The impact of lung ultrasound on clinical-decision making across departments: a systematic review

Heldeweg, Micah L A; Vermue, Lian; Kant, Max; Brouwer, Michelle G.; Girbes, Armand R. J.; Haaksma, Mark E.; Heunks, Leo; Mousa, Amne; Smit, Jeff M.; Smits, Thomas; Paulus, Frederique; Ket, Johannes C. F.; Schultz, Marcus J.; Tuinman, Pieter R.

doi:10.1186/s13089-021-00253-3

Cited by 15 publications

(26 citation statements)

References 39 publications

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“…Overall, in keeping with recent findings, 94 lung ultrasound alone or as a part of thoracic ultrasound has a relevant impact on the decision-making process by changing diagnosis and therapy in the emergency department, ICU, and general ward. In critically ill patients undergoing invasive mechanical ventilation, the management was changed in 47% of the cases after lung ultrasound examination, with more than 65% of the modifications adopted involving invasive interventions.…”

Section: Ultrasound For the Evaluation Of The Lung And Respiratory Mu...supporting

confidence: 75%

Advanced Point-of-care Bedside Monitoring for Acute Respiratory Failure

et al. 2023

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Advanced respiratory monitoring involves several mini- or noninvasive tools, applicable at bedside, focused on assessing lung aeration and morphology, lung recruitment and overdistention, ventilation–perfusion distribution, inspiratory effort, respiratory drive, respiratory muscle contraction, and patient–ventilator asynchrony, in dealing with acute respiratory failure. Compared to a conventional approach, advanced respiratory monitoring has the potential to provide more insights into the pathologic modifications of lung aeration induced by the underlying disease, follow the response to therapies, and support clinicians in setting up a respiratory support strategy aimed at protecting the lung and respiratory muscles. Thus, in the clinical management of the acute respiratory failure, advanced respiratory monitoring could play a key role when a therapeutic strategy, relying on individualization of the treatments, is adopted.

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Section: Ultrasound For the Evaluation Of The Lung And Respiratory Mu...supporting

confidence: 75%

Advanced Point-of-care Bedside Monitoring for Acute Respiratory Failure

et al. 2023

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“…Other medical residency programs such as emergency medicine and internal medicine that have incorporated LUS learning into core curricula have proven bene ts from a longitudinal model, given the ability of beginners to retain and reuse core concepts (15,28). With this incorporation of LUS training in the RT curriculum, we hypothesize that more recent cohorts of learners would enter respiratory care practice with higher LUS knowledge and skills (29,30). Another key barrier identi ed was the shortage of ultrasound equipment, which can be assumed to be due to the views about the prohibitive cost of ultrasound equipment.…”

Section: Discussionmentioning

confidence: 99%

Routine Application of Lung Ultrasonography in Respiratory Care: Knowledge, Perceptions, and Barriers to Instigate.

SREEDHA¹,

Karthika

Alqahtani³

et al. 2022

Preprint

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Background:Lung Ultrasound (LUS) has been found to be beneficial in detecting respiratory disorders at the bedside. Understanding the important role of Respiratory Therapists (RTs) in the critical care, we aimed to assess their knowledge, perceived relevance of LUS to clinical practice, current skill gaps, and barriers to practice.Materials and Methods:A cross-sectional, nationwide survey comprising 28 questions were conducted among the RTs working in the Kingdom of Saudi Arabia. The validated questionnaire included 4 sections; the demographics, knowledge and perceptions, applicability and self-reported proficiency, and barriers to the use of LUS by RTs. Results: A total of 256 RTs across different regions of Saudi Arabia participated in this survey. The majority were males (71.9%) with a mean age of 30.7 (SD ± 7.7) years, and 46.1% of the total respondents were having <5 years of working experience. Only (18.1%) of the participants used ultrasound devices in their clinical practice, and (43%) of them had never received any training. 66% of the participants perceived LUS as an effective tool in the RT practice and immensely valuable in their daily practice (70%). A large proportion of RTs found LUS to be ineffective in calculating the lung score (50.4%), assessing the diaphragm (40.2%), and detecting pulmonary edema (38.3%). Calculating lung score has a lower mean score (mean score 2.55) on both skills and identifying its applicability to clinical practice (mean score 2.71) than other indications with almost mean scores of 3 and 4. Lack of training and curriculum (154/256; 60.2%) remains the top barrier that prevented RTs from using LUS in their clinical practice. Conclusions:While many RTs in Saudi Arabia perceived LUS as an effective tool in the RT practice, considerable competence gaps exist, indicating the need for LUS training. There is a need for incorporating LUS into the curriculum of RT schools and promoting competency-based training for the current RT workforce to help improve patient care.

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“… 14 , 19 With this incorporation of LUS training in the RT curriculum, we hypothesize that more recent cohorts of learners would enter respiratory care practice with higher LUS knowledge and skills. 27 , 28 Another key barrier identified was the shortage of ultrasound equipment, which can be assumed to be due to the views about the prohibitive cost of ultrasound equipment. This issue was compounded by the lack of a clear structure to specifically document the LUS service or as a stand-alone service provided by the RTs.…”

Section: Discussionmentioning

confidence: 99%

Routine Application of Lung Ultrasonography in Respiratory Care: Knowledge, Perceptions, and Barriers to Instigate

Sreedharan¹,

Karthika²,

Alqahtani³

et al. 2022

AMEP

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Background Lung Ultrasound (LUS) had proved to be beneficial in detecting respiratory disorders at the bedside. Understanding the important role of Respiratory Therapists (RTs) in the critical care, we aimed to assess their knowledge, perceived relevance of LUS to clinical practice, current skill gaps, and barriers to practice. Methods A cross-sectional, nationwide survey conducted among the RTs working in the Kingdom of Saudi Arabia. The validated questionnaire included 4 sections; the demographics, knowledge and perceptions, applicability and self-reported proficiency, and barriers to the use of LUS by RTs. Results A total of 256 RTs across different regions of Saudi Arabia participated in this survey. 71.9% of them were males, and 46.1% of the participants were having <5 years of working experience. Only (18.1%) of the participants used LUS in their clinical practice, and (43%) of them had never received any training. 66% of the participants perceived LUS as an effective tool in the RT practice and immensely valuable in their daily practice (70%). A large proportion of RTs perceived LUS to be ineffective in calculating the lung score (50.4%), assessing the diaphragm (40.2%), and detecting pulmonary edema (38.3%). Calculating lung score has a lower mean score of 2.55 on both skills, and identifying its applicability to clinical practice with a mean score of 2.71 than other indications. Lack of training and curriculum (154/256; 60.2%) remains the top barrier that prevented RTs from using LUS in their clinical practice. Conclusion While many RTs in Saudi Arabia perceived LUS as an effective tool in the RT practice, considerable competence gap exist, indicating the need for LUS training. There is a need for incorporating LUS into the curriculum of RT schools and promoting competency-based training for the current RT workforce to help improve patient care.

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The impact of lung ultrasound on clinical-decision making across departments: a systematic review

Cited by 15 publications

References 39 publications

Advanced Point-of-care Bedside Monitoring for Acute Respiratory Failure

Advanced Point-of-care Bedside Monitoring for Acute Respiratory Failure

Routine Application of Lung Ultrasonography in Respiratory Care: Knowledge, Perceptions, and Barriers to Instigate.

Routine Application of Lung Ultrasonography in Respiratory Care: Knowledge, Perceptions, and Barriers to Instigate

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