Journal of Echocardiography, volume 22, issue 3, pages 113-151

Guidance for performance, utilization, and education of cardiac and lung point-of-care ultrasonography from the Japanese Society of Echocardiography

Hirotsugu Yamada 1
Takahiro Ohara 2
Yukio Abe 3
Hiroyuki Iwano 4
Tetsuari Onishi 5
Kenichi Katabami 6
Kiyohiro Takigiku 7
Akira Tada 8
Hayato Tanigushi 9
Hirotsugu Mihara 10
Takeshi Yamamoto 11
Ken Maeda 12
Yasuaki Wada 13
Show full list: 13 authors
4
 
Division of Cardiology, Teine Keijinkai Hospital, Sapporo, Japan
5
 
Cardiovascular Medicine, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan
7
 
Pediatric Cardiology, Nagano Children’s Hospital, Azumino, Japan
8
 
Department of Internal Medicine, National Health Insurance Kuniyoshi/Hasekebara Clinic, Nara, Japan
10
 
Yokkaichi Heart Clinic, Izumi, Japan
12
 
Department of Nursing, The Sakakibara Heart Institute of Okayama, Okayama, Japan
Publication typeJournal Article
Publication date2024-05-09
scimago Q3
wos Q3
SJR0.432
CiteScore3.0
Impact factor1.4
ISSN13490222, 1880344X
Abstract
In recent years, bedside ultrasound examinations have been used in many clinical departments and are called point-of-care ultrasound (POCUS). Regarding POCUS in the cardiac field, a protocol called focus (focused) cardiac ultrasound (FoCUS) has been developed in Europe and the United States, is being used clinically, and an educational syllabus has been created. According to them, FoCUS is defined as a point-of-care cardiac ultrasound examination using standardized limited sections and protocols. FoCUS is primarily intended to be performed by non-cardiologists, and in order to avoid making mistakes in judgment, it is important to be familiar with its limitations and it is necessary to understand pathological conditions that can only be diagnosed using conventional comprehensive echocardiography. The Japanese Society of Echocardiography has edited this clinical guideline because we believe that FoCUS should be used effectively and appropriately in Japan, and that appropriate education is essential to popularize FoCUS in Japan. Furthermore, lung POCUS has recently come into clinical use. Lung POCUS is useful for the diagnosis and follow-up of heart failure when used in conjunction with FoCUS, and is especially useful in primary care where chest X-rays are not available. The working group that created this manual agreed that it is desirable to educate patients about lung POCUS in conjunction with FoCUS, so we decided to include the basic techniques of lung POCUS and how to use them in this manuscript.

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