Feasibility of Remote Real-Time Guidance of a Cardiac Examination Performed by Novices Using a Pocket-Sized Ultrasound Device
المؤلفون المشاركون
Kimura, Bruce J.
Ahn, David T.
Mai, Tuan V.
Phillips, Colin T.
Agan, Donna L.
المصدر
Emergency Medicine International
العدد
المجلد 2013، العدد 2013 (31 ديسمبر/كانون الأول 2013)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2013-08-20
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Background.
The potential of pocket-sized ultrasound devices (PUDs) to improve global healthcare delivery is limited by the lack of a suitable imaging protocol and trained users.
Therefore, we investigated the feasibility of performing a brief, evidence-based cardiac limited ultrasound exam (CLUE) through wireless guidance of novice users.
Methods.
Three trainees applied PUDs on 27 subjects while directed by an off-site cardiologist to obtain a CLUE to screen for LV systolic dysfunction (LVSD), LA enlargement (LAE), ultrasound lung comets (ULC+), and elevated CVP (eCVP).
Real-time remote audiovisual guidance and interpretation by the cardiologist were performed using the iPhone 4/iPod (FaceTime, Apple, Inc.) attached to the PUD and transmitted data wirelessly.
Accuracy and technical quality of transmitted images were compared to on-site, gold-standard echo thresholds.
Results.
Novice versus sonographer imaging yielded technically adequate views in 122/135 (90%) versus 130/135 (96%) (P<0.05).
CLUE’s combined SN, SP, and ACC were 0.67, 0.96, and 0.90.
Technical adequacy (%) and accuracy for each abnormality (n) were LVSD (85%, 0.93, n=5), LAE (89%, 0.74, n=16), ULC+ (100%, 0.94, n=5), and eCVP (78%, 0.91, n=1).
Conclusion.
A novice can perform the CLUE using PUD when wirelessly guided by an expert.
This method could facilitate PUD use for off-site bedside medical decision making and triaging of patients.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Mai, Tuan V.& Ahn, David T.& Phillips, Colin T.& Agan, Donna L.& Kimura, Bruce J.. 2013. Feasibility of Remote Real-Time Guidance of a Cardiac Examination Performed by Novices Using a Pocket-Sized Ultrasound Device. Emergency Medicine International،Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-486265
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Mai, Tuan V.…[et al.]. Feasibility of Remote Real-Time Guidance of a Cardiac Examination Performed by Novices Using a Pocket-Sized Ultrasound Device. Emergency Medicine International No. 2013 (2013), pp.1-5.
https://search.emarefa.net/detail/BIM-486265
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Mai, Tuan V.& Ahn, David T.& Phillips, Colin T.& Agan, Donna L.& Kimura, Bruce J.. Feasibility of Remote Real-Time Guidance of a Cardiac Examination Performed by Novices Using a Pocket-Sized Ultrasound Device. Emergency Medicine International. 2013. Vol. 2013, no. 2013, pp.1-5.
https://search.emarefa.net/detail/BIM-486265
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-486265
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر