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. 2020 Dec 2;56(12):668.
doi: 10.3390/medicina56120668.

Real-Time Remote Tele-Mentored Echocardiography: A Systematic Review

Alexis Salerno  1 , Diane Kuhn  1 , Rayan El Sibai  1 , Andrea R Levine  2 , Michael T McCurdy  1   2
Affiliations

Real-Time Remote Tele-Mentored Echocardiography: A Systematic Review

Alexis Salerno et al. Medicina (Kaunas). .

Abstract

Background and Objectives: Real-time remote tele-mentored echocardiography (RTMUS echo) involves the transmission of clinical ultrasound (CU) cardiac images with direct feedback from a CU expert at a different location. In this review, we summarize the current uses of RTMUS to diagnose and manage cardiovascular dysfunction and discuss expanded and future uses. Materials and Methods: We performed a literature search (PubMed and EMBase) to access articles related to RTMUS echo. We reviewed articles for selection using Covidence, a web-based tool for managing systematic reviews and data were extracted using a separate standardized collection form. Results: Our search yielded 15 articles. Twelve of these articles demonstrated the feasibility of having a novice sonographer mentored by a tele-expert in obtaining a variety of cardiac ultrasound views. The articles discussed different technological specifications for the RTMUS system, but all showed that adequate images were able to be obtained. Overall, RTMUS echo was found to be a positive intervention that contributed to patient care. Conclusion: RTMUS echo allows for rapid access to diagnostic imaging in various clinical settings. RTMUS echo can help in assessing patients that may require a higher level of isolation precautions or in other resource-constrained environments. In the future, identifying the least expensive way to utilize RTMUS echo will be important.

Keywords: SARS-CoV-2; clinical ultrasound; critical care; echocardiography; teleultrasound.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

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Figure 1
Prisma Flowsheet for Study Selection [7].
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References

    1. Cecconi M., De Backer D. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Med. 2014;40:1795–1815. doi: 10.1007/s00134-014-3525-z. - DOI - PMC - PubMed
    1. Labovitz A.J., Noble V.E. Focused Cardiac Ultrasound in the Emergent Setting: A Consensus Statement of the American Society of Echocardiography and American College of Emergency Physicians. J. Am. Soc. Echocardiogr. 2010;23:1225–1230. doi: 10.1016/j.echo.2010.10.005. - DOI - PubMed
    1. Patel A.R., Patel A.R. Cardiac Ultrasound in the Intensive Care Unit: A Review. Cureus. 2019;11:e4612. doi: 10.7759/cureus.4612. - DOI - PMC - PubMed
    1. Britton N., Miller M.A. Tele-Ultrasound in Resource-Limited Settings: A Systematic Review. Front. Public Health. 2019;7:244. doi: 10.3389/fpubh.2019.00244. - DOI - PMC - PubMed
    1. Ferioli M., Cisternino C. Protecting healthcare workers from SARS-CoV-2 infection: Practical indications. Eur. Respir. Rev. 2020;29:155. doi: 10.1183/16000617.0068-2020. - DOI - PMC - PubMed

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