Validation of a new bedside echoscopic heart examination resulting in an improvement in echo-lab workflow

Réant, Patricia; Dijos, Marina; Arsac, Florence; Mignot, Aude; Cadenaule, Fabienne; Aumiaux, Annette; Jimenez, Christine; Dufau, Marilyne; Prévost, Alain; Pillois, Xavier; Fort, Patrick; Roudaut, Raymond; Lafitte, Stéphane

doi:10.1016/j.acvd.2011.01.003

Cited by 24 publications

(18 citation statements)

References 11 publications

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“…There is good agreement with standard echocardiography. [4][5][6][7][8][9][10] It improves the differentiation and management of conditions with overlapping features but contrasting treatments, such as acute LV failure versus acute exacerbation of COPD. This is additionally important where a treatment is contraindicated in the competing diagnosis, or where treatment carries great risk (eg a quick-scan could substantiate the decision to thrombolyse a moribund patient with clinically suspected pulmonary embolism).…”

Section: Clinical Applications Advantages and Limitations In Acute Mmentioning

confidence: 99%

Point-of-care cardiac ultrasound in acute medicine – the quick scan

2014

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Point-of-care cardiac ultrasound in acute medicine -the quick scanThe optimum management of acute medical patients requires prompt and accurate diagnosis, monitoring and treatment. The clinical history and physical examination remain central to diagnosis, but often need supplementation by laboratory testing or imaging. Echocardiographic assessment of cardiac structure and function provides valuable information that can aid diagnosis and assess clinical progress. It has many advantages as an imaging modality, and recent technological advances have resulted in hand-held, battery-powered ultrasound devices that provide high-quality images. Three broad applications of cardiac ultrasound now exist: conventional echocardiography, focussed echocardiography and the quick-scan. A quick-scan using a hand-held ultrasound device is readily integrated into the bedside clinical assessment, providing information that can be used immediately in diagnostic reasoning; it can also guide pericardiocentesis. Hand-held ultrasound devices can also be used in acute situations, as well as geographically remote areas or special situations (eg disaster zones) where other imaging is not available. However, the diagnostic yield of echocardiography is user dependent, and training is required for its benefi ts to be realised, adding to the hardware costs. More data are needed on the incremental value of hand-held ultrasonography and a quickscan over conventional methods of assessment, their impact on clinical outcomes, and cost effectiveness.

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Section: Clinical Applications Advantages and Limitations In Acute Mmentioning

confidence: 99%

Point-of-care cardiac ultrasound in acute medicine – the quick scan

2014

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“…2B) with excellent accuracy ( Table 1): sensitivity of 89-91% and specificity of 96-99% [4,5,10,11,[15][16][17][18][19].…”

Section: Pericardial Effusionmentioning

confidence: 91%

“…One of the most reproducible measurements across studies is semi-quantitative left ventricular ejection fraction, with a sensitivity to detect left ventricular systolic impairment of 74-97% and a specificity of 94-99% when compared to comprehensive echocardiography [4,6,[10][11][12][13][14][15][16][17][18]. Left ventricular dilatation (Fig.…”

Section: Left Ventricular Size and Functionmentioning

confidence: 98%

“…Left ventricular dilatation (Fig. 1A) may also be assessed with sensitivity and specificity of 71-94% and 97-100%, respectively [11,[15][16][17][18][19]. Regional wall motion abnormalities may not be as accurately assessed as left ventricular ejection fraction or left ventricular dilatation [10,19].…”

Section: Left Ventricular Size and Functionmentioning

confidence: 98%

“…Pocket-echocardiography allows for immediate diagnosis as the same person acquires and interprets the images. The systematic use of pocketechocardiography for FCU may be cost effective [50]; and the workflow of sonographers and cardiologists could be improved by the use of pocket-echocardiography [18,51]. Use of FCU may also reduce length of stay in patients admitted for heart failure [52].…”

Section: Advantages Limitations and Perspectives Of Fcu By Pocket-ecmentioning

confidence: 99%

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Pocket-sized focused cardiac ultrasound: Strengths and limitations

Mirabel

Celermajer²,

Beraud

et al. 2015

Archives of Cardiovascular Diseases

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Focused cardiac ultrasound (FCU) has emerged in recent years and has created new possibilities in the clinical assessment of patients both in and out of hospital. The increasing portability of echocardiographic devices, with some now only the size of a smartphone, has widened the spectrum of potential indications and users, from the senior cardiologist to the medical student. However, many issues still need to be addressed, especially the acknowledgment of the advantages and limitations of using such devices for FCU, and the extent of training required in this rapidly evolving field. In recent years, an increasing number of studies involving FCU have been published with variable results. This review outlines the evidence for the use of FCU with pocket-echo to address specific questions in daily clinical practice.

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