Canadian Association of Radiologists Position Statement on Point-of-Care Ultrasound

Chawla, Tanya; Cresswell, Mark; Dhillon, Sukhvinder; Greer, Mary‐Louise C.; Hartery, Angus; Keough, Valerie; Patlas, Michael N.

doi:10.1016/j.carj.2019.06.001

Cited by 33 publications

(34 citation statements)

References 6 publications

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“…Other consensus processes described in the literature have been either specialty specific, hospital-based [26], or part of a broader clinical or billing protocol issued by a provincial College [31]. Notably, the Canadian Association of Radiologists recently published a position statement written exclusively by radiologists with no evidence of input from the POCUS community or any other discipline [32]. We believe our process is more pragmatic and has greater legitimacy in that we utilized a collaborative and consensus-based approach that incorporated the perspectives of multiple disciplines and clinical environments.…”

Section: Discussionmentioning

confidence: 99%

The development of a provincial multidisciplinary framework of consensus-based standards for Point of Care Ultrasound at the University of Saskatchewan

et al. 2019

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ObjectivesThe development and adoption of Point-of-Care Ultrasound (POCUS) across disciplines have created challenges and opportunities in implementing training and utilization standards. Within the context of a large, geographically disparate province, we sought to develop a multidisciplinary POCUS framework outlining consensus-based standards.MethodsA core working group of local POCUS leaders from Anesthesia, Emergency Medicine, Family Medicine, Intensive Care, Internal Medicine, Pediatrics, and Trauma, in collaboration with western Canadian colleagues, developed a list of key domains for the framework along with a range of potential standards for each area. The members of the working group and the registrants for a multidisciplinary Roundtable discussion at the University of Saskatchewan’s annual POCUS conference (SASKSONO19, Saskatoon, Saskatchewan, March 2nd, 2019) were invited to complete a survey on POCUS standards for each domain. The survey results were presented to and discussed by participants at the Roundtable discussion at SASKSONO19 who reached consensus on modified standards for each domain. The modified standards were considered for endorsement by all conference attendees using an audience-response system.ResultsThe working group proposed standards in eight domains: scope of use, credentialing and privileges, documentation, quality assurance, leadership and governance, teaching, research, and equipment maintenance. Consensus on modified standards was achieved in the 18 participant Roundtable. Each standard was then endorsed by > 90% of conference respondents.ConclusionThe resulting framework will inform the utilization of POCUS within Saskatchewan. Both this process and its outcomes could inform the development of multidisciplinary POCUS standards within other jurisdictions.

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Section: Discussionmentioning

confidence: 99%

The development of a provincial multidisciplinary framework of consensus-based standards for Point of Care Ultrasound at the University of Saskatchewan

et al. 2019

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“…In a recent comment, Mehra et al 2 stated that after an unsuccessful attempt to conduct an independent peer review of the database on which their findings were based, they can no longer assure the veracity of their conclusions thus, they requested the retraction of their publication. Likewise, a different study conducted by Mehra et al 3 assessed the relationship of cardiovascular disease and drug therapy with in-hospital mortality among patients with COVID-19. In this study the authors reported no increased risk of in-hospital mortality associated with the use of angiotensinconverting−enzyme inhibitors and angiotensin-receptor blockers.…”

Section: Retraction Of Studies On Potential Drug Therapies For Covid-mentioning

confidence: 99%

“…However, in a subsequent letter the authors argued that they were unable to access to the raw data and the database was not available to a thirdparty auditor validation therefore, the authors asked for retraction of the paper. 3 At this time, 15 studies about COVID-19 have been retracted, 2 temporarily retracted and 1 subjected to an expression of concern. 4 The rush for showing results and publishing papers despite its lack of validation, as health professionals and patients desperately seek treatment options, illustrate the obvious need for strengthening the review process of papers for accuracy and reliability before publication and a call to follow the standards of the International Committee of Medical Journal Editors and the Committee on Publication Ethics.…”

Section: Retraction Of Studies On Potential Drug Therapies For Covid-mentioning

confidence: 99%

“…This emphasis on cardiac POCUS by non-cardiologists is reflected by the increasing number of publications and training courses on cardiac POCUS, which are almost exclusively led by various non-cardiology professional societies. 2,3 In particular, cardiac POCUS in the setting of critical care is increasingly perceived as its own entity with a separate term "critical care echocardiography." In fact, critical care echocardiography has been advocated as an essential component of training and is now officially acknowledged by the National Board of Echocardiography, which started to administer its first special competence examination in this imaging protocol beginning in 2019.…”

Section: Retraction Of Studies On Potential Drug Therapies For Covid-mentioning

confidence: 99%

“…2 Although redo-MVR has been the gold-standard strategy for degenerated bioprotheses, transcatheter mitral valve-in-valve (MViV) recently emerged as a feasible alternative to redo-MVR. 3 However, comparative data of the 2 strategies are limited. 4 We sought to compare outcomes of MViV versus redo-MVR using the National Readmission Database.…”

Section: Comparative Outcomes Of Mitral Valve In Valve Implantation Vmentioning

confidence: 99%

See 2 more Smart Citations

The Era of Point-of-Care Ultrasound Has Arrived: Are Cardiologists Ready?

Huang

Alviar

Wiley

et al. 2020

The American Journal of Cardiology

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Effectiveness of ultrasound screening in right upper quadrant pain: A comparative study in a basic emergency service

Tavares

Lobo

Figueiredo

et al. 2023

Health Science Reports

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Background and Aims The use of ultrasound screening is primarily facilitated by point‐of‐care ultrasound (POCUS) and its integration into healthcare systems is a result of the versatility of this imaging technique. This study intends to compare the accuracy and pertinence of sonographic findings obtained by a sonographer in a Basic Emergency Service (BES) with that of radiologists at referral hospital (RH) in Portugal. Methods Twenty patients with right upper quadrant (RUQ) pain and suspected cholecystitis or biliary pathology underwent sonography screening using POCUS in the BES. They were then forwarded to the RH where a radiologist performed a conventional ultrasound exam on the same patients. The results of both exams were compared to determine if the findings obtained in the BES were confirmed by the radiologist in the RH. Results In our sample, 60% of cases were related to biliary pathology, 20% were liver‐related, 10% had hepatopancreatic biliary etiology, and 10% had unknown etiology. A strong association between the sonographic findings in the BES and the RH was found in the variables “Sonographic Murphy sign” ( V = 0.859; p = 0.001), “Cholelithiasis/Gallbladder sludge” ( V = 0.840; p = 0.001), and “Intrahepatic biliary tract dilatation” ( V = 0.717; p = 0.006). Adequate measures of agreement between the findings of the radiographer and radiologist were obtained for the “Sonographic Murphy sign” ( k = 0.664; p = 0.001) and the presence of “Cholelithiasis/Gallbladder sludge” ( k = 0.712; p = 0.000). Conclusion Major biliary abnormalities were detected in patients with RUQ pain in BES using sonography. The correlation between the sonographic findings obtained by the sonographers at BES and those obtained by radiologists at the RH in Portugal was strong, showing that POCUS screening could be extended to other similar settings; however, more studies are needed.

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Canadian Association of Radiologists Position Statement on Point-of-Care Ultrasound

Cited by 33 publications

References 6 publications

The development of a provincial multidisciplinary framework of consensus-based standards for Point of Care Ultrasound at the University of Saskatchewan

The development of a provincial multidisciplinary framework of consensus-based standards for Point of Care Ultrasound at the University of Saskatchewan

The Era of Point-of-Care Ultrasound Has Arrived: Are Cardiologists Ready?

Effectiveness of ultrasound screening in right upper quadrant pain: A comparative study in a basic emergency service

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