapid evolution of technology and handheld ultrasound devices (HHUSD). This position paper of the European Federation of Societies in Ultrasound and Medicine (EFSUMB) assesses the current status of HHUSD in abdominal ultrasound, pediatric ultrasound, targeted echocardiography and heart ultrasound, and we will report position comments on the most common clinical applications. Also included is a SWOT (Strength – Weaknesses – Opportunities – Threats) analysis, the use for handheld devices for medical students, educational & training aspects, documentation, storage and safety considerations.

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“…This study advances older and smaller observations showing the feasibility of newly trained resident physicians in internal medicine to learn and perform US examinations and demonstrates, in particular, the successful clinical use of pocket‐sized devices . The CLUE used in the study has been well established as a required curriculum of a medical residency for greater than a decade, and the residents performing POCUS examinations in this study were not hand‐selected or motivated volunteers but random senior residents demonstrating their routine behaviors while admitting patients during a required rotation.…”

Section: Discussionmentioning

confidence: 77%

Prognostic Implications of a Point‐of‐Care Ultrasound Examination on Hospital Ward Admission

Kimura

Lou

Dahms

et al. 2019

J of Ultrasound Medicine

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Objectives Few data exist regarding the use of ultrasound (US) to risk stratify ward admissions. Therefore, we evaluated associations between a cardiopulmonary limited ultrasound examination (CLUE) on admission and subsequent hospital outcomes. Methods Over a 22‐month period in a 300‐bed hospital, CLUE data reviewed from a series of nonelective ward admissions were correlated with the composite outcome of a hospital stay of longer than 2 days, disposition to hospice, or death. The CLUE included 5 quick‐look signs of left ventricular dysfunction, left atrial enlargement, lung B‐lines, pleural effusions, and inferior vena cava plethora and had been performed as warranted by 1 of 31 US‐trained admitting residents and then repeated by a cardiologist as the reference standard. The admitting condition, medical history, results of routine admission testing, and CLUE were assessed for an association with the outcome in univariate and multivariable models. Results Of 547 patients, the mean age ± SD was 62.9 ± 15.5 years; 59% were male; and the mean stay was 5.6 ± 8.1 days, with 355 (65%) lasting longer than 2 days and 21 (4%) having hospice disposition or death. An abnormal CLUE exam was found in 368 (67%) of patients, was related to the outcome (odds ratio [OR], 1.86; 95% confidence interval [CI], 1.23–2.68; P = .001) when obtained by a resident or cardiologist, and was included in a best‐fit multivariable model with renal failure (OR, 2.44; 95% CI, 1.44–4.14; P < .001), infection/sepsis (OR, 2.25; 95% CI, 1.17–4.32; P = .02), and chest pain (OR, 0.36; 95% CI, 0.21–0.61; P < .001). Conclusions An abnormal admission point of care ultrasound exam was related to complex hospitalization, specifically a longer length of stay.

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Learning to apply the pocket ultrasound device on the critically ill: comparing six 'quick-look' signs for quality and prognostic values during initial use by novices

Cited by 8 publications

References 11 publications

Lung Ultrasound Findings Detected During Inpatient Echocardiography Are Common and Associated With Short‐ and Long‐term Mortality

Lung Ultrasound Findings Detected During Inpatient Echocardiography Are Common and Associated With Short‐ and Long‐term Mortality

The Use of Handheld Ultrasound Devices – An EFSUMB Position Paper

Prognostic Implications of a Point‐of‐Care Ultrasound Examination on Hospital Ward Admission

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