急诊科先进的心脏聚焦测量的可行性研究。

IF 3.6 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Critical Ultrasound Journal Pub Date : 2018-05-25 DOI:10.1186/s13089-018-0093-4
Joe Betcher, Al Majkrzak, Jim Cranford, Ross Kessler, Nik Theyyunni, Rob Huang
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引用次数: 15

摘要

背景:本研究旨在比较急诊科进行高级重点心脏测量所需的增加时间,包括通过E/E'进行舒张性心力衰竭评估和使用LVOT/VTI进行心输出量。在急诊科有相关心肺症状的患者由急诊科超声小组进行集中心脏超声检查。记录获得基本心脏窗口、评估积液、收缩期射血分数和右侧心脏压力的能力。记录高级测量,以及获取所有图像的时间和提供者的培训水平。结果:53例患者入组。80%的患者能够获得基本聚焦的心脏窗口。4窗口聚焦心脏超声平均耗时4分钟49秒。51%的患者能够获得舒张测量,平均时间为3分钟17秒。53%的患者能够获得心输出量测量,平均时间为3分钟8秒。结论:随着训练水平的提高,获得这些图像的能力有所提高。同时进行心输出量和舒张量测量使床边超声时间增加了6分钟和25秒,并且能够在略超过一半的ED患者中获得。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Feasibility study of advanced focused cardiac measurements within the emergency department.

Background: This study aims to compare the increased time needed to perform advanced focused cardiac measurements in the emergency department, including diastolic heart failure evaluation via E/E', and cardiac output with LVOT/VTI. Patients with pertinent cardiopulmonary symptoms in the emergency department had a focused cardiac ultrasound performed by the emergency department ultrasound team. The ability to obtain basic cardiac windows, evaluate for effusion, systolic ejection fraction, and right-sided heart pressures were recorded. Advanced measurements, along with time to obtain all images and the training level of the provider, were recorded.

Results: Fifty-three patients were enrolled. Basic focused cardiac windows were able to be obtained in 80% of patients. The average 4-window focused cardiac ultrasound took 4 min and 49 s to perform. Diastolic measurements were able to be obtained in 51% of patients, taking an average of 3 min and 17 s. Cardiac output measurements were able to be obtained in 53% of patients, taking an average of 3 min and 8 s.

Conclusion: The ability to obtain these images improved with increasing level of training. Performing both cardiac output and diastolic measurements increased the time with bedside ultrasound by 6 min and 25 s, and were able to be obtained in slightly over half of all ED patients.

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来源期刊
Critical Ultrasound Journal
Critical Ultrasound Journal RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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审稿时长
13 weeks
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