Using Point‐of‐Care Ultrasound on Home Visits: The Home‐Oriented Ultrasound Examination (HOUSE)

Bonnel, Alexander R.; Baston, Cameron; Wallace, Paul; Panebianco, Nova L.; Kinosian, Bruce

doi:10.1111/jgs.16188

Cited by 20 publications

(26 citation statements)

References 5 publications

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“…Lung ultrasound (LUS) imaging for pneumonia and ARDS has been documented for years, 4 , 5 , 6 and recent evidence suggests a possible role for LUS in the treatment of patients with COVID-19. 7 , 8 LUS has been demonstrated in the home setting, 9 , 10 but never by the patient him/herself. This novel report details the integration of LUS into the home treatment plan of a patient with COVID-19, using a novel teleguidance approach.…”

mentioning

confidence: 99%

Self-Performed Lung Ultrasound for Home Monitoring of a Patient Positive for Coronavirus Disease 2019

Pivetta

Girard²,

Locascio

et al. 2020

Chest

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A subset of patients with coronavirus disease 2019 (COVID-19) and lung involvement pose a disposition challenge, particularly when hospital resources are constrained. Those not in respiratory failure are sent home, often with phone monitoring and/or respiratory rate and oxygen saturation monitoring. Hypoxemia may be a late presentation and is often preceded by abnormal lung findings on ultrasound. Early identification of pulmonary progression may preempt emergency hospitalization for respiratory decompensation and facilitate more timely admission. With the goal of safely isolating infected patients while providing advanced monitoring, we present a first report of patient self-performed lung ultrasound in the home with a hand-held device under the guidance of a physician using a novel teleguidance platform.

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mentioning

confidence: 99%

Self-Performed Lung Ultrasound for Home Monitoring of a Patient Positive for Coronavirus Disease 2019

Pivetta

Girard²,

Locascio

et al. 2020

Chest

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“…Consistent with a previous case study, volume assessment was the most common indication for POCUS, likely driven by the high number of geriatric patients with heart failure, which remains the leading cause of their hospitalization. 3,4 Overall, our pilot study shows the feasibility of incorporating the proposed HOUSE model in training geriatric fellows in POCUS.…”

Section: Discussionmentioning

confidence: 78%

“…A recent case study outlined a potential model for a geriatric-oriented POCUS curriculum, called Home Oriented Ultrasound Examination (HOUSE), which recommended the following scanning protocols for geriatric training: internal jugular, lung, cardiac, bladder volume, and deep venous thromboembolism. 3 This current pilot study assessed the feasibility of incorporating a geriatricoriented ultrasound curriculum into an existing geriatric fellowship.…”

Section: Introductionmentioning

confidence: 99%

Geriatric‐Oriented Point‐of‐Care Ultrasound Curriculum During Geriatric Fellowship: A Pilot Study

Kim

Kinosian

Miller

et al. 2020

J American Geriatrics Society

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“…The feasibility of lung ultrasound in the community has been previously proven, and its application as a screening tool in nursing home has been described. 39,40 In this specific scenario, we hypothesize that 3 main categories of outpatients may benefit from lung ultrasound. The first are those with mild symptoms who do not require urgent medical aid but who would benefit from early finding of any changes…”

Section: Possible Lung Ultrasound Implications In Outpatient Carementioning

confidence: 99%

The role of lung ultrasonography in COVID‐19 disease management

et al. 2020

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Coronavirus disease 2019 (COVID‐19) has created unprecedented disruption for global healthcare systems. Offices and emergency departments (EDs) were the first responders to the pandemic, followed by medical wards and intensive care unit (ICUs). Worldwide efforts sprouted to coordinate proper response by increasing surge capacity and optimizing diagnosis and containment. Within the complex scenario of the outbreak, the medical community shared scientific research and implemented best‐guess imaging strategies in order to save time and additional staff exposures. Early publications showed agreement between chest computed tomography (CT) and lung sonography: widespread ground‐glass findings resembling acute respiratory distress syndrome (ARDS) on CT of COVID‐19 patients matched lung ultrasound signs and patterns. Well‐established accuracy of bedside sonography for lung conditions and its advantages (such as no ionizing radiation; low‐cost, real‐time bedside imaging; and easier disinfection steps) prompted a wider adoption of lung ultrasound for daily assessment and monitoring of COVID‐19 patients. Growing literature, webinars, online materials, and international networks are promoting lung ultrasound for the same purpose. We propose 11 lung ultrasound roles for different medical settings during the pandemic, starting from the out‐of‐hospital setting, where lung ultrasound has ergonomic and infection control advantages. Then we describe how medical wards and ICUs can safely integrate lung ultrasound into COVID‐19 care pathways. Finally, we present outpatient use of lung ultrasound to aid follow‐up of positive case contacts and of those discharged from the hospital.

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Using Point‐of‐Care Ultrasound on Home Visits: The Home‐Oriented Ultrasound Examination (HOUSE)

Cited by 20 publications

References 5 publications

Self-Performed Lung Ultrasound for Home Monitoring of a Patient Positive for Coronavirus Disease 2019

Self-Performed Lung Ultrasound for Home Monitoring of a Patient Positive for Coronavirus Disease 2019

Geriatric‐Oriented Point‐of‐Care Ultrasound Curriculum During Geriatric Fellowship: A Pilot Study

The role of lung ultrasonography in COVID‐19 disease management

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