Key Words: ultrasonography, critical care, point-of-care, inservice training, developing countries
Abstract
In recent years, point-of-care ultrasound has revolutionized the care of critically ill patients, and currently, it is considered an essential work tool for practitioners. Although its use is growing in developing countries of Latin America, for many reasons it is still underutilized. In this article, we describe the current status of point-of-care ultrasound in critical care in several developing countries of Latin America and address the problems and barriers that prevent its implementation. Finally, we propose strategies that would help to expand the adoption of this tool.
Only Spanish version is available.
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En los últimos años, la ecografía clínica ha revolucionado el cuidado de los enfermos críticos y puede considerarse hoy en día una herramienta de trabajo imprescindible para los profesionales. Si bien su uso atraviesa una etapa in crescendo en los países en desarrollo de Latinoamérica, aún es infrautilizada, por diversos motivos. Describimos en este artículo el estado actual de la ecografía en el enfermo crítico en varios países en vías de desarrollo de Latinoamérica, los problemas y barreras que atentan contra su implementación, y proponemos algunas estrategias para la diseminación del método.
Authors:
Anselmo Abdo-Cuza[1], Pablo Blanco[2]
Affiliation:
[1] Servicio de Medicina Intensiva, Centro de Investigaciones Médico-Quirúrgicas, La Habana, Cuba
[2] Unidad de Cuidados Intensivos, Clínica Cruz Azul, Necochea, Argentina
E-mail: ohtusabes@gmail.com
Author address:
[1] Calle 60 N° 2651
Necochea CP 7630
Argentina
Citation: Abdo-Cuza A, Blanco P. Point-of-care ultrasound in critically ill patients in developing countries of Latin America. Medwave 2019;19(9):e7709 doi: 10.5867/medwave.2019.09.7709
Submission date: 7/7/2019
Acceptance date: 16/10/2019
Publication date: 28/10/2019
Origin: not commissioned
Type of review: reviewed by three external peer reviewers, double-blind
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- Lichtenstein D, van Hooland S, Elbers P, Malbrain ML. Ten good reasons to practice ultrasound in critical care. Anaesthesiol Intensive Ther. 2014 Nov-Dec;46(5):323-35. | CrossRef | PubMed |
- Malbrain MLNG, De Tavernier B, Haverals S, Slama M, Vieillard-Baron A, Wong A, et al. Executive summary on the use of ultrasound in the critically ill: consensus report from the 3rd Course on Acute Care Ultrasound (CACU). Anaesthesiol Intensive Ther. 2017;49(5):393-411. | CrossRef | PubMed |
- Blanco P. A Traditional Paradigm vs. an Ultrasound-Supported Paradigm in Emergency and Critical Care Medicine: A Crisis of the Mind Is Needed. J Emerg Med. 2015 Aug;49(2):e63-4. | CrossRef | PubMed |
- Saranteas T, Mavrogenis AF. Holistic ultrasound in trauma: An update. Injury. 2016 Oct;47(10):2110-2116. | CrossRef | PubMed |
- Smallwood N, Dachsel M. Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine? Clin Med (Lond). 2018 Jun;18(3):219-224. | CrossRef | PubMed |
- Blanco P. Lung ultrasound and echocardiography: A useful duet. Med Intensiva. 2017 Apr;41(3):197. | CrossRef | PubMed |
- Blanco P, Volpicelli G. Common pitfalls in point-of-care ultrasound: a practical guide for emergency and critical care physicians. Crit Ultrasound J. 2016 Dec;8(1):15. | PubMed |
- Chen Z, Hong Y, Dai J, Xing L. Incorporation of point-of-care ultrasound into morning round is associated with improvement in clinical outcomes in critically ill patients with sepsis. J Clin Anesth. 2018 Aug;48:62-66. | CrossRef | PubMed |
- Becker DM, Tafoya CA, Becker SL, Kruger GH, Tafoya MJ, Becker TK. The use of portable ultrasound devices in low- and middle-income countries: a systematic review of the literature. Trop Med Int Health. 2016 Mar;21(3):294-311. | CrossRef | PubMed |
- Pellegrini JAS, Cordioli RL, Grumann ACB, Ziegelmann PK, Taniguchi LU. Point-of-care ultrasonography in Brazilian intensive care units: a national survey. Ann Intensive Care. 2018 Apr 20;8(1):50. | CrossRef | PubMed |
- Atkinson P, Bowra J, Milne J, Lewis D, Lambert M, Jarman B, et al. International Federation for Emergency Medicine Consensus Statement: Sonography in hypotension and cardiac arrest (SHoC): An international consensus on the use of point of care ultrasound for undifferentiated hypotension and during cardiac arrest. CJEM. 2017 Nov;19(6):459-470. | CrossRef | PubMed |
- McCormick TJ, Miller EC, Chen R, Naik VN. Acquiring and maintaining point-of-care ultrasound (POCUS) competence for anesthesiologists. Can J Anaesth. 2018 Apr;65(4):427-436. | CrossRef | PubMed |
Lichtenstein D, van Hooland S, Elbers P, Malbrain ML. Ten good reasons to practice ultrasound in critical care. Anaesthesiol Intensive Ther. 2014 Nov-Dec;46(5):323-35. | CrossRef | PubMed |Malbrain MLNG, De Tavernier B, Haverals S, Slama M, Vieillard-Baron A, Wong A, et al. Executive summary on the use of ultrasound in the critically ill: consensus report from the 3rd Course on Acute Care Ultrasound (CACU). Anaesthesiol Intensive Ther. 2017;49(5):393-411. | CrossRef | PubMed |Blanco P. A Traditional Paradigm vs. an Ultrasound-Supported Paradigm in Emergency and Critical Care Medicine: A Crisis of the Mind Is Needed. J Emerg Med. 2015 Aug;49(2):e63-4. | CrossRef | PubMed |Saranteas T, Mavrogenis AF. Holistic ultrasound in trauma: An update. Injury. 2016 Oct;47(10):2110-2116. | CrossRef | PubMed |Smallwood N, Dachsel M. Point-of-care ultrasound (POCUS): unnecessary gadgetry or evidence-based medicine? Clin Med (Lond). 2018 Jun;18(3):219-224. | CrossRef | PubMed |Blanco P. Lung ultrasound and echocardiography: A useful duet. Med Intensiva. 2017 Apr;41(3):197. | CrossRef | PubMed |Blanco P, Volpicelli G. Common pitfalls in point-of-care ultrasound: a practical guide for emergency and critical care physicians. Crit Ultrasound J. 2016 Dec;8(1):15. | PubMed |Chen Z, Hong Y, Dai J, Xing L. Incorporation of point-of-care ultrasound into morning round is associated with improvement in clinical outcomes in critically ill patients with sepsis. J Clin Anesth. 2018 Aug;48:62-66. | CrossRef | PubMed |Becker DM, Tafoya CA, Becker SL, Kruger GH, Tafoya MJ, Becker TK. The use of portable ultrasound devices in low- and middle-income countries: a systematic review of the literature. Trop Med Int Health. 2016 Mar;21(3):294-311. | CrossRef | PubMed |Pellegrini JAS, Cordioli RL, Grumann ACB, Ziegelmann PK, Taniguchi LU. Point-of-care ultrasonography in Brazilian intensive care units: a national survey. Ann Intensive Care. 2018 Apr 20;8(1):50. | CrossRef | PubMed |Atkinson P, Bowra J, Milne J, Lewis D, Lambert M, Jarman B, et al. International Federation for Emergency Medicine Consensus Statement: Sonography in hypotension and cardiac arrest (SHoC): An international consensus on the use of point of care ultrasound for undifferentiated hypotension and during cardiac arrest. CJEM. 2017 Nov;19(6):459-470. | CrossRef | PubMed |
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