The Fetal Tele-Ultrasound Project in Queensland

Soong, Barbara; Chan, Felicia; Bloomfield, Sue; Smith, Mark; Watson, David

doi:10.1071/ah020067

Cited by 17 publications

(11 citation statements)

References 5 publications

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“…Otto et al successfully used a satellite telemedical connection with a remote expert to guide a thoracic ultrasound examination at an Advanced Base Camp on Mount Everest thus demonstrating that tele-ultrasound with remote expert guidance can provide robust diagnostic capabilities even in the most austere locations [52]. Telemedicine services have also been used over greater distances both between different cities of the same country [29, 53–55] as well as between countries [18, 19]. Telementored telesonography has even been used to view real-time ultrasound images across continents.…”

Section: Demonstrated Applications In Underresourced and Remote Sementioning

confidence: 99%

Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings

Pian

Gillman

McBeth

et al. 2013

Emergency Medicine International

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Mortality and morbidity from traumatic injury are twofold higher in rural compared to urban areas. Furthermore, the greater the distance a patient resides from an organized trauma system, the greater the likelihood of an adverse outcome. Delay in timely diagnosis and treatment contributes to this penalty, regardless of whether the inherent barriers are geographic, cultural, or socioeconomic. Since ultrasound is noninvasive, cost-effective, and portable, it is becoming increasingly useful for remote/underresourced (R/UR) settings to avoid lengthy patient travel to relatively inaccessible medical centers. Ultrasonography is a user-dependent, technical skill, and many, if not most, front-line care providers will not have this advanced training. This is particularly true if care is being provided by out-of-hospital, “nontraditional” providers. The human exploration of space has forced the utilization of information technology (IT) to allow remote experts to guide distant untrained care providers in point-of-care ultrasound to diagnose and manage both acute and chronic illness or injuries. This paradigm potentially brings advanced diagnostic imaging to any medical interaction in a setting with internet connectivity. This paper summarizes the current literature surrounding the development of teleultrasound as a transformational technology and its application to underresourced settings.

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Section: Demonstrated Applications In Underresourced and Remote Sementioning

confidence: 99%

Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings

Pian

Gillman

McBeth

et al. 2013

Emergency Medicine International

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show abstract

“…In Arkansas, the ANGELS (Antenatal and Neonatal Guidelines, Education, and Learning System) program has been delivering MFM and neonatal specialist care to rural Arkansas via telemedicine since 2002 . Similarly in Australia, telemedicine has been used for both ultrasound interpretation and obstetric consultations . Yet, outcomes such as women's viewpoints on receiving unpleasant news concerning their pregnancy via telemedicine are largely unexplored.…”

Section: Introductionmentioning

confidence: 99%

Maternal response to high-risk obstetric telemedicine consults when perinatal prognosis is poor

Wyatt

Rhoads

Green

et al. 2013

Aust N Z J Obstet Gynaecol

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This is a qualitative descriptive study evaluating the maternal response after the woman has learned her pregnancy has a poor prognosis via telemedicine rather than in a traditional, face-to-face, consultation method. In general, telemedicine was positively viewed by the participants; however, the experience may be markedly improved by implementing several simple changes in the overall consultative process.

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“…The feasibility of teleultrasound for this purpose has been demonstrated in Queensland, Australia. 4 In the present study, we have explored the potential of a tele-obstetric pilot installation in our region.…”

Section: Introductionmentioning

confidence: 99%

A tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. A high cost and a low volume of patients

et al. 2007

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We established a tele-obstetric service connecting the Department of Obstetrics and Gynaecology at the Nordland Hospital in Bodø to the delivery unit at the Nordland Hospital in Lofoten. The telemedicine service included a videoconferencing link (3 Mbit/s) for transmission of ultrasound scans and a low-speed data link (telephone modem) for transmission of cardiotocograms (CTGs). One hundred and thirty pregnant women entered the antenatal clinic in Lofoten during the eight-month study period. A total of 140 CTGs were recorded. The tele-ultrasound service was used in five cases (4%). The cases were serious malformation, Down's syndrome, breech presentation, vaginal bleeding during pregnancy and triplets. Analysis showed that the cost of patient travel was NOK 2460 per transfer. The variable cost of videoconferencing was NOK 250 per consultation. However, the total investment costs for the telemedicine service, including the broadband infrastructure, was NOK 1.7 million (Euro 212,000). The telemedicine service was not cost saving at annual workloads below 208. We conclude that the installation has to be used by other medical specialities to make it cost-effective.

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The Fetal Tele-Ultrasound Project in Queensland

Abstract: The

Cited by 17 publications

References 5 publications

Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings

Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings

Maternal response to high-risk obstetric telemedicine consults when perinatal prognosis is poor

A tele-obstetric broadband service including ultrasound, videoconferencing and cardiotocogram. A high cost and a low volume of patients

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