2024
Web-based objective and structured assessment of point-of-care lung ultrasound skills in resource-limited settings
Suttels V, Chichignoud I, Wachinou P, Du Toit J, Mans P, Blanco J, Agodokpessi G, Brahier T, Hartley M, Garcia E, Boillat-Blanco N. Web-based objective and structured assessment of point-of-care lung ultrasound skills in resource-limited settings. BMC Medical Education 2024, 24: 939. PMID: 39198828, PMCID: PMC11360711, DOI: 10.1186/s12909-024-05925-x.Peer-Reviewed Original ResearchConceptsPoint-of-care ultrasoundPOCUS trainingContinuing educationAssessment toolWeb-based assessment toolMiddle-income countriesLung point-of-care ultrasoundPractical skills testResource-limited settingsPOCUS skillsSuccess rateUltrasound skillsFischer's exact testStructural assessmentSkills TestLung ultrasound scoreWeb-basedLMICsEvaluate traineesExact testTrainingUltrasound scoreTraineesWeb-based toolSkillsPLUS-IS-LESS project: Procalcitonin and Lung UltraSonography-based antibiotherapy in patients with Lower rESpiratory tract infection in Swiss Emergency Departments: study protocol for a pragmatic stepped-wedge cluster-randomized trial
Bessat C, Bingisser R, Schwendinger M, Bulaty T, Fournier Y, Della Santa V, Pfeil M, Schwab D, Leuppi J, Geigy N, Steuer S, Roos F, Christ M, Sirova A, Espejo T, Riedel H, Atzl A, Napieralski F, Marti J, Cisco G, Foley R, Schindler M, Hartley M, Fayet A, Garcia E, Locatelli I, Albrich W, Hugli O, Boillat-Blanco N. PLUS-IS-LESS project: Procalcitonin and Lung UltraSonography-based antibiotherapy in patients with Lower rESpiratory tract infection in Swiss Emergency Departments: study protocol for a pragmatic stepped-wedge cluster-randomized trial. Trials 2024, 25: 86. PMID: 38273319, PMCID: PMC10809691, DOI: 10.1186/s13063-023-07795-y.Peer-Reviewed Original ResearchConceptsPrescription of antibioticsRespiratory tract infectionsLung ultrasoundSwiss emergency departmentEmergency departmentTract infectionsAntibiotic prescriptionsProportion of patients prescribed antibioticsBackgroundLower respiratory tract infectionsCluster-randomizedSide effectsAntibiotic-related side effectsLower respiratory tract infectionsLength of hospital stayPatients prescribed antibioticsClinical severity scoreClinical prediction scoreProportion of patientsReducing antibiotic prescriptionsCo-primary endpointsChest X-rayDecrease side effectsPreserving patient safetyPattern of pneumoniaProportion of antibiotics
2023
Barriers and facilitators to implementation of point-of-care lung ultrasonography in a tertiary centre in Benin: a qualitative study among general physicians and pneumologists
Suttels V, Da Costa S, Garcia E, Brahier T, Hartley M, Agodokpessi G, Wachinou P, Fasseur F, Boillat-Blanco N. Barriers and facilitators to implementation of point-of-care lung ultrasonography in a tertiary centre in Benin: a qualitative study among general physicians and pneumologists. BMJ Open 2023, 13: e070765. PMID: 37369423, PMCID: PMC10357755, DOI: 10.1136/bmjopen-2022-070765.Peer-Reviewed Original ResearchConceptsLower respiratory tract infectionsTertiary centerGeneral physiciansDiagnostic performanceProspective cohort studyRespiratory tract infectionsCare lung ultrasoundCare lung ultrasonographyProgram 6 monthsExcellent diagnostic performanceCohort studyImplementation of pointRespiratory symptomsTract infectionsMiddle-income countriesSpecialist careLung ultrasonographyLung ultrasoundPhysicians' perceptionsHospital settingPatient experienceQualitative studyDiagnostic approachClinical routineHealth equity
2022
Point-of-care ultrasound for tuberculosis management in Sub-Saharan Africa—a balanced SWOT analysis
Suttels V, Du Toit J, Fiogbé A, Wachinou A, Guendehou B, Alovokpinhou F, Toukoui P, Hada A, Sefou F, Vinasse P, Makpemikpa G, Capo-Chichi D, Garcia E, Brahier T, Keitel K, Ouattara K, Cissoko Y, Beye S, Mans P, Agodokpessi G, Boillat-Blanco N, Hartley M. Point-of-care ultrasound for tuberculosis management in Sub-Saharan Africa—a balanced SWOT analysis. International Journal Of Infectious Diseases 2022, 123: 46-51. PMID: 35811083, DOI: 10.1016/j.ijid.2022.07.009.Peer-Reviewed Original ResearchMeSH KeywordsArtificial IntelligenceChildFemaleHumansPoint-of-Care SystemsPoint-of-Care TestingPregnancyTuberculosisUltrasonographyConceptsTB managementCare ultrasoundLimitations of POCUSAdvent of ultrasoundLack of visualizationSub-Saharan AfricaTB contactTB sequelaePleural effusionLung pathologySubpleural nodulesHealthcare workersPericardial punctureTriage toolTuberculosis managementTB detectionMobile health devicesPoor specificityPOCUSUltrasoundTuberculosisObjective assessmentSmall consolidationsOperator dependencyRelevant literaturePoint-of-care lung ultrasonography for early identification of mild COVID-19: a prospective cohort of outpatients in a Swiss screening center
Schaad S, Brahier T, Hartley M, Cordonnier J, Bosso L, Espejo T, Pantet O, Hugli O, Carron P, Meuwly J, Boillat-Blanco N. Point-of-care lung ultrasonography for early identification of mild COVID-19: a prospective cohort of outpatients in a Swiss screening center. BMJ Open 2022, 12: e060181. PMID: 35750462, PMCID: PMC9234434, DOI: 10.1136/bmjopen-2021-060181.Peer-Reviewed Original ResearchMeSH KeywordsAdultCOVID-19HumansLungOutpatientsPoint-of-Care SystemsProspective StudiesSARS-CoV-2SwitzerlandUltrasonographyConceptsSARS-CoV-2 infectionLung ultrasoundClinical findingsCOVID-19Early identificationCOVID-19 positive patientsAbnormal LUS findingsBlinded independent expertsProspective observational cohortMild COVID-19Healthy healthcare workersCare lung ultrasonographyLausanne University HospitalAppropriate screening toolSARS-CoV-2COVID-19 screeningLUS featuresLUS findingsObservational cohortProspective cohortSymptom onsetAbnormal findingsClinical featuresLung ultrasonographyLung zones
2020
Lung Ultrasonography for Risk Stratification in Patients with Coronavirus Disease 2019 (COVID-19): A Prospective Observational Cohort Study
Brahier T, Meuwly J, Pantet O, Vez M, Donnet H, Hartley M, Hugli O, Boillat-Blanco N. Lung Ultrasonography for Risk Stratification in Patients with Coronavirus Disease 2019 (COVID-19): A Prospective Observational Cohort Study. Clinical Infectious Diseases 2020, 73: e4189-e4196. PMID: 32940646, PMCID: PMC7543331, DOI: 10.1093/cid/ciaa1408.Peer-Reviewed Original ResearchConceptsLung ultrasonographyCoronavirus disease 2019Emergency departmentLUS scoreRisk stratificationDisease 2019Lower respiratory tract infectionsProspective observational cohort studyPleural line irregularitiesEarly risk stratificationObservational cohort studyProspective observational studyRespiratory tract infectionsRisk stratification toolConfluent B-linesDifferent clinical outcomesLausanne University HospitalCOVID-19B-linesLUS characteristicsLUS findingsCohort studyTract infectionsClinical outcomesPatient group