Evaluation of a novel handheld point-of-care ultrasound device in an African emergency department.

Autor: Burleson SL; Department of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA. slburleson@uabmc.edu., Swanson JF; Department of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA., Shufflebarger EF; Department of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA., Wallace DW; Department of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA., Heimann MA; Department of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA., Crosby JC; Department of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA., Pigott DC; Department of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA., Gullett JP; Department of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA., Thompson MA; Department of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA., Greene CJ; Department of Emergency Medicine, University of Alabama at Birmingham, Old Hillman Building Suite 251, 619 19th St S, Birmingham, AL, 35249, USA.
Jazyk: angličtina
Zdroj: The ultrasound journal [Ultrasound J] 2020 Dec 07; Vol. 12 (1), pp. 53. Date of Electronic Publication: 2020 Dec 07.
DOI: 10.1186/s13089-020-00200-8
Abstrakt: Background: Many point-of-care ultrasound devices are now "pocket-sized" or handheld, allowing easy transport during travel and facilitating use in crowded spaces or in austere low-resource settings. Concerns remain about their durability, image quality, and clinical utility in those environments.
Method: Five emergency physicians with training in point-of-care ultrasound employed the Butterfly iQ, a novel handheld ultrasound device, in routine clinical care in a busy, high-acuity African emergency department over a period of 10 weeks. We retrospectively evaluated the performance of the Butterfly iQ from the perspectives of both the clinicians using the device and expert ultrasound faculty reviewing the images.
Results: We found advantages of the Butterfly iQ in a high-acuity African emergency department include its use of a single probe for multiple functions, small size, ease of transport, relatively low cost, and good image quality in most functions. Disadvantages include large probe footprint, lower, though still adequate, cardiac imaging quality, frequent overheating, and reliance on internet-based cloud storage, but these were surmountable. We also report a wide variety of patient presentations, pathology, and procedures to which the device was used.
Conclusion: We conclude the Butterfly iQ is an effective, though imperfect, point-of-care ultrasound device in a low-resource emergency setting. We will continue to employ the device in clinical emergency care and teaching in this setting.
Databáze: MEDLINE
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