Does Size Matter? A Prospective Study on the Feasibility of Using a Handheld Ultrasound Device in Place of a Cart-Based System in the Evaluation of Trauma Patients.

Autor: Acuña J; Department of Emergency Medicine, The University of Arizona, College of Medicine, Tucson, Arizona., Situ-LaCasse E; Department of Emergency Medicine, The University of Arizona, College of Medicine, Tucson, Arizona., Yarnish AA; Department of Emergency Medicine, The University of Arizona, College of Medicine, Tucson, Arizona., McNinch NL; McNinch Biostats, LLC, Kent, Ohio., Adhikari S; Department of Emergency Medicine, The University of Arizona, College of Medicine, Tucson, Arizona.
Jazyk: angličtina
Zdroj: The Journal of emergency medicine [J Emerg Med] 2024 Apr; Vol. 66 (4), pp. e483-e491. Date of Electronic Publication: 2023 Nov 24.
DOI: 10.1016/j.jemermed.2023.11.012
Abstrakt: Background: As emergency physicians are looking at handheld devices as alternatives to the traditional, cart-based systems, concerns center around whether they are forsaking image quality for a lower price point and whether the handheld can be trusted for medical decision making.
Objective: We aimed to determine the feasibility of using a handheld ultrasound device in place of a cart-based system during the evaluation of trauma patients using the Focused Assessment with Sonography for Trauma (FAST) examination.
Methods: This was a prospective study of adult trauma patients who received a FAST examination as part of their evaluation. A FAST examination was performed using a cart-based machine and a handheld device. The results of the examinations were compared with computed tomography imaging. Images obtained from both ultrasound devices were reviewed by an expert for image quality.
Results: A total of 62 patients were enrolled in the study. The mean (SD) time to perform a FAST examination using the handheld device was 307.3 (65.3) s, which was significantly less (p = 0.002) than the 336.1 (86.8) s with the cart-based machine. There was strong agreement between the examination results of the handheld and cart-based devices and between the handheld and computed tomography. Image quality scores obtained with the handheld device were lower than those from the cart-based system. Most operators and reviewers agreed that the images obtained from the handheld were adequate for medical decision making.
Conclusions: Data support that it is feasible to use the handheld ultrasound device for evaluation of the trauma patient in place of the cart-based system.
Competing Interests: Declaration of competing interest Srikar Adhikari has received grant funding and equipment support from Emergency Medicine Foundation/Sonosite and has consulting relationships with GE Ultrasound and EXO Ultrasound. The remaining authors declare no competing interest.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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