Positioning document on incorporating point-of-care ultrasound in Internal Medicine departments

Macho, J. Torres; Sánchez, Francisco Javier García; Ezquerra, Pablo; Romero, Luisa; Lebrato, Jesús Cánora; Casas-Rojo, José Manuel; Arribas, Pere; Palmero, S. López; Martínez, S. Pintos; Rodrigo, J.M. Cepeda; Luordo, Davide; López, M. Beltrán; Bailón, Manuel Méndez; Sala, Enrique Rodilla; Espinosa, Luís; Gaviria, A. Zapatero; Casasola, G. García de

doi:10.1016/j.rceng.2018.02.004

Cited by 15 publications

(10 citation statements)

References 58 publications

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“…Among them, p i is the inner point probability of a certain sampling, p o is the outer point probability of a certain sampling, and n is the total sampling times. The position of the needle shaft can be estimated through the iteration of the algorithm [ 23 , 24 ].…”

Section: Anesthesia Effect Of Brachial Plexus Block With Intelligementioning

confidence: 99%

Comparative Anesthesia Effect of Brachial Plexus Block Based on Smart Electronic Medical Ultrasound-Guided Positioning and Traditional Anatomical Positioning

Liu

Zhu

2021

Journal of Healthcare Engineering

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With the intensification of population aging, the improvement of visualization technology, and the concept of accelerated rehabilitation surgery, the anesthesia method of upper extremity surgery is gradually changing. However, these methods are often caused by anatomical variations and often have low block success rates and patient satisfaction. The neuroanatomical position should be accurately located so that the puncture needle is right next to the nerve bundle or in the nerve sheath. This is very important for implementing accurate brachial plexus anesthesia. This article uses ultrasound-guided positioning technology and traditional anatomical positioning technology for brachial plexus block treatment, aiming to explore the anesthesia effect of brachial plexus block with different techniques. This article selects 120 patients undergoing brachial plexus block surgery for forearm or hand surgery and divides these 120 patients into 6 groups with 20 people in each group. The first 3 groups were treated with brachial plexus block using ultrasound-guided positioning technology. The latter 3 groups were treated with brachial plexus block using traditional anatomical positioning technology. Experiments proved that during anesthesia, compared with the ultrasound group, the heart rate of the traditional anatomy group was significantly decreased ( P < 0.05 ), and the average arterial pressure of the six groups of patients at each time point had no statistical difference ( P > 0.05 ). This shows that whether it is ultrasound-guided positioning technology or traditional anatomical positioning technology, it has no effect on the average arterial pressure of the patient at each time point. In addition to intuitive and accurate viewing of needle and nerve contact, ultrasound real-time guidance allows intuitive viewing of anesthesia. This is a special advantage of nerve block under ultrasound guidance.

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Section: Anesthesia Effect Of Brachial Plexus Block With Intelligementioning

confidence: 99%

Comparative Anesthesia Effect of Brachial Plexus Block Based on Smart Electronic Medical Ultrasound-Guided Positioning and Traditional Anatomical Positioning

Liu

Zhu

2021

Journal of Healthcare Engineering

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“…This technique has been embraced by anaesthetists and intensive care and emergency specialists. Internal medicine physicians have more recently started to incorporate POCUS into their clinical practice (Torres Macho et al 2018).…”

Section: Introductionmentioning

confidence: 99%

Clinical Impact of Point-of-Care Ultrasound in Internal Medicine Inpatients: A Systematic Review

Cid-Serra

Hoang

El-Ansary

et al. 2022

Ultrasound in Medicine & Biology

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The aim in this systematic review was to determine the effect of point-of-care ultrasound (POCUS) on the clinical decision-making process and patient outcomes in adults admitted to the general medicine ward. A comprehensive search was performed in MEDLINE (Ovid), EMBASE (Ovid), PubMed, the Cochrane Library, ClinicalTrials.gov, Scopus, LILACS and Cinahl. Articles had to fulfill the inclusion criteria of randomised or non-randomised studies assessing the impact of POCUS on the diagnosis, management, length of hospital stay or mortality of patients admitted to the internal medicine ward. Six studies were included involving a total of 1836 patients. The influence of POCUS on the diagnosis was reported as a change in the main diagnosis or the addition of a relevant diagnosis in up to 18% and 24% of the cases, respectively. Impact on the management plan was reported in 37% to 52.1% of the participants. Three studies documented the impact of POCUS on the length of stay. Two of them reported no difference between groups, and the other reported a significant reduction of 1 d of the hospital stay. In conclusion, POCUS appears to have positive effects on the clinical decision-making process with impacts on optimal patient management and possible reduction in the hospital length of stay.

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“…Los equipos ultrasónicos basan su funcionamiento en el principio del efecto Doppler y son una herramienta importante para el diagnóstico vascular. En años recientes la ecografía Doppler además de ser la técnica más utilizada para analizar el flujo sanguíneo [29], es uno de los métodos de diagnóstico fundamental en múltiples disciplinas y especialidades médicas [30][31][32], y es el método de diagnóstico inicial recomendado en pacientes con una alta probabilidad de sufrir una TVP en extremidades inferiores. La principal desventaja de utilizar el ultrasonido Doppler es la dependencia de un operador especializado, sobre todo partiendo de que el radiólogo tiene un entrenamiento que presenta una curva lenta de aprendizaje [33].…”

Section: B)unclassified

Trombosis venosa profunda en extremidades inferiores: revisión de las técnicas de diagnóstico actuales y su simbiosis con el aprendizaje automático para un diagnóstico oportuno

Fong-Mata¹,

Inzunza-González

García-Guerrero

et al. 2020

Rev. Ci. Tec.

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La Trombosis Venosa Profunda (TVP) es una manifestación de una Enfermedad Tromboembólica (ET). Cuando en una TVP los trombos venosos se desprenden y viajan a través del torrente sanguíneo pueden ocasionar una Trombo Embolia Pulmonar (TEP). La existencia de Trombosis Venosa Profunda (TVP) en las extremidades inferiores se ha descrito como uno de los principales factores de riesgo para el desarrollo de la TEP. Se considera que hasta el 90% de los émbolos pulmonares proceden de trombos venosos de las extremidades inferiores. Las técnicas más utilizadas para la detección de TVP son los modelos de probabilidad clínica, el dímero D y las pruebas de imagen no invasivas, como la ecografía para la TVP y la angiotomografía computadorizada (TC) para el embolismo pulmonar. Sin embargo, debido a la inespecificidad de los síntomas de la TVP, el umbral para ordenar una ecografía es bajo, además de ser un proceso complicado que requiere la participación de un médico especialista para su interpretación. En las últimas décadas el aprendizaje automático ha surgido como apoyo en la toma de decisiones para el diagnóstico de diversas enfermedades, algunas de las tecnologías más utilizadas en el campo de la medicina incluyen Support Vector Machine (SVM), Árboles de decisión y las Redes Neuronales Artificiales (RNA). En el presente artículo se hace una revisión de las tecnologías existentes para la detección de la TVP así como de los principales algoritmos de aprendizaje automático comúnmente utilizados en aplicaciones biomédicas; se propone el diseño de un sistema computarizado que utilice técnicas de aprendizaje automático como herramienta de apoyo para la detección oportuna de un posible padecimiento de TVP.

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Positioning document on incorporating point-of-care ultrasound in Internal Medicine departments

Cited by 15 publications

References 58 publications

Comparative Anesthesia Effect of Brachial Plexus Block Based on Smart Electronic Medical Ultrasound-Guided Positioning and Traditional Anatomical Positioning

Comparative Anesthesia Effect of Brachial Plexus Block Based on Smart Electronic Medical Ultrasound-Guided Positioning and Traditional Anatomical Positioning

Clinical Impact of Point-of-Care Ultrasound in Internal Medicine Inpatients: A Systematic Review

Trombosis venosa profunda en extremidades inferiores: revisión de las técnicas de diagnóstico actuales y su simbiosis con el aprendizaje automático para un diagnóstico oportuno

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