Pocket-size point-of-care ultrasound in rural Uganda — A unique opportunity “to see” where no imaging facilities are available

Travel Medicine and Infectious Disease

Volumn 23, Issue , 2018, Pages 87-93

  Epstein, Danny ^a   Petersiel, Neta ^a   Klein, Erez ^b   Marcusohn, Erez ^a   Aviran, Eyal ^c   Harel, Reut ^d   Azzam, Zaher S ^a,e   Neuberger, Ami ^a,b,e   Fuchs, Lior ^f,g  

^a Rambam Health Care Campus ^*  (Israel)

^b Rambam Health Care Center   (Israel)

^c HADASSAH HEBREW UNIVERSITY MEDICAL CENTER   (Israel)

^d HAEMEK MEDICAL CENTER   (Israel)

^e TECHNION ISRAEL INSTITUTE OF TECHNOLOGY   (Israel)

^f BEN GURION UNIVERSITY OF THE NEGEV   (Israel)

^g BEN GURION UNIVERSITY OF THE NEGEV   (Israel)

Author keywords

Point of care ultrasonography (POCUS); Resource limited; Sub Saharan Africa; Telemedicine

Indexed keywords

AFRICA SOUTH OF THE SAHARA; ARTICLE; CARDIOLOGIST; ECHOGRAPHY; HEALTH CARE FACILITY; HEART DISEASE; HOSPITAL; HUMAN; INJURY; INVASIVE PROCEDURE; LUNG DISEASE; MEDICAL EDUCATION; PHYSICAL EXAMINATION; POINT OF CARE TESTING; PRIORITY JOURNAL; RADIOLOGIST; RURAL AREA; SHOCK; TELEMEDICINE; UGANDA; DEVICES; DIAGNOSTIC IMAGING; POINT OF CARE SYSTEM; RURAL POPULATION;

HEART DISEASES; HUMANS; LUNG DISEASES; PHYSICAL EXAMINATION; POINT-OF-CARE SYSTEMS; RURAL POPULATION; SHOCK; UGANDA; ULTRASONOGRAPHY; WOUNDS AND INJURIES;

EID: 85040106619     PISSN: 14778939     EISSN: 18730442     Source Type: Journal    
DOI: 10.1016/j.tmaid.2018.01.001     Document Type: Article

References (31)

1. WHO | World Health Statistics, Monitoring health for the SDGs. WHO 2017, 2017.
2. World Poverty Statistics – Statistic Brain n.d. http://www.statisticbrain.com/world-poverty-statistics/. [Accessed 8 July 2017].
3. Andronikou, S., McHugh, K., Abdurahman, N., Khoury, B., Mngomezulu, V., Brant, W.E., et al. Paediatric radiology seen from Africa. Part I: providing diagnostic imaging to a young population. Pediatr Radiol 41 (2011), 811–825, 10.1007/s00247-011-2081-8.
4. Rehani, B., Brown, I., Dandekar, S., Sarkodie, B., Mwango, G., Rehani, M.M., et al. Radiology education in Africa: analysis of results from 13 African countries. J Am Coll Radiol 0 (2016), 437–444, 10.1016/j.jacr.2016.08.012.
5. Moore, C.L., Copel, J.A., Point-of-Care ultrasonography. N Engl J Med 364 (2011), 749–757, 10.1056/NEJMra0909487.
6. Pavithra Rao, Dona Joseph. Africa Wired: Portable ultrasound device to tackle child mortality | Africa Renewal Online n.d. http://www.un.org/africarenewal/magazine/december-2016-march-2017/africa-wired-portable-ultrasound-device-tackle-child-mortality. [Accessed 22 December 2017].
7. Becker, D.M., Tafoya, C.A., Becker, S.L., Kruger, G.H., Tafoya, M.J., Becker, T.K., The use of portable ultrasound devices in low- and middle-income countries: a systematic review of the literature. Trop Med Int Health 21 (2016), 294–311, 10.1111/tmi.12657.
8. Flick, D., Bedside ultrasound education in primary care. J Ultrasound Med 35 (2016), 1369–1371, 10.7863/ultra.15.08073.
9. Robertson, T.E., Levine, A.R., Verceles, A.C., Buchner, J.A., Lantry, J.H., Papali, A., et al. Remote tele-mentored ultrasound for non-physician learners using FaceTime : a feasibility study in a low-income country. J Crit Care, 2017, 10.1016/j.jcrc.2017.03.028.
10. Future use of new imaging technologies in developing countries. Report of a WHO Scientific Group. World Health Organ Tech Rep Ser 1985;723:1–67.
11. Kobal, S.L., Lee, S.S., Willner, R., Aguilar Vargas, F.E., Luo, H., Watanabe, C., et al. Hand-carried cardiac ultrasound enhances healthcare delivery in developing countries. Am J Cardiol 94 (2004), 539–541, 10.1016/j.amjcard.2004.04.077.
12. Sethi, A., Nimbalkar, A., Patel, D., Kungwani, A., Nimbalkar, S., Point of care ultrasonography for position of tip of endotracheal tube in neonates. Indian Pediatr 51 (2014), 119–121.
13. Sutherasan, Y., Theerawit, P., Hongphanut, T., Kiatboonsri, C., Kiatboonsri, S., Predicting laryngeal edema in intubated patients by portable intensive care unit ultrasound. J Crit Care 28 (2013), 675–680, 10.1016/j.jcrc.2013.05.011.
14. Shorter, M., Macias, D.J., Portable handheld ultrasound in austere environments: use in the Haiti disaster. Prehospital Disaster Med 27 (2012), 172–177, 10.1017/S1049023X12000611.
15. ICMJE | Recommendations | Protection of Research Participants n.d. http://www.icmje.org/recommendations/browse/roles-and-responsibilities/protection-of-research-participants.html. [Accessed 21 September 2017].
16. Balsam, J., Ossandon, M., Bruck, H.A., Lubensky, I., Rasooly, A., Low-cost technologies for medical diagnostics in low-resource settings. Expert Opin Med Diagn 7 (2013), 243–255, 10.1517/17530059.2013.767796.
17. Kolbe, N., Killu, K., Coba, V., Neri, L., Garcia, K.M., McCulloch, M., et al. Point of care ultrasound (POCUS) telemedicine project in rural Nicaragua and its impact on patient management. J Ultrasound 18 (2015), 179–185, 10.1007/s40477-014-0126-1.
18. Levine, A.R., McCurdy, M.T., Zubrow, M.T., Papali, A., Mallemat, H.A., Verceles, A.C., Tele-intensivists can instruct non-physicians to acquire high-quality ultrasound images. J Crit Care 30 (2015), 871–875, 10.1016/j.jcrc.2015.05.030.
19. Levine, A.R., Buchner, J.A., Verceles, A.C., Zubrow, M.T., Mallemat, H.A., Papali, A., et al. Ultrasound images transmitted via FaceTime are non-inferior to images on the ultrasound machine. J Crit Care 33 (2016), 51–55, 10.1016/j.jcrc.2016.02.019.
20. Ntusi, N.B., Mayosi, B.M., Epidemiology of heart failure in sub-Saharan Africa. Expert Rev Cardiovasc Ther 7 (2009), 169–180, 10.1586/14779072.7.2.169.
21. Commerford, P., Mayosi, B., An appropriate research agenda for heart disease in Africa. Lancet 367 (2006), 1884–1886, 10.1016/S0140-6736(06)68822-3.
22. Shmueli, H., Burstein, Y., Sagy, I., Perry, Z.H., Ilia, R., Henkin, Y., et al. Briefly trained medical students can effectively identify rheumatic mitral valve injury using a hand-carried ultrasound. Echocardiography 30 (2013), 621–626, 10.1111/echo.12122.
23. Kobal, S.L., Trento, L., Baharami, S., Tolstrup, K., Naqvi, T.Z., Cercek, B., et al. Comparison of effectiveness of hand-carried ultrasound to bedside cardiovascular physical examination. Am J Cardiol 96 (2005), 1002–1006, 10.1016/j.amjcard.2005.05.060.
24. Evangelista, A., Galuppo, V., Méndez, J., Evangelista, L., Arpal, L., Rubio, C., et al. Hand-held cardiac ultrasound screening performed by family doctors with remote expert support interpretation. Heart 102 (2016), 376–382, 10.1136/heartjnl-2015-308421.
25. “Pneumonia is still the biggest killer in Africa” - news - Maastricht University n.d. https://www.maastrichtuniversity.nl/news/“pneumonia-still-biggest-killer-africa”. [Accessed 10 J uly 2017].
26. Kallander, K., Burgess, D.H., Qazi, S.A., Early identification and treatment of pneumonia: a call to action. Lancet Glob Heal 4 (2016), e12–e13, 10.1016/S2214-109X(15)00272-7.
27. Zampoli, M., Zar, H., Empyema and parapneumonic effusions in children: an update. South Afr J Child Health, 1, 2007, 116, 10.7196/sajch.35.
28. Piette, E., Daoust, R., Denault, A., Basic concepts in the use of thoracic and lung ultrasound. Curr Opin Anaesthesiol, 26, 2012, 1, 10.1097/ACO.0b013e32835afd40.
29. Towey, R.M., Ojara, S., Practice of intensive care in rural Africa: an assessment of data from Northern Uganda. Afr Health Sci 8 (2008), 61–64.
30. Atkinson, P.R.T., McAuley, D.J., Kendall, R.J., Abeyakoon, O., Reid, C.G., Connolly, J., et al. Abdominal and Cardiac Evaluation with Sonography in Shock (ACES): an approach by emergency physicians for the use of ultrasound in patients with undifferentiated hypotension. Emerg Med J 26 (2009), 87–91, 10.1136/emj.2007.056242.
31. Maitland, K., Kiguli, S., Opoka, R.O., Engoru, C., Olupot-Olupot, P., Akech, S.O., et al. Mortality after fluid bolus in African children with severe infection. N Engl J Med 364 (2011), 2483–2495, 10.1056/NEJMoa1101549.