کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6250572 1611483 2016 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
North Pacific Surgical AssociationRemote just-in-time telementored trauma ultrasound: a double-factorial randomized controlled trial examining fluid detection and remote knobology control through an ultrasound graphic user interface display
ترجمه فارسی عنوان
انجمن جراحی شمال اقیانوس آرام در زمان سونوگرافی تروما زدن تروما: یک کارآزمایی کنترل شده با دو فاکتوریل تصادفی در حال بررسی تشخیص مایع و کنترل قلبی بنیادی از راه دور از طریق نمایشگر تصویر اولتراسوند گرافیکی
کلمات کلیدی
احیا، سونوگرافی، تله مدیسین، آموزش از راه دور، تلسونوگرافی،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

BackgroundRemote-telementored ultrasound involves novice examiners being remotely guided by experts using informatic-technologies. However, requiring a novice to perform ultrasound is a cognitively demanding task exacerbated by unfamiliarity with ultrasound-machine controls. We incorporated a randomized evaluation of using remote control of the ultrasound functionality (knobology) within a study in which the images generated by distant naive examiners were viewed on an ultrasound graphic user interface (GUI) display viewed on laptop computers by mentors in different cities.MethodsFire-fighters in Edmonton (101) were remotely mentored from Calgary (n = 65), Nanaimo (n = 19), and Memphis (n = 17) to examine an ultrasound phantom randomized to contain free fluid or not. Remote mentors (2 surgeons, 1 internist, and 1 ED physician) were randomly assigned to use GUI knobology control during mentoring (GUIK+/GUIK−).ResultsRemote-telementored ultrasound was feasible in all cases. Overall accuracy for fluid detection was 97% (confidence interval = 91 to 99%) with 3 false negatives (FNs). Positive/negative likelihood ratios were infinity/0.0625. One FN occurred with the GUIK+ and 2 without (GUIK−). There were no statistical test performance differences in either group (GUIK+ and GUIK−).ConclusionsUltrasound-naive 1st responders can be remotely mentored with high accuracy, although providing basic remote control of the knobology did not affect outcomes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 211, Issue 5, May 2016, Pages 894-902.e1
نویسندگان
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