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Journal ArticleDOI

Evaluation of a new pocket echoscopic device for focused cardiac ultrasonography in an emergency setting.

14 May 2012-Critical Care (BioMed Central)-Vol. 16, Iss: 3, pp 1-7
TL;DR: In an emergency setting, this new ultraportable echoscope (PUD) was reliable for the real-time detection of focused cardiac abnormalities.
Abstract: Introduction In the emergency setting, focused cardiac ultrasound has become a fundamental tool for diagnostic, initial emergency treatment and triage decisions. A new ultra-miniaturized pocket ultrasound device (PUD) may be suited to this specific setting. Therefore, we aimed to compare the diagnostic ability of an ultra-miniaturized ultrasound device (Vscan™, GE Healthcare, Wauwatosa, WI) and of a conventional high-quality echocardiography system (Vivid S5™, GE Healthcare) for a cardiac focused ultrasonography in patients admitted to the emergency department.

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Citations
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TL;DR: In this article, the authors propose a method to solve the problem of "crowdsourcing" in the context of artificial intelligence. p. e310, p. E310
Abstract: *See also p. e310.

3 citations


Cites background from "Evaluation of a new pocket echoscop..."

  • ...In addition, clinicians increasingly use miniaturized 2D echo systems which, most of the time, do not have the Doppler capabilities required to assess ΔpulmVTI (7)....

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Journal ArticleDOI
TL;DR: The diagnostic sensitivity of palm-held scanner in detecting CHD was very good and standard echocardiography had better quality except for detecting muscular ventricular septal defect and pulmonary regurgitation.

2 citations

Journal ArticleDOI
TL;DR: A comparison of standard, “MAST”augmented, and open-chest CPR in dogs and CPR techniques that combine chest and abdominal compression and decompression: hemodynamic insights from a spreadsheet model.

2 citations


Cites background or result from "Evaluation of a new pocket echoscop..."

  • ...Comparison between standard transthoracic echocardiography and PUD for focused cardiac ultrasound from this cohort has already been published [6]....

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  • ...To our knowledge, this is the first clinical study evaluating the diagnostic ability of a new PUD for the rapid detection of pleural or peritoneal effusion in blunt trauma patients, complementing previously published studies in different clinical situations [5-8,10]....

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  • ...Until now, it has been mainly evaluated for the real-time qualitative assessment of focused cardiac abnormalities with a good-to-excellent agreement compared with a full-feature echocardiographic device and significant time saving [5-8]....

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Journal ArticleDOI
TL;DR: In this article, a new Ultraschallkopfe with hoherer Ortsauflosung (Hochfrequenzsonographie) and v.v.
Abstract: Richtig eingesetzt, hilft die moderne Ultraschalldiagnostik dem Nephrologen gerade in Notfallsituationen auf der Station, in der Dialyse und in der Notaufnahme dabei, rasch die richtige Diagnose zu stellen bzw. als diagnostischer Weichensteller zeitsparend die korrekten nachsten diagnostischen und therapeutischen Schritte einzuleiten. Neben der konventionellen B‑Bild‑/Grauwertsonographie und der Dopplersonographie haben neue Ultraschallkopfe mit hoherer Ortsauflosung (Hochfrequenzsonographie) und v. a. die Kontrastmittelsonographie die technischen Moglichkeiten deutlich erweitert und helfen Nephrologen und Internisten, insbesondere an den Nieren diagnostisch-klinische Fragestellungen zu beantworten, die bislang nur mittels kontrastverstarkter Computertomographie oder Magnetresonanztomographie geklart werden konnten. Dies erlaubt dem Nierenarzt im Jahr 2021, die Klinik, die Bildgebung und sein pathophysiologisches Wissen in idealer Weise zeitsparend zum Nutzen des Patienten zusammenfuhren zu konnen.

1 citations

References
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Journal ArticleDOI
TL;DR: A general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies is presented and tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interob server agreement are developed as generalized kappa-type statistics.
Abstract: This paper presents a general statistical methodology for the analysis of multivariate categorical data arising from observer reliability studies. The procedure essentially involves the construction of functions of the observed proportions which are directed at the extent to which the observers agree among themselves and the construction of test statistics for hypotheses involving these functions. Tests for interobserver bias are presented in terms of first-order marginal homogeneity and measures of interobserver agreement are developed as generalized kappa-type statistics. These procedures are illustrated with a clinical diagnosis example from the epidemiological literature.

64,109 citations

Journal ArticleDOI
TL;DR: An alternative approach, based on graphical techniques and simple calculations, is described, together with the relation between this analysis and the assessment of repeatability.

43,884 citations


"Evaluation of a new pocket echoscop..." refers methods in this paper

  • ...LVEFs obtained with the two devices were compared by using linear correlation and Bland and Altman analysis [25]....

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Journal ArticleDOI
Jacob Cohen1
TL;DR: In this article, the authors present a procedure for having two or more judges independently categorize a sample of units and determine the degree, significance, and significance of the units. But they do not discuss the extent to which these judgments are reproducible, i.e., reliable.
Abstract: CONSIDER Table 1. It represents in its formal characteristics a situation which arises in the clinical-social-personality areas of psychology, where it frequently occurs that the only useful level of measurement obtainable is nominal scaling (Stevens, 1951, pp. 2526), i.e. placement in a set of k unordered categories. Because the categorizing of the units is a consequence of some complex judgment process performed by a &dquo;two-legged meter&dquo; (Stevens, 1958), it becomes important to determine the extent to which these judgments are reproducible, i.e., reliable. The procedure which suggests itself is that of having two (or more) judges independently categorize a sample of units and determine the degree, significance, and

34,965 citations


"Evaluation of a new pocket echoscop..." refers methods in this paper

  • ...The ability of the PUD to discriminate the severity of the global LV systolic dysfunction (normal was greater than 50%, moderately depressed was 30% to 50%, and severely depressed was less than 30%) was tested by using Cohen’s coefficient, and 95% confidence intervals (CIs) were calculated [26]....

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  • ...The agreement between the clinical responses provided by the two devices was assessed by using Cohen’s coefficient, and 95% CIs were calculated [26]....

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Journal ArticleDOI
TL;DR: This document reviews the technical aspects on how to perform quantitative chamber measurements of morphology and function, which is a component of every complete echocardiographic examination.
Abstract: Quantification of cardiac chamber size, ventricular mass and function ranks among the most clinically important and most frequently requested tasks of echocardiography. Over the last decades, echocardiographic methods and techniques have improved and expanded dramatically, due to the introduction of higher frequency transducers, harmonic imaging, fully digital machines, left-sided contrast agents, and other technological advancements. Furthermore, echocardiography due to its portability and versatility is now used in emergency rooms, operating rooms, and intensive care units. Standardization of measurements in echocardiography has been inconsistent and less successful, compared to other imaging techniques and consequently, echocardiographic measurements are sometimes perceived as less reliable. Therefore, the American Society of Echocardiography, working together with the European Association of Echocardiography, a branch of the European Society of Cardiology, has critically reviewed the literature and updated the recommendations for quantifying cardiac chambers using echocardiography. This document reviews the technical aspects on how to perform quantitative chamber measurements of morphology and function, which is a component of every complete echocardiographic examination.

4,014 citations


"Evaluation of a new pocket echoscop..." refers methods in this paper

  • ...For the purpose of this study, the systematic examination using conventional TTE was considered the reference diagnostic method to measure each variable, as recommended by the European Association of Echocardiography [21]....

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  • ...Echocardiography 2003, 20:455-461....

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  • ...Labovitz AJ, Noble VE, Bierig M, Goldstein SA, Jones R, Kort S, Porter TR, Spencer KT, Tayal VS, Wei K: Focused cardiac ultrasound in the emergent setting: a consensus statement of the American Society of Echocardiography and American College of Emergency Physicians....

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  • ...Recently, a consensus statement by the American Society of Echocardiography/American College of Emergency Physicians emphasized the complementary role of focused cardiac US to that of a more comprehensive echocardiography [9]....

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  • ...A report from the Echocardiography Task Force on New Technology of the Nomenclature and Standards Committee of the American Society of Echocardiography....

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Journal ArticleDOI
TL;DR: This review includes videos demonstrating the use of ultrasonography to guide central venous access, detect pneumothorax, detect evidence of hemorrhage after trauma, and screen for abdominal aortic aneurysm.
Abstract: Compact ultrasound technology has facilitated growth in point-of-care uses in many specialties. This review includes videos demonstrating the use of ultrasonography to guide central venous access, detect pneumothorax, detect evidence of hemorrhage after trauma, and screen for abdominal aortic aneurysm.

1,267 citations


"Evaluation of a new pocket echoscop..." refers background in this paper

  • ...Because standard echocardiographic equipment may be heavy and difficult to handle, hand-carried ultrasound (US) devices have been developed for bedside use, facilitating the growth of point-of-care ultrasonography [5]....

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