MMSL 2022, 91(3):235-243 | DOI: 10.31482/mmsl.2021.051

ECHOCARDIOGRAPHY IN FIRST-CONTACT CAREReview article

Petr Grenar ORCID...1*, Karel Mědílek2, Jiří Nový1,2, Jan M. Horáček ORCID...4,5, Tomáš Kupsa ORCID...4,5, Pavel Skořepa ORCID...3,5, Martin Jakl ORCID...1,5
1 Oddělení urgentní medicíny, Fakultní nemocnice Hradec Králové, Hradec Králové, Česká republika
2 I. Interní kardio-angiologická klinika, Fakultní nemocnice Hradec Králové, Hradec Králové, Česká republika
3 III. Interní gerontometabolická klinika, Fakultní nemocnice Hradec Králové, Česká republika
4 IV. Interní hematologická klinika, Fakultní nemocnice Hradec Králové, Hradec Králové, Česká republika
5 Katedra vojenského vnitřního lékařství a vojenské hygieny, Fakulta vojenského zdravotnictví, Univerzita obrany, Česká republika

Použití sonografie ošetřujícím zdravotníkem v rámci medicíny prvního kontaktu představuje trend rostoucí přímo úměrně s technickým rozvojem, dostupností a kompaktností zobrazovacích přístrojů. Emergentní echokardiografie je reproducibilní metodou průkazně přinášející důležité klinické informace do procesu prvotního vyšetření akutních kardiovaskulárních onemocnění. Jako stěžejní bod při zavádění emergentní echokardiografie prováděné lékaři bez kardiologické atestace vnímáme otázku standardizace vyšetření, systematičnost vzdělávání a stanovení kompetencí. Následující sdělení přináší přehled trendů cíleného ultrazvukového vyšetření srdce a informuje o probíhajícím vzdělávacím programu ve Fakultní nemocnici Hradec Králové.

Keywords: Ultrasonografie; Echokardiografie; Urgentní medicína

Sonography has become a rising trend in first-contact medical care. Increased usage of sonography comes together with technical development, availability as well as compactness of new devices. Emergent echocardiography is reproducible method providing clinically significant information during primary survey of acute cardiovascular diseases. The main points in process of implementation of emergent echocardiography by non-cardiologists are standardization of the procedure, structure of scholarship and clarification of competences. This text brings an overview of the focused echocardiography in emergency medicine and provides information of heart ultrasonography education program in The Faculty Hospital in Hradec Králové.

Keywords: Ultrasonography; Echocardiography; Emergency medicine

Received: October 25, 2021; Revised: December 17, 2021; Accepted: December 31, 2021; Prepublished online: January 31, 2022; Published: September 2, 2022  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Grenar, P., Mědílek, K., Nový, J., Horáček, J.M., Kupsa, T., Skořepa, P., & Jakl, M. (2022). ECHOCARDIOGRAPHY IN FIRST-CONTACT CARE. MMSL, 91(3), 235-243. doi: 10.31482/mmsl.2021.051
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Elison DM, McConnaughey S, Freeman RV, et al. Focused cardiac ultrasound training in medical students: Using an independent, simulator-based curriculum to objectively measure skill acquisition and learning curve. Echocardiography. 2020;37(4):491-6. Go to original source... Go to PubMed...
    2. Arishenkoff S, Eddy C, Roberts JM, et al. Accuracy of Spleen Measurement by Medical Residents Using Hand-Carried Ultrasound. J Ultrasound Med. 2015;34(12):2203-7. Go to original source... Go to PubMed...
    3. Smallwood N, Dachsel M. Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine? Clin Med (Lond). 2018;18(3):219-24. Go to original source... Go to PubMed...
    4. Royse CF, Seah JL, Donelan L, et al. Point of care ultrasound for basic haemodynamic assessment: novice compared with an expert operator. Anaesthesia. 2006;61(9):849-55. Go to original source... Go to PubMed...
    5. Wei K, Mulvagh SL, Carson L, et al. The safety of deFinity and Optison for ultrasound image enhancement: a retrospective analysis of 78,383 administered contrast doses. J Am Soc Echocardiogr. 2008;21(11):1202-6. Go to original source... Go to PubMed...
    6. Chen L, Malek T. Point-of-Care Ultrasonography in Emergency and Critical Care Medicine. Crit Care Nurs Q. 2018;41(2):94-101. Go to original source... Go to PubMed...
    7. Leo M. Potential for Point-of-Care Ultrasonography to Improve Patient Care in Diagnosis of Dyspnea. Ann Intern Med. 2021;174(7):1016-7. Go to original source... Go to PubMed...
    8. Nazerian P, Vanni S, Volpicelli G, et al. Accuracy of point-of-care multiorgan ultrasonography for the diagnosis of pulmonary embolism. Chest. 2014;145(5):950-7. Go to original source... Go to PubMed...
    9. Galderisi M, Santoro A, Versiero M, et al. Improved cardiovascular diagnostic accuracy by pocket size imaging device in non-cardiologic outpatients: the NaUSiCa (Naples Ultrasound Stethoscope in Cardiology) study. Cardiovasc Ultrasound. 2010;8:51. Go to original source... Go to PubMed...
    10. Soliman-Aboumarie H, Breithardt OA, Gargani L, et al. How-to: Focus Cardiac Ultrasound in acute settings. Eur Heart J Cardiovasc Imaging. 2021. Go to original source... Go to PubMed...
    11. Farsi D, Hajsadeghi S, Hajighanbari MJ, et al. Focused cardiac ultrasound (FOCUS) by emergency medicine residents in patients with suspected cardiovascular diseases. J Ultrasound. 2017;20(2):133-8. Go to original source... Go to PubMed...
    12. Bernard A, Chemaly P, Dion F, et al. Evaluation of the efficacy of a self-training programme in focus cardiac ultrasound with simulator. Arch Cardiovasc Dis. 2019;112(10):576-84. Go to original source... Go to PubMed...
    13. Mustahsan SM. Bedside Ultrasound in Cardiac Emergency. J Ayub Med Coll Abbottabad. 2015;27(3):741. Go to PubMed...
    14. Mayron R, Gaudio FE, Plummer D, et al. Echocardiography performed by emergency physicians: impact on diagnosis and therapy. Ann Emerg Med. 1988;17(2):150-4. Go to original source... Go to PubMed...
    15. Via G, Hussain A, Wells M, et al. International evidence-based recommendations for focused cardiac ultrasound. J Am Soc Echocardiogr. 2014;27(7):683 e1- e33. Go to original source... Go to PubMed...
    16. Prinz C, Voigt JU. Diagnostic accuracy of a hand-held ultrasound scanner in routine patients referred for echocardiography. J Am Soc Echocardiogr. 2011;24(2):111-6. Go to original source... Go to PubMed...
    17. Scholten C, Rosenhek R, Binder T, et al. Hand-held miniaturized cardiac ultrasound instruments for rapid and effective bedside diagnosis and patient screening. J Eval Clin Pract. 2005;11(1):67-72. Go to original source... Go to PubMed...
    18. Zanobetti M, Scorpiniti M, Gigli C, et al. Point-of-Care Ultrasonography for Evaluation of Acute Dyspnea in the ED. Chest. 2017;151(6):1295-301. Go to original source... Go to PubMed...
    19. Dietrich CF, Goudie A, Chiorean L, et al. Point of Care Ultrasound: A WFUMB Position Paper. Ultrasound Med Biol. 2017;43(1):49-58. Go to original source... Go to PubMed...
    20. Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med. 2011;364(8):749-57. Go to original source... Go to PubMed...
    21. Arnold MJ, Jonas CE, Carter RE. Point-of-Care Ultrasonography. Am Fam Physician. 2020;101(5):275-85. Go to PubMed...
    22. Tanael M. Users' guide to point-of-care ultrasonography. J Am Coll Emerg Physicians Open. 2020;1(6):1777. Go to original source... Go to PubMed...
    23. Eckel H. [Sonography in emergency diagnosis of the abdomen (author's transl)]. Rontgenblatter. 1980;33(5):244-8. Go to PubMed...
    24. Villavicencio C, Leache J, Marin J, et al. Basic critical care echocardiography training of intensivists allows reproducible and reliable measurements of cardiac output. Ultrasound J. 2019;11(1):5. Go to original source... Go to PubMed...
    25. Popescu BA, Andrade MJ, Badano LP, et al. European Association of Echocardiography recommendations for training, competence, and quality improvement in echocardiography. Eur J Echocardiogr. 2009;10(8):893-905. Go to original source... Go to PubMed...
    26. Popescu BA, Stefanidis A, Fox KF, et al. Training, competence, and quality improvement in echocardiography: the European Association of Cardiovascular Imaging Recommendations: update 2020. Eur Heart J Cardiovasc Imaging. 2020;21(12):1305-19. Go to original source... Go to PubMed...
    27. Dresden S, Mitchell P, Rahimi L, et al. Right ventricular dilatation on bedside echocardiography performed by emergency physicians aids in the diagnosis of pulmonary embolism. Ann Emerg Med. 2014;63(1):16-24. Go to original source... Go to PubMed...
    28. Gartlehner G, Wagner G, Affengruber L, et al. Point-of-Care Ultrasonography in Patients With Acute Dyspnea: An Evidence Report for a Clinical Practice Guideline by the American College of Physicians. Ann Intern Med. 2021;174(7):967-76. Go to original source... Go to PubMed...
    29. Neskovic AN, Edvardsen T, Galderisi M, et al. Focus cardiac ultrasound: the European Association of Cardiovascular Imaging viewpoint. Eur Heart J Cardiovasc Imaging. 2014;15(9):956-60. Go to original source... Go to PubMed...
    30. Neskovic AN, Skinner H, Price S, et al. Focus cardiac ultrasound core curriculum and core syllabus of the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2018;19(5):475-81. Go to original source... Go to PubMed...
    31. Wharton G, Steeds R, Allen J, et al. A minimum dataset for a standard adult transthoracic echocardiogram: a guideline protocol from the British Society of Echocardiography. Echo Res Pract. 2015;2(1):G9-G24. Go to original source... Go to PubMed...
    32. Zengin S, Al B, Genc S, et al. Role of inferior vena cava and right ventricular diameter in assessment of volume status: a comparative study: ultrasound and hypovolemia. Am J Emerg Med. 2013;31(5):763-7. Go to original source... Go to PubMed...
    33. Laursen CB, Sloth E, Lassen AT, et al. Point-of-care ultrasonography in patients admitted with respiratory symptoms: a single-blind, randomised controlled trial. Lancet Respir Med. 2014;2(8):638-46. Go to original source... Go to PubMed...
    34. Jensen MB, Sloth E, Larsen KM, et al. Transthoracic echocardiography for cardiopulmonary monitoring in intensive care. Eur J Anaesthesiol. 2004;21(9):700-7. Go to original source...
    35. Kimura BJ. Point-of-care cardiac ultrasound techniques in the physical examination: better at the bedside. Heart. 2017;103(13):987-94. Go to original source... Go to PubMed...

    Return to the content