Point-of-care ultrasound (POCUS) in a remote area of Sierra Leone: impact on patient management and training program for community health officers

Implementation of lung ultrasound in low- to middle-income countries: a new challenge global health?

“…Several studies [ 45 – 50 ] have shown that POCUS can represent an important diagnostic tool in rural areas of low-income countries, which often lack radiological facilities. Ultrasound has been shown to change the initial diagnostic hypothesis in a considerable part of cases, thus improving patient management [ 49 , 50 ]. Kolbe et al [ 51 ] showed that POCUS performed on 132 Nicaraguan patients led to a new diagnosis in 52% of them, and in 48% of cases, it changed the therapeutic management.…”

“…Since the quality of ultrasound depends on the operator, both theoretical and practical training must be combined to enrich the operator’s experience and ensure quality of service. Mindel supports the strengthening of local training programs [ 41 ], which can be more sustainable and cheaper than sending doctors abroad [ 59 ] or quality assurance [ 50 , 58 ].…”

“…In circumstances where quality local training is not available, the alternative remains foreign training or the rotation of visiting experts considering that teaching POCUS and LUS to medical and nonmedical health professionals is possible with an intensive training of a couple of weeks which includes practical-theoretical courses [ 50 ]. To ensure continuity, however, constant telematic collaborations should also be established with foreign institutions and ultrasound schools.…”

Task shifting for point of care ultrasound in primary healthcare in low- and middle-income countries-a systematic review

“… 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 Thirty-five studies were prospective observational studies and one randomized controlled trial. 30 The majority of the included publications ( n = 20) were conducted on the African continent, 21 , 22 , 31 , 32 , 33 , 34 , 35 , 37 , 39 , 40 , 42 , 43 , 44 , 46 , 47 , 49 , 50 , 51 , 52 , 53 nine studies originated from the Americas, 24 , 27 , 29 , 38 , 41 , 45 , 54 , 55 , 56 two from Asia, 26 , 36 and three from Oceania 23 , 28 , 57 as shown in Figure 2…”

Estudo comparativo sobre acurácia do ultrassom e radiografia de tórax para diagnóstico de síndrome torácica aguda em crianças com anemia falciforme

“…Segundo porque a variação na interpretação intra e entre observadores para o RXT é um problema bem reconhecido em múltiplos cenários clínicos [21][22][23] . E por último, a Organização Mundial de Saúde (OMS) estima que 60% da população mundial não tem acesso a RXT, tomografia computadorizada ou outras modalidades de imagem em seus centros de saúde locais 24 .…”