New heights in ultrasound: first report of spinal ultrasound from the international space station.

Autor: Marshburn TH; National Aeronautics and Space Administration, Johnson Space Center, Houston, Texas., Hadfield CA; Canadian Space Agency, John H. Chapman Space Centre, Saint Hubert, Quebec, Canada., Sargsyan AE; Wyle Science, Technology & Engineering Group, Houston, Texas., Garcia K; Wyle Science, Technology & Engineering Group, Houston, Texas., Ebert D; Wyle Science, Technology & Engineering Group, Houston, Texas., Dulchavsky SA; Department of Surgery, Henry Ford Hospital, Detroit, Michigan.
Jazyk: angličtina
Zdroj: The Journal of emergency medicine [J Emerg Med] 2014 Jan; Vol. 46 (1), pp. 61-70. Date of Electronic Publication: 2013 Oct 15.
DOI: 10.1016/j.jemermed.2013.08.001
Abstrakt: Background: Changes in the lumbar and sacral spine occur with exposure to microgravity in astronauts; monitoring these alterations without radiographic capabilities on the International Space Station (ISS) requires novel diagnostic solutions to be developed.
Study Objectives: We evaluated the ability of point-of-care ultrasound, performed by nonexpert-operator astronauts, to provide accurate anatomic information about the spine in long-duration crewmembers in space.
Methods: Astronauts received brief ultrasound instruction on the ground and performed in-flight cervical and lumbosacral ultrasound examinations using just-in-time training and remote expert tele-ultrasound guidance. Ultrasound examinations on the ISS used a portable ultrasound device with real-time communication/guidance with ground experts in Mission Control.
Results: The crewmembers were able to obtain diagnostic-quality examinations of the cervical and lumbar spine that would provide essential information about acute or chronic changes to the spine.
Conclusions: Spinal ultrasound provides essential anatomic information in the cervical and lumbosacral spine; this technique may be extensible to point-of-care situations in emergency departments or resource-challenged areas without direct access to additional radiologic capabilities.
(Copyright © 2014 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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