ENHANCING CARDIO-PULMONARY IMAGING ACCESS TO A FIRST NATIONS CARE SETTING USING POINT-OF-CARE ULTRASOUND AND REMOTE LIVE-STREAMING

2021 ◽  
Vol 37 (10) ◽  
pp. S36-S37
Author(s):  
D Belliveau ◽  
N Grubic ◽  
S Nihal ◽  
J Herr ◽  
J Lam ◽  
...  
Keyword(s):  
First Nations ◽  
Care Setting ◽  
Point Of Care ◽  
Live Streaming ◽  
Point Of Care Ultrasound ◽  
Pulmonary Imaging

scholarly journals Point of care ultrasound in the paediatric acute care setting: Getting to the ‘heart’ of respiratory distress

2020 ◽  
Author(s):  
Anna M Musolino ◽  
Danilo Buonsenso ◽  
Anna C Massolo ◽  
Mariasara Gallo ◽  
Maria C Supino ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Acute Care ◽  
Care Setting ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Acute Care Setting

scholarly journals Adoptability and Accuracy of Point-of-Care Ultrasound in Screening for Valvular Heart Disease in the Primary Care setting

2021 ◽  
Author(s):  
Yashasvi Chugh ◽  
Opema Lohese ◽  
Paul Sorajja ◽  
Ross Garberich ◽  
Lariss Stanberry ◽  
...  
Keyword(s):  
Primary Care ◽  
Heart Disease ◽  
Valvular Heart Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Point Of Care ◽  
Primary Care Providers ◽  
Left Ventricular ◽  
Point Of Care Ultrasound ◽  
Care Providers

Background: Despite continued efforts, the majority of patients with valvular heart disease (VHD) remain undiagnosed and untreated. This study aimed to assess the adoptability and accuracy of point-of-care handheld echocardiographic assessments (POCE) in the primary care setting. Methods: Eleven previously untrained primary care providers were trained to use the Vscan Extend (GE, WI) POCE to assess VHD, left ventricular function (LVEF), and major extra-cardiac findings. Their assessments were compared to those of 3 blinded expert readers. A total of 180 assessments were evaluated using Kappa statistics (κ) together with their estimated standard error, p-value, and 95% CI bounds. Results: Identical or nearly identical agreement between previously untrained primary providers and expert readers was evident for the diagnosis of tricuspid regurgitation, mitral regurgitation, pericardial effusion, volume status. These agreements were strongest in apical long axis (κ =1, p<0.001) and parasternal long and short axis views (k>=0.82 p<0.001), though agreement remained robust in apical 4-chamber views (k>=0.76). The agreements in LVEF assessment were identical in the apical long axis view (κ =1, p<0.001) and robust in the remaining 3 views (κ>=0.66, p<0.001). The assessments of aortic stenosis (parasternal/long, κ =0.42, and parasternal/short, κ =0.47, both p<0.001) were weak in their agreement. Conclusion: Compared to expert echocardiography readers, the untrained providers’ use of POCE for VHD shows high user adoptability and diagnostic accuracies in the primary care setting.

scholarly journals Point-of-care ultrasonography: training, applications and barriers. A survey study

2019 ◽  
Vol 8 (1) ◽  
pp. 1-4
Author(s):  
Gentle S. Shrestha ◽  
Subhash P. Acharya ◽  
Pramesh S. Shrestha ◽  
Ninadini Shrestha ◽  
Hem R. Paneru ◽  
...  
Keyword(s):  
Acute Care ◽  
Care Setting ◽  
Point Of Care ◽  
Daily Practice ◽  
Perceived Barriers ◽  
Survey Study ◽  
Point Of Care Ultrasound ◽  
Acute Care Setting ◽  
Ultrasound Machine ◽  
Effective Use

Background and Aims: Use of point-of-care ultrasound (POCUS) in acute care setting has rapidly increased and has potentials to guide patient management. This survey study aims to explore the usefulness of a one-day workshop and to elicit the perceived barriers for effective use of POCUS. Methods: A total of 169 doctors who had attended one day Acute Care Ultrasound workshop were approached through email. Online link to access the survey created using Google forms was sent. The survey contained questions related to the details about the participants, feedback about the workshop, whether the workshop has helped to change the practice of the participants, availability of ultrasound machine during the daily practice and the perceived barriers for use of POCUS. Results: A total of 41 responses were obtained. Majority of the participants had anaesthesiology as the base specialty followed by general practice. Most of them had ICU as their predominant working place, followed by emergency room and operating room. The workshop was found to be helpful by most of the participants. Majority of the participants (20 participants; 49%) had ultrasound machine sometimes available during their daily practice. Only 20% (8 participants) had ultrasound machine always available during their clinical practice. Similarly, 46% (19 participants) considered lack of access to ultrasound machine as a barrier for application of POCUS. Significant number of participants considered lack of supervision and guidance (18 participants; 44%) and lack of knowledge and skills (13 participants; 32%) as the barriers. Conclusions: Majority of the participants found the one-day workshop helpful. Doctors from various specialty, working in acute care setting had participated in the survey. Limited access to ultrasound machine, together with lack of adequate knowledge and skills were perceived as major barriers for effective use of point-of-care ultrasound.

scholarly journals ADOPTABILITY AND ACCURACY OF POINT-OF-CARE ULTRASOUND IN SCREENING FOR VALVULAR HEART DISEASE IN THE PRIMARY CARE SETTING

2021 ◽  
Vol 77 (18) ◽  
pp. 1711
Author(s):  
Opema Lohese ◽  
Ross Garberich ◽  
Larissa Stanberry ◽  
Paul Sorajja ◽  
Joao Cavalcante ◽  
...  
Keyword(s):  
Primary Care ◽  
Heart Disease ◽  
Valvular Heart Disease ◽  
Care Setting ◽  
Primary Care Setting ◽  
Point Of Care ◽  
Point Of Care Ultrasound

Utilization of POCUS in a Specialist Palliative Care Setting: A Retrospective Chart Review.

2020 ◽  
Author(s):  
Amit Arya ◽  
John Roderick Davey ◽  
Achal Sharma ◽  
Naheed Dosani ◽  
Dilnoor Grewal ◽  
...  
Keyword(s):  
Palliative Care ◽  
Chart Review ◽  
Care Setting ◽  
Point Of Care ◽  
Symptom Burden ◽  
Retrospective Chart Review ◽  
Care Utilization ◽  
Point Of Care Ultrasound ◽  
Specialist Palliative Care ◽  
Palliative Care Setting

Abstract Background: The use of Point-Of-Care Ultrasound (POCUS) has increased rapidly across various medical disciplines due to technological advancements providing high quality POCUS units. POCUS can help clinicians at the bed side with information regarding patient management in real time. However, literature reveals scant evidence of POCUS use in Palliative Care. This study’s objective was to examine the use of POCUS in a specialist palliative care setting. Methods: A retrospective chart review was conducted from January 2018 to June 2019 to evaluate characteristics of patients for whom POCUS was utilized. These patients were identified through pre-existing logs and descriptive information was collected from the electronic health records. This included demographic information, life-limiting diagnosis, patient assessment location, diagnosis made with POCUS and, if applicable, volume of fluid drained.Results: We identified 126 uses of POCUS in 89 unique patients. 62 patients (69.7%) had a cancer diagnosis, with patients most commonly suffering from GI, Lung and Breast pathologies. 61 POCUS cases (48.4%) were in the outpatient setting. 81 POCUS cases (64.3%) revealed a diagnosis of ascites and 21 POCUS cases (16.7%) revealed a diagnosis of pleural effusion. Other diagnoses made with POCUS included bowel obstruction, pneumonia and congestive heart failure. During the study period, 52 paracentesis and 7 thoracentesis procedures were performed using POCUS guidance.Conclusion: We identified multiple indications in our specialist palliative care setting where POCUS aided in diagnosis/management of patients in both inpatient and outpatient settings. Further studies can be conducted to identify the potential benefits in symptom burden, patient & caregiver satisfaction and health care utilization in palliative care patients receiving POCUS.

scholarly journals The Use of Point-of-Care Ultrasound (POCUS) in the Diagnosis of Deep Vein Thrombosis

2021 ◽  
Vol 10 (17) ◽  
pp. 3903
Author(s):  
Dimitrios Varrias ◽  
Leonidas Palaiodimos ◽  
Prasanth Balasubramanian ◽  
Christian A Barrera ◽  
Peter Nauka ◽  
...  
Keyword(s):  
Care Setting ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Significant Heterogeneity ◽  
Future Directions ◽  
Vein Thrombosis ◽  
Medical Wards ◽  
Deep Vein ◽  
Test Probability

Acute lower extremity proximal deep venous thrombosis (DVT) requires accurate diagnosis and treatment in order to prevent embolization and other complications. Point-of-care ultrasound (POCUS), a clinician performed, and clinician interpreted bedside ultrasound examination has been increasingly used for DVT evaluation mainly in the urgent and critical care setting, but also in the ambulatory clinics and the medical wards. Studies have demonstrated that POCUS has excellent diagnostic accuracy for acute proximal DVT when performed by well-trained users. However, there is significant heterogeneity among studies on the necessary extent of training and universally acceptable standardized education protocols are needed. In this review, we summarize the evidence that supports the use of POCUS to diagnose acute proximal DVT and focus on methodology and current technology, sensitivity and specificity, pre-test probability and the role of D-dimer, time and resources, education, limitations, and future directions.

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