How useful is hand-carried bedside echocardiography in critically ill patients?

Goodkin, Gregory M.; Spevack, Daniel M.; Tunick, Paul A.; Kronzon, Itzhak

doi:10.1016/s0735-1097(01)01293-1

Cited by 112 publications

(50 citation statements)

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“…Concerns have been raised that HCU devices may compare less favorably with standard echocardiography when performed in critically ill patients because of the more frequent occurrence of a limited acoustic window. In a study of 80 critically ill patients that compared HCU vs. standard echocardiography, 85% of clinical questions could be addressed by the HCU device (146). HCU failed to detect a clinically significant finding in 31% of patients; however, the majority of these missed findings were Doppler-based diagnoses (e.g., valvular regurgitation).…”

Section: Hand-carried Ultrasoundmentioning

confidence: 99%

Bedside echocardiography in the assessment of the critically ill

Beaulieu

2007

Critical Care Medicine

214

111

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Advances in ultrasound technology continue to enhance its diagnostic applications in daily medical practice. Bedside echocardiographic examination has become useful to properly trained cardiologists, anesthesiologists, intensivists, surgeons, and emergency room physicians. Cardiac ultrasound can permit rapid, accurate, and noninvasive diagnosis of a broad range of acute cardiovascular pathologies. Although transesophageal echocardiography was once the principal diagnostic approach using ultrasound to evaluate intensive care unit patients, advances in ultrasound imaging, including harmonic imaging, digital acquisition, and contrast for endocardial enhancement, has improved the diagnostic yield of transthoracic echocardiography. Ultrasound devices continue to become more portable, and hand-carried devices are now readily available for bedside applications. This article discusses the application of bedside echocardiography in the intensive care unit. The emphasis is on echocardiography and cardiovascular diagnostics, specifically on goal-directed bedside cardiac ultrasonography.

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Section: Hand-carried Ultrasoundmentioning

confidence: 99%

Bedside echocardiography in the assessment of the critically ill

Beaulieu

2007

Critical Care Medicine

214

111

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“…In contrast to this general success of portable echocardiography, a study based in intensive care units indicated that up to 31% of important findings were missed, probably due to suboptimal imaging 10. Although the technology has advanced since this study, on the basis of our own experience we remain cautious.…”

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confidence: 72%

Portable echocardiography

Ashrafian¹,

Bogle

Rosen

et al. 2004

BMJ

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“…A study by Goodkin et al [24] compared the utility of hand-carried ultrasound versus standard echocardiography in 80 acutely ill patients in the intensive care unit (ICU), stepdown units, recovery room, and emergency department. All ultrasounds were performed by experienced sonographers and interpreted by echocardiographers.…”

Section: Critical Carementioning

confidence: 99%

Point-of-Care Cardiac Ultrasound: Feasibility of Performance by Noncardiologists

Nelson

Sanghvi

2013

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Cardiac ultrasound has been used for decades to assess a wide variety of structural and functional pathology, as well as to monitor response to therapy. It offers the advantages of noninvasive, real-time dynamic functional assessment without the risk of radiation. Cardiologists have traditionally employed this modality and have established robust guidelines on the use of echocardiography. However, other specialties such as emergency medicine and critical care have realized the benefit of cardiac ultrasound and have established specialty guidelines in its use. There is growing evidence for the benefit of cardiac ultrasound at the point of care on hospital wards, clinics, and even pre-hospital environments as well. The pervasive use of focused ultrasound is perhaps most evident in the advent of ultrasound training in undergraduate medical curricula. This paper reviews some of the key literature on the use of focused, point-of-care ultrasound by noncardiologists. Feasibility, clinical utility, and emerging trends are reviewed.

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How useful is hand-carried bedside echocardiography in critically ill patients?

Abstract: Although the HC device was able to provide important anatomic information, the device falls far short of SE in the evaluation of critically ill patients.

Cited by 112 publications

References 1 publication

Bedside echocardiography in the assessment of the critically ill

Bedside echocardiography in the assessment of the critically ill

Portable echocardiography

Point-of-Care Cardiac Ultrasound: Feasibility of Performance by Noncardiologists

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