Perioperative Point-of-Care Ultrasound and Transesophageal Echocardiography in Resource- Limited Settings—A Focus on Nepal and Bangladesh

Raiten, Jesse; Ahmed, Nahreen; Amatya, Ashish; Sharma, Anshu; Acharya, Subhash Prasad; Lanahan, Jill; Werlhof, Hazel; Ko, Hanjo; Tsui, Christine; Reza, Tariq; Bajracharya, Smriti; Hagen, Ove Andreas; Shrestha, Gentle S

doi:10.1053/j.jvca.2020.06.017

Cited by 6 publications

(4 citation statements)

References 18 publications

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“…This operator-dependent factor can result in divergent or inconclusive outcomes, largely influenced by the practitioner's skills developed during training and experience [ 66 - 69 ]. Moreover, the persistent challenge of maintaining ongoing education among healthcare professionals and ensuring the effective implementation of quality assurance measures post-training is magnified [ 70 - 72 ]. Even seasoned practitioners could face difficulties in challenging clinical settings due to the qualitative reporting nature or when assessing subtle or complex abnormalities [ 71 , 73 ].…”

Section: Reviewmentioning

confidence: 99%

Point-of-Care Ultrasound for the Diagnosis of Frequent Cardiovascular Diseases: A Review

Calderon Martinez,

Diarte,

Othon Martinez

et al. 2023

Cureus

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Point-of-care ultrasound (POCUS) has emerged as an indispensable diagnostic tool in cardiology, particularly within the emergency department. This narrative synthesis provides a comprehensive exploration of POCUS applications in cardiovascular diseases, elucidating its multifaceted roles and addressing challenges. The review delves into the technical attributes of POCUS, emphasizing its non-invasive nature, radiation-free qualities, and suitability for non-radiologists. It navigates through educational strategies, stressing the importance of structured programs for the seamless integration of POCUS into clinical practice. Highlighting its efficacy, the synthesis discusses POCUS applications in various scenarios such as dyspnea, chest pain, cardiac arrest, aortic dissection, pericardial effusion, and pulmonary embolism. Beyond acute care, the review explores the role of POCUS in outpatient and inpatient settings, focusing on chronic and acute heart failure, valvular heart diseases, and more. Acknowledging operator-dependent challenges and the need for continuous education, the review underscores the transformative potential of POCUS across diverse healthcare settings. This narrative synthesis accentuates POCUS as a valuable and versatile diagnostic tool in cardiology, offering efficiency, safety, and cost-effectiveness. Despite challenges, POCUS stands out as a transformative addition to clinical practices, poised to enhance patient outcomes and reshape the landscape of cardiovascular diagnostics.

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Section: Reviewmentioning

confidence: 99%

Point-of-Care Ultrasound for the Diagnosis of Frequent Cardiovascular Diseases: A Review

Calderon Martinez,

Diarte,

Othon Martinez

et al. 2023

Cureus

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show abstract

“…Unlike the traditional diagnostic tests which need to analyze the sample in a laboratory and obtain the results after hours and even several days, point-of-care testing (POCT) has been applied in resource-limited areas and hospital emergency rooms ( Narinx et al, 2020 ; Raiten et al, 2020 ; Holmström et al, 2021 ). Although the pain brought by blood collection can be alleviated, it is not suitable for continuous blood glucose monitoring, especially during exercise ( Muñoz Fabra et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

The Application of Wearable Glucose Sensors in Point-of-Care Testing

Zhang

Zeng

Wang

et al. 2021

Front. Bioeng. Biotechnol.

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Diabetes and its complications have become a worldwide concern that influences human health negatively and even leads to death. The real-time and convenient glucose detection in biofluids is urgently needed. Traditional glucose testing is detecting glucose in blood and is invasive, which cannot be continuous and results in discomfort for the users. Consequently, wearable glucose sensors toward continuous point-of-care glucose testing in biofluids have attracted great attention, and the trend of glucose testing is from invasive to non-invasive. In this review, the wearable point-of-care glucose sensors for the detection of different biofluids including blood, sweat, saliva, tears, and interstitial fluid are discussed, and the future trend of development is prospected.

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“…Focused TEE in the ED is beneficial in the management of cardiac arrest [17,18] undifferentiated shock [19] and trauma [20,21]. The use of TEE by non-cardiologists in the ED and intensive care setting for critically ill patients is safe [22] and extremely useful in resource-limited setting [23]. However, focused TEE does not replace the need for comprehensive TEE when clinical questions exceed the scope of a limited exam.…”

Section: Introductionmentioning

confidence: 99%

Resuscitative transesophageal echocardiography in the diagnosis of post-CABG loculated pericardial clot causing cardiac tamponade

Adi¹,

Ahmad²,

Fong³

et al. 2021

Ultrasound J

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Background Pericardial effusion is a known complication of post-open cardiac surgery which can progress to life-threatening cardiac tamponade. Classical signs of tamponade such as hypotension and pulsus paradoxus are often absent. Diagnosing acute cardiac tamponade with transthoracic echocardiography (TTE) can be challenging in post-cardiac surgical patients due to distorted anatomy and limited scanning windows by the presence of surgical dressings or scar. Additionally, this patient population is more likely to have a loculated pericardial effusion, or an effusion that is isoechoic in appearance secondary to clotted blood. These findings can be challenging to visualize with traditional TTE. Missed diagnosis of cardiac tamponade due to loculated pericardial clot can result in delayed diagnosis and clinical management. Case presentation We report a case series that illustrates the diagnostic challenge and value of resuscitative transesophageal echocardiography (TEE) in the emergency department (ED) for the diagnosis of cardiac tamponade due to posterior loculated pericardial clot in post-surgical coronary artery bypass graft (CABG) patients. Conclusions Cardiac tamponade due to loculated posterior pericardial clot post-CABG requires prompt diagnosis and appropriate management to avoid the potential for hemodynamic instability. Transesophageal echocardiography allows a rapid diagnosis, early appropriate referral and an opportunity to institute appropriate therapeutic measures.

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Perioperative Point-of-Care Ultrasound and Transesophageal Echocardiography in Resource- Limited Settings—A Focus on Nepal and Bangladesh

Cited by 6 publications

References 18 publications

Point-of-Care Ultrasound for the Diagnosis of Frequent Cardiovascular Diseases: A Review

Point-of-Care Ultrasound for the Diagnosis of Frequent Cardiovascular Diseases: A Review

The Application of Wearable Glucose Sensors in Point-of-Care Testing

Resuscitative transesophageal echocardiography in the diagnosis of post-CABG loculated pericardial clot causing cardiac tamponade

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