Training Program for Cardiology Residents to Perform Focused Cardiac Ultrasound Examination with Portable Device

Tafoya

Tropical Med Int Health

et al. 2016

166

146

Abstractobjectives To review the scientific literature pertaining to the use of hand-carried and hand-held ultrasound devices in low-and middle-income countries (LMIC), with a focus on clinical applications, geographical areas of use, the impact on patient management and technical features of the devices used.methods The electronic databases PubMed and Google Scholar were searched. No language or date restrictions were applied. Case reports and original research describing the use of hand-carried ultrasound devices in LMIC were included if agreed upon as relevant by two-reviewer consensus based on our predefined research questions.results A total of 644 articles were found and screened, and 36 manuscripts were included for final review. Twenty-seven studies were original research articles, and nine were case reports. Several reports describe the successful diagnosis and management of difficult, often life-threatening conditions, using hand-carried and hand-held ultrasound. These portable ultrasound devices have also been studied for cardiac screening exams, as well as a rapid triage tool in rural areas and after natural disaster. Most applications focus on obstetrical and abdominal complaints. Portable ultrasound may have an impact on clinical management in up to 70% of all cases. However, no randomised controlled trials have evaluated the impact of ultrasound-guided diagnosis and treatment in resource-constrained settings. The exclusion of articles published in journals not listed in the large databases may have biased our results. Our findings are limited by the lack of higher quality evidence (e.g. controlled trials).conclusions Hand-carried and hand-held ultrasound is successfully being used to triage, diagnose and treat patients with a variety of complaints in LMIC. However, the quality of the current evidence is low. There is an urgent need to perform larger clinical trials assessing the impact of hand-carried ultrasound in LMIC.

Section: Resultsmentioning

confidence: 99%

The use of portable ultrasound devices in low‐ and middle‐income countries: a systematic review of the literature

Tafoya

Tropical Med Int Health

et al. 2016

166

146

“…POCUS cardiac image quality is comparable to the transthoracic echocardiography . In previous diagnostic accuracy studies, compared to formal echocardiograms read by cardiologists, EF assessment using POCUS by noncardiologists was highly reliable …”

Section: Selected Pocus Techniques That Are Useful For Nephrologistsmentioning

confidence: 80%

“…8 In previous diagnostic accuracy studies, compared to formal echocardiograms read by cardiologists, EF assessment using POCUS by noncardiologists was highly reliable. 7,[9][10][11][12][13]…”

Section: Focused Cardiac Ultrasoundmentioning

confidence: 99%

Point‐of‐care ultrasound education to improve care of dialysis patients

Mullangi

Sozio

Segał

et al. 2018

Seminars in Dialysis

Point-of-care ultrasound (POCUS) is rapidly emerging as a bedside diagnostic tool that can enhance physical diagnosis and facilitate clinical decision making. Although ultrasound is widely used by nephrologists for vascular access and kidney imaging, diagnostic POCUS skills in other anatomic areas are not part of routine nephrology training. In this narrative review, we will provide an overview of selected POCUS techniques, highlight potential uses of POCUS in routine nephrology practice, and describe a new curriculum implemented at Johns Hopkins University School of Medicine to teach diagnostic POCUS skills to nephrology fellows.

J of Ultrasound Medicine

“…So far, this application has covered a wide and common range of dermatologic conditions that include benign and malignant tumors, vascular anomalies, inflammatory diseases, nail and scalp disorders, and cosmetic conditions. [1][2][3][4][5][6] To date, several training programs for other areas of ultrasound have been reported, such as in the musculoskeletal, 7-11 emergency, [12][13][14] cardiology, 15 and anesthesiology 16 fields. Nevertheless, dermatologic ultrasound as a new application still lacks international formal training programs or accreditation.…”

mentioning

confidence: 99%

Proposal for an Assessment Training Program in Dermatologic Ultrasound by the DERMUS Group

Wortsman

Alfageme

Roustán

et al. 2016