Comparison of Newer Hand-Held Ultrasound Devices for Post-Dive Venous gas Emboli Quantification to Standard Echocardiography

Decompression sickness (DCS) can result from the growth of bubbles in tissues and blood during or after a reduction in ambient pressure, for example in scuba divers, compressed air workers or astronauts. In scuba diving research, post-dive bubbles are detectable in the venous circulation using ultra...

Full description

Bibliographic Details
Main Authors: Kamellia Karimpour, Rhiannon J. Brenner, Grant Z. Dong, Jayne Cleve, Stefanie Martina, Catherine Harris, Gabriel J. Graf, Benjamin J. Kistler, Andrew H. Hoang, Olivia Jackson, Virginie Papadopoulou, Frauke Tillmans
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-06-01
Series:Frontiers in Physiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphys.2022.907651/full
_version_ 1811257008683220992
author Kamellia Karimpour
Rhiannon J. Brenner
Grant Z. Dong
Jayne Cleve
Stefanie Martina
Catherine Harris
Gabriel J. Graf
Benjamin J. Kistler
Andrew H. Hoang
Olivia Jackson
Virginie Papadopoulou
Frauke Tillmans
author_facet Kamellia Karimpour
Rhiannon J. Brenner
Grant Z. Dong
Jayne Cleve
Stefanie Martina
Catherine Harris
Gabriel J. Graf
Benjamin J. Kistler
Andrew H. Hoang
Olivia Jackson
Virginie Papadopoulou
Frauke Tillmans
author_sort Kamellia Karimpour
collection DOAJ
description Decompression sickness (DCS) can result from the growth of bubbles in tissues and blood during or after a reduction in ambient pressure, for example in scuba divers, compressed air workers or astronauts. In scuba diving research, post-dive bubbles are detectable in the venous circulation using ultrasound. These venous gas emboli (VGE) are a marker of decompression stress, and larger amounts of VGE are associated with an increased probability of DCS. VGE are often observed for hours post-dive and differences in their evolution over time have been reported between individuals, but also for the same individual, undergoing a same controlled exposure. Thus, there is a need for small, portable devices with long battery lives to obtain more ultrasonic data in the field to better assess this inter- and intra-subject variability. We compared two new handheld ultrasound devices against a standard device that is currently used to monitor post-dive VGE in the field. We conclude that neither device is currently an adequate replacement for research studies where precise VGE grading is necessary.
first_indexed 2024-04-12T17:49:48Z
format Article
id doaj.art-5263e8f9b0d74530b782e7046a4da9a5
institution Directory Open Access Journal
issn 1664-042X
language English
last_indexed 2024-04-12T17:49:48Z
publishDate 2022-06-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Physiology
spelling doaj.art-5263e8f9b0d74530b782e7046a4da9a52022-12-22T03:22:32ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-06-011310.3389/fphys.2022.907651907651Comparison of Newer Hand-Held Ultrasound Devices for Post-Dive Venous gas Emboli Quantification to Standard EchocardiographyKamellia Karimpour0Rhiannon J. Brenner1Grant Z. Dong2Jayne Cleve3Stefanie Martina4Catherine Harris5Gabriel J. Graf6Benjamin J. Kistler7Andrew H. Hoang8Olivia Jackson9Virginie Papadopoulou10Frauke Tillmans11Joint Department of Biomedical Engineering, The University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, NC, United StatesDivers Alert Network, Durham, NC, United StatesDivers Alert Network, Durham, NC, United StatesDivers Alert Network, Durham, NC, United StatesDivers Alert Network, Durham, NC, United StatesDivers Alert Network, Durham, NC, United StatesDivers Alert Network, Durham, NC, United StatesDivers Alert Network, Durham, NC, United StatesJoint Department of Biomedical Engineering, The University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, NC, United StatesDivers Alert Network, Durham, NC, United StatesJoint Department of Biomedical Engineering, The University of North Carolina at Chapel Hill and North Carolina State University, Chapel Hill, NC, United StatesDivers Alert Network, Durham, NC, United StatesDecompression sickness (DCS) can result from the growth of bubbles in tissues and blood during or after a reduction in ambient pressure, for example in scuba divers, compressed air workers or astronauts. In scuba diving research, post-dive bubbles are detectable in the venous circulation using ultrasound. These venous gas emboli (VGE) are a marker of decompression stress, and larger amounts of VGE are associated with an increased probability of DCS. VGE are often observed for hours post-dive and differences in their evolution over time have been reported between individuals, but also for the same individual, undergoing a same controlled exposure. Thus, there is a need for small, portable devices with long battery lives to obtain more ultrasonic data in the field to better assess this inter- and intra-subject variability. We compared two new handheld ultrasound devices against a standard device that is currently used to monitor post-dive VGE in the field. We conclude that neither device is currently an adequate replacement for research studies where precise VGE grading is necessary.https://www.frontiersin.org/articles/10.3389/fphys.2022.907651/fulldecompression sicknessdecompression stressdivingbubbleDoppler
spellingShingle Kamellia Karimpour
Rhiannon J. Brenner
Grant Z. Dong
Jayne Cleve
Stefanie Martina
Catherine Harris
Gabriel J. Graf
Benjamin J. Kistler
Andrew H. Hoang
Olivia Jackson
Virginie Papadopoulou
Frauke Tillmans
Comparison of Newer Hand-Held Ultrasound Devices for Post-Dive Venous gas Emboli Quantification to Standard Echocardiography
Frontiers in Physiology
decompression sickness
decompression stress
diving
bubble
Doppler
title Comparison of Newer Hand-Held Ultrasound Devices for Post-Dive Venous gas Emboli Quantification to Standard Echocardiography
title_full Comparison of Newer Hand-Held Ultrasound Devices for Post-Dive Venous gas Emboli Quantification to Standard Echocardiography
title_fullStr Comparison of Newer Hand-Held Ultrasound Devices for Post-Dive Venous gas Emboli Quantification to Standard Echocardiography
title_full_unstemmed Comparison of Newer Hand-Held Ultrasound Devices for Post-Dive Venous gas Emboli Quantification to Standard Echocardiography
title_short Comparison of Newer Hand-Held Ultrasound Devices for Post-Dive Venous gas Emboli Quantification to Standard Echocardiography
title_sort comparison of newer hand held ultrasound devices for post dive venous gas emboli quantification to standard echocardiography
topic decompression sickness
decompression stress
diving
bubble
Doppler
url https://www.frontiersin.org/articles/10.3389/fphys.2022.907651/full
work_keys_str_mv AT kamelliakarimpour comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT rhiannonjbrenner comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT grantzdong comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT jaynecleve comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT stefaniemartina comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT catherineharris comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT gabrieljgraf comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT benjaminjkistler comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT andrewhhoang comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT oliviajackson comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT virginiepapadopoulou comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography
AT frauketillmans comparisonofnewerhandheldultrasounddevicesforpostdivevenousgasemboliquantificationtostandardechocardiography