Clinical Investigations: Imaging and Diagnostic TestingEfficacy and time-efficiency of a “sonographer-driven” contrast echocardiography protocol in a high-volume echocardiography laboratory
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Incidence of Severe Adverse Drug Reactions to Ultrasound Enhancement Agents in a Contemporary Echocardiography Practice
2024, Journal of the American Society of EchocardiographyAdvanced Echocardiography Techniques: The Future Stethoscope of Systemic Diseases
2022, Current Problems in CardiologyIdentification of Need for Ultrasound Enhancing Agent Study (the IN-USE Study)
2020, Journal of the American Society of EchocardiographyCitation Excerpt :Current barriers to their use include insufficient awareness of the utility and benefit of UEAs, lack of training in administration of UEAs, absence of a formal training pathway for development of skills in IV placement, and mechanisms to identify a priori which patients might require IV placement for UEA administration. Reasons for low UEA use at our institution may include historical requirements for verbal approval for use from the attending TTE reader or cardiology fellow (a policy no longer in place), storing of UEAs in the echocardiography laboratory (vs sites of most common use), lack of use of UEAs for off-hours emergent studies by fellows or on weekends, and insufficient training of nurses and other health professionals for administration of UEAs.6 An additional barrier to the use of UEAs is the insufficient number of trained personnel to place IV lines.
Clinical Applications of Ultrasonic Enhancing Agents in Echocardiography: 2018 American Society of Echocardiography Guidelines Update
2018, Journal of the American Society of EchocardiographyCitation Excerpt :Although serious side effects are exceedingly rare, there should always be a physician present on site when contrast is administered. Two single-center studies in Europe and Canada have demonstrated improved efficiency with sonographer-driven contrast echocardiographic protocols through reductions in time to decision for contrast use and time to administration of contrast, resulting in potential cost savings.127,128 This also underscores that training in the recognition of need for UEA must be a standard component of sonographer education, complemented by echocardiography laboratory implementation of standing orders for UEA administration.
Clinical application and laboratory protocols for performing contrast echocardiography
2013, Indian Heart JournalFeasibility of Sonographer-Administered Echocontrast in a Large-Volume Tertiary-Care Echocardiography Laboratory
2013, Canadian Journal of CardiologyCitation Excerpt :Although our patient characteristics in both SOC and SAP groups were not significantly different, our study demonstrated that application of the CE protocol in the SAP group was more feasible than in the SOC group. The time difference was attributed to a major challenge of the SOC protocol: There is no staff dedicated to performing IV access and contrast administration in a timely fashion.3,5,11 In clinical practice, physicians and nurses are responsible for handling a variety of issues related to patient care.