Evidence map›Paper›PMID 31018658›Full record

SynthesisEuropean journal of cardiovascular nursing2019

Ability of non-physicians to perform and interpret lung ultrasound: A systematic review.

Varsha Swamy, Philip Brainin, Tor Biering-Sørensen, Elke Platz

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in European journal of cardiovascular nursing, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  8. Lung ultrasound in respiratory therapy: a global reflective survey.Multidisciplinary respiratory medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Varsha Swamy1 Department of Emergency Medicine, Brigham and Women's Hospital, Boston, USA.
Philip Brainin1 Department of Emergency Medicine, Brigham and Women's Hospital, Boston, USA.
Tor Biering-Sørensen2 Department of Cardiology, Herlev and Gentofte University Hospital, Hellerup, Denmark.
Elke Platz1 Department of Emergency Medicine, Brigham and Women's Hospital, Boston, USA.
Brigham and Women's Hospital · USGentofte Hospital · DK

Funding

Utility of Lung Ultrasound in Assessing Pulmonary Congestion in Heart FailureK23HL123533 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI PLATZ, ELKE · 2015 to 2019
$881k
NHLBI NIH HHS K23 HL123533
6 · The paper itself

Abstract

backgroundLung ultrasound is a useful tool in the assessment of pulmonary congestion in heart failure that is typically performed and interpreted by physicians at the point-of-care.

aimsTo investigate the ability of nurses, students, and paramedics to accurately identify B-lines and pleural effusions for the detection of pulmonary congestion in heart failure and to examine the training necessary. METHODS AND

resultsWe conducted a systematic review and searched online databases for studies that investigated the ability of nurses, students, and paramedics to perform lung ultrasound and detect B-lines and pleural effusions. Of 979 studies identified, 14 met our inclusion criteria: five in nurses, eight in students, and one in paramedics. After 0-12 h of didactic training and 58-62 practice lung ultrasound examinations, nurses were able to identify B-lines and pleural effusions with a sensitivity of 79-98% and a specificity of 70-99%. In image adequacy studies, medical students with 2-9 h of training were able to acquire adequate images for B-lines and pleural effusions in 50-100%. Only one eligible study investigated paramedic-performed lung ultrasound which did not support the ability of paramedics to adequately acquire and interpret lung ultrasound images after 2 h of training.

conclusionsOur findings suggest that nurses and students can accurately acquire and interpret lung ultrasound images after a brief training period in a majority of cases. The examination of heart failure patients with lung ultrasound by non-clinicians appears feasible and warrants further investigation.

Indexed as

UltrasonographyAllied Health PersonnelClinical CompetenceEmergency Medical TechniciansHeart FailureHumansLung DiseasesPoint-of-Care SystemsSensitivity and SpecificityHeart failurelung ultrasoundnurseultrasound education

Identifiers

PMID31018658
PMCPMC6919316
OpenAlexW2941703129

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.