The American Journal of Medicine
Volume 122, Issue 1 , Pages 1-3 , January 2009

Should a Hand-carried Ultrasound Machine Become Standard Equipment for Every Internist?

  • Joseph S. Alpert, MD (Editor-in-Chief, The American Journal of Medicine)

      Affiliations

    • Professor of Medicine, University of Arizona College of Medicine, Tucson
    • ,
  • Jeanette Mladenovic, MD, MBA

      Affiliations

    • University of Miami Leonard M. Miller School of Medicine, Miami and Florida Atlantic Universities, Miami, Fla
    • ,
  • David B. Hellmann, MD

      Affiliations

    • Johns Hopkins Bayview Medical Center, Johns Hopkins University School of Medicine, Baltimore, Md

References 

  1. Vukanovic-Criley J, Criley S, Warde CM, et al. Competency in cardiac examination skills in medical students, trainees, physicians, and faculty. Arch Intern Med. 2006;166:610–616
  2. Fitzgerald FT. Physical diagnosis versus modern technology (A review). West J Med. 1990;152:377–382
  3. Kimura B, Fowler S, Nguyen D, et al. Detection of early carotid arterial atherosclerosis by briefly trained physicians using a hand-held ultrasound device. Am J Cardiol. 2003;92:239–240
  4. Kimura B, Shaw D, Agan D, et al. Value of a cardiovascular limited ultrasound examination using a hand-carried ultrasound device on clinical management in an outpatient clinic. Am J Cardiol. 2007;100:321–325
  5. Kobal S, Trento I, Baharami S, et al. Comparison of effectiveness of hand-carried ultrasound to bedside cardiovascular physical examination. Am J Cardiol. 2005;96:1002–1006
  6. Kobal S, Atar S, Siegel R. Hand-carried ultrasound improves the bedside cardiovascular examination. Chest. 2004;126:693–701
  7. Piccoli M, Trambaiolo P, Salustri A, et al. Bedside diagnosis and follow-up of patients with pleural effusion by a hand-carried ultrasound device early after cardiac surgery. Chest. 2005;128:3413–3420
  8. Abboud PC, Kendall J. Ultrasound guidance for vascular access. Emerg Med Clin N Am. 2004;22:749–773
  9. Brennan JM, Ronan A, Goonewardena S, et al. Hand-carried ultrasound measurement of the inferior vena cava for assessment of intravascular volume status in the outpatient hemodialysis clinic. Clin J Am Soc Nephrol. 2006;1:749–753
  10. Galasko G, Lahiri R, Senior R. Portable echocardiography: an innovative tool for community based heart failure screening programmes. Circulation. 2001;104:334–335
  11. Brennan JM, Ronan A, Goonewardena S, et al. A comparison by medicine residents of physical examination versus hand-carried ultrasound for estimation of right atrial pressure. Am J Cardiol. 2007;99:1614–1616
  12. Fedson S, Neithardt G, Thomas P, et al. Unsuspected clinically important findings detected with a small portable ultrasound device in patients admitted to a general medicine service. J Am Soc Echocardigr. 2003;16:901–905
  13. Hellman DB, Whiting-O'Keefe Q, Shapiro EP, et al. The rate at which residents learn to use hand-held echocardiography at the bedside. Am J Med. 2005;118:1010–1018
  14. Martin LD, Howell EE, Ziegelstein RC, et al. Hospitalist performance of hand-carried ultrasound after focused training. Am J Med. 2007;120:1000–1004

PII: S0002-9343(08)00497-X

doi: 10.1016/j.amjmed.2008.05.013

The American Journal of Medicine
Volume 122, Issue 1 , Pages 1-3 , January 2009

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