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Critical Ultrasound Journal

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https://www.readbyqxmd.com/read/30417260/transient-systolic-anterior-motion-with-junctional-rhythm-after-mitral-valve-repair-in-the-intensive-care-unit
#1
Yusuke Seino, Nobuo Sato, Kimiya Fukui, Junya Ishikawa, Masahi Nakagawa, Takeshi Nomura
Systolic anterior motion (SAM) after mitral valve repair (MVR) can adversely affect hemodynamics due to exacerbation of left ventricular outflow tract obstruction and mitral regurgitation. Intraoperative transient SAM after MVR can usually be managed with hemodynamic maneuvers under continuous monitoring by transesophageal echocardiography (TEE). However, during postoperative intensive care management, transient SAM is seldom diagnosed and the start of treatment may be delayed. We present a case of transient SAM after MVR with abrupt deterioration due to junctional rhythm in the intensive care unit (ICU)...
November 12, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30345473/which-ultrasound-transducer-type-is-best-for-diagnosing-pneumothorax
#2
R Ketelaars, E Gülpinar, T Roes, M Kuut, G J van Geffen
BACKGROUND: An accurate physical examination is essential in the care of critically ill and injured patients. However, to diagnose or exclude a pneumothorax, chest auscultation is unreliable compared to lung ultrasonography. In the dynamic prehospital environment, it is desirable to have the best possible ultrasound transducer readily available. The objective is to assess the difference between a linear-array, curved-array, and phased-array ultrasound transducer in the assessment for pneumothorax and to determine which is best...
October 22, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30318557/ultrasound-guided-thoracostomy-site-identification-in-healthy-volunteers
#3
Lindsay A Taylor, Michael J Vitto, Michael Joyce, Jordan Tozer, David P Evans
BACKGROUND: Traditional landmark thoracostomy technique has a known complication rate up to 30%. The goal of this study is to determine whether novice providers could more accurately identify the appropriate intercostal site for thoracostomy by ultrasound guidance. METHODS: 33 emergency medicine residents and medical students volunteered to participate in this study during routine thoracostomy tube education. A healthy volunteer was used as the standardized patient for this study...
October 15, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30294760/diagnosis-of-diastolic-dysfunction-in-the-emergency-department-really-at-reach-for-minimally-trained-sonologists-a-call-for-a-wise-approach-to-heart-failure-with-preserved-ejection-fraction-diagnosis-in-the-er
#4
https://www.readbyqxmd.com/read/30270416/is-point-of-care-ultrasound-disruptive-innovation-formulating-why-pocus-is-different-from-conventional-comprehensive-ultrasound
#5
Jesper Weile, Jacob Brix, Anders Broens Moellekaer
BACKGROUND: Point-of-care ultrasound (PoCUS) is spreading throughout Emergency Medicine, Critical Care and Pre-hospital Care. However, there is an underlying inherited conflict with the established specialties performing comprehensive examinations. It has been stated that PoCUS is disruptive innovation. If this is true the definition might open up for a new perspective on differentiating comprehensive ultrasound from PoCUS. PoCUS in the light of disruptive innovation is a different perspective on ultrasound that has not before been academically scrutinized...
October 1, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30221312/combined-lung-and-brain-ultrasonography-for-an-individualized-brain-protective-ventilation-strategy-in-neurocritical-care-patients-with-challenging-ventilation-needs
#6
Francesco Corradi, Chiara Robba, Guido Tavazzi, Gabriele Via
When intracranial hypertension and severe lung damage coexist in the same clinical scenario, their management poses a difficult challenge, especially as concerns mechanical ventilation management. The needs of combined lung and brain protection from secondary damage may conflict, as ventilation strategies commonly used in patients with ARDS are potentially associated with an increased risk of intracranial hypertension. In particular, the use of positive end-expiratory pressure, recruitment maneuvers, prone positioning, and protective lung ventilation can have undesirable effects on cerebral physiology: they may positively or negatively affect intracranial pressure, based on the final repercussions on PaO2 and cerebral perfusion pressure (through changes in cardiac output, mean arterial pressure, venous return, PaO2 and PaCO2 ), also according to the baseline conditions of cerebral autoregulation...
September 17, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30198053/pre-hospital-lung-ultrasound-for-cardiac-heart-failure-and-copd-is-it-worthwhile
#7
Mirko Zanatta, Piero Benato, Sigilfredo De Battisti, Concetta Pirozzi, Renato Ippolito, Vito Cianci
BACKGROUND: Pre-hospital ultrasound is a new challenge and lung ultrasound could be an interesting opportunity in the pre-hospital medical service. The aim of our study was to evaluate the efficacy of lung ultrasound in out-of-hospital non-traumatic respiratory insufficiency. METHODS: We planned a case-controlled study in the ULSS 5 ovest vicentino area (Vicenza-Italy) enrolling subjects with severe dyspnea caused by cardiac heart failure or acute exacerbation of chronic obstructive pulmonary disease...
September 10, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30175392/lung-ultrasound-training-a-systematic-review-of-published-literature-in-clinical-lung-ultrasound-training
#8
REVIEW
Pia Iben Pietersen, Kristian Rørbæk Madsen, Ole Graumann, Lars Konge, Bjørn Ulrik Nielsen, Christian Borbjerg Laursen
BACKGROUND: Clinical lung ultrasound examinations are widely used in the primary assessment or monitoring of patients with dyspnoea or respiratory failure. Despite being increasingly implemented, there is no international consensus on education, assessment of competencies, and certification. Today, training is usually based on the concept of mastery learning, but is often unstructured and limited by bustle in a clinical daily life. The aim of the systematic review is to provide an overview of published learning studies in clinical lung ultrasound, and to collect evidence for future recommendations in lung ultrasound education and certification...
September 3, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30109510/is-it-best-to-refocus-on-basic-echocardiography-in-the-emergency-department
#9
LETTER
Pablo Blanco, Gabriela Bello
No abstract text is available yet for this article.
August 15, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30109460/today-s-advanced-is-tomorrow-s-basic
#10
LETTER
Joe Betcher, Al Majkrzak, Ross Kessler, Nik Theyyunni, Rob Huang
No abstract text is available yet for this article.
August 15, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30109455/the-implementation-of-a-longitudinal-pocus-curriculum-for-physicians-working-at-rural-outpatient-clinics-in-chiapas-mexico
#11
Annie Heffernan Rominger, Gerardo Antonio Aguilar Gomez, Patrick Elliott
BACKGROUND: Medical care in resource limited settings is challenging, particularly with limited access to diagnostic and imaging studies. The most portable and cost effective diagnostic imaging in these areas is ultrasound. Ultrasound is a very teachable skill with a short, single intensive training course and hands-on teaching; however, there are limited data on a longitudinal point-of-care ultrasound (POCUS) curriculum in resource limited settings. The goal of this intervention is to develop an effective longitudinal POCUS curriculum for local physicians working in rural clinics in the state of Chiapas, Mexico, and evaluate its effectiveness on patient care...
August 15, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30088160/abcde-of-prehospital-ultrasonography-a-narrative-review
#12
REVIEW
Rein Ketelaars, Gabby Reijnders, Geert-Jan van Geffen, Gert Jan Scheffer, Nico Hoogerwerf
Prehospital point-of-care ultrasound used by nonradiologists in emergency medicine is gaining ground. It is feasible on-scene and during aeromedical transport and allows health-care professionals to detect or rule out potential harmful conditions. Consequently, it impacts decision-making in prioritizing care, selecting the best treatment, and the most suitable transport mode and destination. This increasing relevance of prehospital ultrasonography is due to advancements in ultrasound devices and related technology, and to a growing number of applications...
August 8, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30066098/an-easier-and-safe-affair-pleural-drainage-with-ultrasound-in-critical-patient-a-technical-note
#13
Luigi Vetrugno, Giovanni Maria Guadagnin, Daniele Orso, Enrico Boero, Elena Bignami, Tiziana Bove
Thoracic ultrasound is a powerful diagnostic imaging technique for pleural space disorders. In addition to visualising pleural effusion, thoracic ultrasound also helps clinicians to identify the best puncture site and to guide the drainage insertion procedure. Thoracic ultrasound is essential during these invasive manoeuvres to increase safety and decrease potential life-threatening complications. This paper provides a technical description of pigtail-type drainage insertion using thoracic ultrasound, paying particular attention to indications, contraindications, ultrasound guidance, preparation/equipment, procedure and complications...
August 1, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/30033501/application-of-robotic-transcranial-doppler-for-extended-duration-recording-in-moderate-severe-traumatic-brain-injury-first-experiences
#14
F A Zeiler, P Smielewski
No abstract text is available yet for this article.
July 23, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29998373/icterus-and-abdominal-pain-an-unexpected-rare-sonographic-finding-in-a-peruvian-emergency-department
#15
Stephanie J Doniger, Alexander Wang
BACKGROUND: The use of point-of-care ultrasound (POCUS) has become increasingly important in resource-limited settings. It can rapidly diagnose both tropical infectious diseases and more common pathology at the bedside. In these practice settings, POCUS can have a significant impact on management strategies and patient care. Ultrasonography has been the gold standard for the diagnosis and staging of Echinococcus disease. However, even in the "classic" clinical scenario and setting, the clinician must maintain a broad differential diagnosis...
July 12, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29971618/the-impact-of-heart-lung-and-diaphragmatic-ultrasound-on-prediction-of-failed-extubation-from-mechanical-ventilation-in-critically-ill-patients-a-prospective-observational-pilot-study
#16
Kavi Haji, Darsim Haji, David J Canty, Alistair G Royse, Cameron Green, Colin F Royse
BACKGROUND: Failed extubation from mechanical ventilation in critically ill patients is multifactorial, complex and not well understood. We aimed to identify whether combined transthoracic echocardiography, lung and diaphragmatic ultrasound can predict extubation failure in critically ill patients. RESULTS: Fifty-three participants who were intubated > 48 h and deemed by the treating intensivist ready for extubation underwent a 60-min pre-extubation weaning trial (pressure support ≤ 10 cmH2 O and positive end expiratory pressure 5 cmH2 O)...
July 4, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29946769/the-area-method-a-new-method-for-ultrasound-assessment-of-diaphragmatic-movement
#17
Søren Helbo Skaarup, Anders Løkke, Christian B Laursen
BACKGROUND: Ultrasound can be used to assess diaphragm movement. Existing methods focus on movement at a single point at the hemidiaphragm and may not consider the anatomic and functional complexity. We aimed to develop an ultrasound method, the Area method, to assess movement of the entire hemidiaphragm dome and to compare it with existing methods to evaluate accuracy, inter-rater agreement, and feasibility. METHODS: Movement of the diaphragm was evaluated by ultrasonography in 19 healthy subjects and correlated with simultaneously performed spirometry...
June 27, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29911284/lung-and-diaphragm-ultrasound-as-predictors-of-success-in-weaning-from-mechanical-ventilation
#18
Eva Tenza-Lozano, Ana Llamas-Alvarez, Enrique Jaimez-Navarro, Javier Fernández-Sánchez
BACKGROUND: Lung and diaphragm ultrasound methods have recently been introduced to predict the outcome of weaning from mechanical ventilation (MV). The aim of this study is to assess the reliability and accuracy of these techniques for predicting successful weaning in critically ill adults. METHODS: We conducted two studies: a cross-sectional interobserver agreement study between two sonographers and a prospective cohort study to assess the accuracy of lung and diaphragm ultrasound for predicting weaning and extubation outcome...
June 18, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29876841/problems-with-interpretation-of-transient-hyperemic-response-ratio-thrr
#19
LETTER
Achyut Sharma, Diptesh Aryal
No abstract text is available yet for this article.
June 7, 2018: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/29797105/feasibility-study-of-advanced-focused-cardiac-measurements-within-the-emergency-department
#20
Joe Betcher, Al Majkrzak, Jim Cranford, Ross Kessler, Nik Theyyunni, Rob Huang
BACKGROUND: This study aims to compare the increased time needed to perform advanced focused cardiac measurements in the emergency department, including diastolic heart failure evaluation via E/E', and cardiac output with LVOT/VTI. Patients with pertinent cardiopulmonary symptoms in the emergency department had a focused cardiac ultrasound performed by the emergency department ultrasound team. The ability to obtain basic cardiac windows, evaluate for effusion, systolic ejection fraction, and right-sided heart pressures were recorded...
May 25, 2018: Critical Ultrasound Journal
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