Teleneurosonology: A Novel Application of Transcranial and Carotid Ultrasound

Rubin, Mark N.; Barrett, Kevin M.; Freeman, W. David; Iannotti, Joyce K. Lee; Channer, Dwight D.; Rabinstein, Alejandro A.; Demaerschalk, Bart M.

doi:10.1016/j.jstrokecerebrovasdis.2014.09.032

Cited by 12 publications

(6 citation statements)

References 13 publications

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“…Remote telementored ultrasound was feasible to coach untrained and inexperienced nurse practitioners to assess patients for pneumothorax immediately after removal of their tube thoracostomy [ 139 ]. Rubin demonstrated the feasibility of remote review and interpretation of TCD and carotid ultrasound data in healthy volunteers dubbed “teleneurosonology” [ 140 ].…”

Section: Future Applicationsmentioning

confidence: 99%

ABCDE of prehospital ultrasonography: a narrative review

et al. 2018

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Prehospital point-of-care ultrasound used by nonradiologists in emergency medicine is gaining ground. It is feasible on-scene and during aeromedical transport and allows health-care professionals to detect or rule out potential harmful conditions. Consequently, it impacts decision-making in prioritizing care, selecting the best treatment, and the most suitable transport mode and destination. This increasing relevance of prehospital ultrasonography is due to advancements in ultrasound devices and related technology, and to a growing number of applications. This narrative review aims to present an overview of prehospital ultrasonography literature. The focus is on civilian emergency (trauma and non-trauma) setting. Current and potential future applications are discussed, structured according to the airway, breathing, circulation, disability, and environment/exposure (ABCDE) approach. Aside from diagnostic implementation and specific protocols, procedural guidance, therapeutic ultrasound, and challenges are reviewed.Electronic supplementary materialThe online version of this article (10.1186/s13089-018-0099-y) contains supplementary material, which is available to authorized users.

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Section: Future Applicationsmentioning

confidence: 99%

ABCDE of prehospital ultrasonography: a narrative review

et al. 2018

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“…In neurosurgery, telemedicine has mainly been used for teleconsults in neurological emergencies such as triaging traumatic brain injury and in telestroke for weighing risks and benefits of local thrombolytic therapy administration. [9][10][11][12][13][14][15][16][17][18][19] During the COVID-19 pandemic, neurosurgical practices were negatively affected by the government mandates to cease elective surgeries combined with national stay-at-home orders, resulting in a considerable drop in outpatient visits. To minimize the deterioration of patients without COVID-19; to assess and triage new patients in need of semi-urgent, urgent, or more emergent surgery; to maintain follow-ups; and to minimize the risk of exposure to SARS-CoV-2, our neurosurgery department rapidly implemented telemedicine consults (Figure 1).…”

mentioning

confidence: 99%

Telemedicine Utilization in Neurosurgery During the COVID-19 Pandemic: A Glimpse Into the Future?

Biase¹,

Freeman²,

Bydon³

et al. 2020

Mayo Clinic Proceedings: Innovations, Quality & Outcomes

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Objective: To describe telemedicine utilization in neurosurgery at a single tertiary institution to provide outpatient care during the coronavirus disease 2019 (COVID-19) pandemic, with 315 telemedicine visits performed by the neurosurgery department. Patients and Methods: In response to the COVID-19 pandemic national stay-at-home orders and postponed elective surgeries, we converted upcoming clinic visits into telemedicine visits and rescheduled other patients thought not to be markedly affected by surgical postponement. We reviewed the charts of all patients who had telehealth visits from April 1 through April 30, 2020, and collected demographic information, diagnosis, type of visit, and whether they received surgery; a satisfaction questionnaire was also administered. Results: In March 2020, 94% (644 of 685) of the neurosurgery clinic visits were face-to-face, whereas in April 2020, 55% (315 of 573) of the visits were telemedicine (P<.001). In April, of the 315 telemedicine visits, 172 (55%) were phone consults and 143 (45%) video consults; 101 (32%) were new consults, 195 (62%) return visits, and 18 (6%) postoperative follow-up. New consults were more likely to be video with audio than return visits and postoperative follow-up (P<.001). Only 39 patients (12%) required surgery. Ninety-one percent of the questionnaire respondents were very likely to recommend telemedicine. Conclusion: Rapid implementation of telemedicine to evaluate neurosurgery patients became an effective tool for preoperative consultation, postoperative and follow-up visits during the COVID-19 pandemic, and decreased risks of exposure to severe acute respiratory syndrome coronavirus 2 to patients and health care staff. Future larger studies should investigate the cost-effectiveness of telemedicine used to triage surgical from nonsurgical patients, potential cost-savings from reducing travel burdens and lost work time, improved access, reduced wait times, and impact on patient satisfaction.

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“…Limited montage EEG, 42 NIRS, TCD ultrasound, 43 stethoscope, 3 lead ECG, and vital signs observations in the ICU room ( Figs. 3 and 4 )…”

Section: Structural Aspects Of Teleneuroicu Consultation Servicesmentioning

confidence: 99%

TeleNeuroICU: Expanding the Reach of Subspecialty Neurocritical Care

2022

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Telemedicine is a rapidly growing field of medicine due to a combination of high-speed global telecommunication systems and accessibility of small, fast mobile computing platforms with bidirectional audiovisual camera capabilities. Teleneurology is a subset of telemedicine. TeleNeuroICU, one form of teleneurology, is the practice of virtually consulting on patients in the ICU setting with neurological and neurosurgical conditions. Given the current and future shortage of neurologists and neurointensivists, there is a high demand for TeleNeuroICU services around the globe and this is expected to increase in the future. This review summarizes the state of the art around the TeleNeuroICU practice for practitioners in the field, emerging research in this area, and new technologies and integrations that enhance the value of TeleNeuroICU to health care systems.

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Teleneurosonology: A Novel Application of Transcranial and Carotid Ultrasound

Cited by 12 publications

References 13 publications

ABCDE of prehospital ultrasonography: a narrative review

ABCDE of prehospital ultrasonography: a narrative review

Telemedicine Utilization in Neurosurgery During the COVID-19 Pandemic: A Glimpse Into the Future?

TeleNeuroICU: Expanding the Reach of Subspecialty Neurocritical Care

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