2013
DOI: 10.1155/2013/946059
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Does the Integration of Personalized Ultrasound Change Patient Management in Critical Care Medicine? Observational Trials

Abstract: Objective. To test the influence of personalized ultrasound (PersUS) on patient management in critical care. Design of the Study. Prospective, observational, and critical care setting. Four substudies compared PersUS and mobile ultrasound, work distribution, and diagnostic and procedural quality. Patients and Interventions. 640 patient ultrasound exams including 548 focused diagnostic exams and 92 interventional procedures. Main Outcome Measures. Number of studies, physician's judgement of feasibility, time of… Show more

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Cited by 18 publications
(6 citation statements)
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“…The accuracy of clinical judgement can be enhanced with the use of POCUS in some of the most frequent diagnoses among medical patients, for example, heart failure, pneumonia, acute chest pain or acute kidney injury. Observational studies suggest that integration of POCUS in medical wards may change diagnosis and treatment in one-third of patients [51], may decrease by up to tenfold referrals for a focused echocardiography and surprisingly reduce the time needed for the ward round [52]. The use of POCUS in a few typical ward situations are discussed in the following paragraphs.…”
Section: From the Emergency Room To The Ward: The Stable Patientmentioning
confidence: 99%
“…The accuracy of clinical judgement can be enhanced with the use of POCUS in some of the most frequent diagnoses among medical patients, for example, heart failure, pneumonia, acute chest pain or acute kidney injury. Observational studies suggest that integration of POCUS in medical wards may change diagnosis and treatment in one-third of patients [51], may decrease by up to tenfold referrals for a focused echocardiography and surprisingly reduce the time needed for the ward round [52]. The use of POCUS in a few typical ward situations are discussed in the following paragraphs.…”
Section: From the Emergency Room To The Ward: The Stable Patientmentioning
confidence: 99%
“…Für zeitkritische Erkrankungen werden im Schockraum Blutgasanalysen ad hoc bereits im "primary survey" in Form einer POCT-Diagnostik durchgeführt (. Tab. [9,37]. Dabei wird je nach Symptomatik gezielt nach spezifischen Organstörungen gesucht (.…”
Section: Point-of-care-labordiagnostikunclassified
“…Die fokussierte Sonografie kann gezielte klinische Fragestellungen ohne Zeitverzögerung, Transportrisiko oder Strahlenbelastung adressieren und die Dauer bis zur Diagnosestellung verkürzen [4]. Wichtige Voraussetzungen in diesem Zusammenhang sind, dass ▪ die Untersuchung möglichst rasch bettseitig durchführbar ist und keine Verzögerung anderer dringend notwendiger diagnostischer oder therapeutischer Maßnahmen zur Folge hat und ▪ die Untersuchungstechnik auch von einem Notfallmediziner ohne Spezialkenntnisse in der Echokardiografie durchgeführt und interpretiert werden können muss.…”
Section: Introductionunclassified