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https://www.readbyqxmd.com/read/29204875/focused-assessment-with-sonography-in-trauma-a-review-of-concepts-and-considerations-for-anesthesiology
#1
Jacob Pace, Robert Arntfield
The use of point-of-care ultrasound in trauma provides diagnostic clarity and routinely influences management. A scanning protocol known as the Focused Assessment with Sonography in Trauma (FAST) has been widely adopted by trauma providers of all specialties. The FAST exam addresses a broad array of pathologic conditions capable of causing instability, including hemoperitoneum, hemopericardium, hemothorax, and pneumothorax. The exam is an integral component to the primary assessment of injured patients and an iconic application of point-of-care ultrasound...
December 4, 2017: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/29182900/laparoscopic-sleeve-gastrectomy-for-morbid-obesity-role-of-intraluminal-and-intraperitoneal-postoperative-drainage
#2
G Currò, G Piscitelli, C Lazzara, I Komaei, A Fortugno, G Pinto, F Guccione, A Cogliandolo, A Dattola, S Latteri, G Navarra
BACKGROUND AND AIMS: Bleeding and staple line leak are the most common postoperative complications of LSG. To prevent and/or to promptly identify such complications, conventional peri-operative protocols imply post-operative gastric decompression (NGT) and staple line drain (IAD). Our aim was to evaluate the role of naso-gastric tube (NGT) and intra-abdominal drain (IAD) in preventing and/or facilitating identification and treatment of post-operative complications after sleeve gastrectomy...
July 2017: Il Giornale di Chirurgia
https://www.readbyqxmd.com/read/28956506/one-year-results-of-the-use-of-endovenous-radiofrequency-ablation-utilising-an-optimised-radiofrequency-induced-thermotherapy-protocol-for-the-treatment-of-truncal-superficial-venous-reflux
#3
George E Badham, Scott J Dos Santos, Lucinda Ba Lloyd, Judy M Holdstock, Mark S Whiteley
Background In previous in vitro and ex vivo studies, we have shown increased thermal spread can be achieved with radiofrequency-induced thermotherapy when using a low power and slower, discontinuous pullback. We aimed to determine the clinical success rate of radiofrequency-induced thermotherapy using this optimised protocol for the treatment of superficial venous reflux in truncal veins. Methods Sixty-three patients were treated with radiofrequency-induced thermotherapy using the optimised protocol and were followed up after one year (mean 16...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28836045/extreme-learning-machine-framework-for-risk-stratification-of-fatty-liver-disease-using-ultrasound-tissue-characterization
#4
Venkatanareshbabu Kuppili, Mainak Biswas, Aswini Sreekumar, Harman S Suri, Luca Saba, Damodar Reddy Edla, Rui Tato Marinhoe, J Miguel Sanches, Jasjit S Suri
Fatty Liver Disease (FLD) is caused by the deposition of fat in liver cells and leads to deadly diseases such as liver cancer. Several FLD detection and characterization systems using machine learning (ML) based on Support Vector Machines (SVM) have been applied. These ML systems utilize large number of ultrasonic grayscale features, pooling strategy for selecting the best features and several combinations of training/testing. As result, they are computationally intensive, slow and do not guarantee high performance due to mismatch between grayscale features and classifier type...
August 23, 2017: Journal of Medical Systems
https://www.readbyqxmd.com/read/28766304/benefits-of-ultrasound-guided-transversus-abdominis-plane-block-for-open-appendectomy-in-children
#5
Ilona Batko, Barbara K Kościelniak, Ilona Al-Mutari, Krzysztof Kobylarz
BACKGROUND: One of the most frequently performed emergency surgical procedures in children is an appendectomy. The aim of this study was to determine the benefits of supplementing standard, general anaesthesia with the ultrasound-guided right TAP block. METHODS: We analyzed the medical records of 90 children of both sexes, aged 4-16 years with a body mass of 16-78 kg who underwent general anaesthesia for open appendectomy. Sixty-two individuals were anaesthetized using the standard method, while 28 patients had an additional right-sided TAP block under ultrasound guidance...
2017: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/28682892/in-patients-undergoing-fast-track-total-knee-arthroplasty-addition-of-buprenorphine-to-a-femoral-nerve-block-has-no-clinical-advantage-a-prospective-double-blinded-randomized-placebo-controlled-trial
#6
RANDOMIZED CONTROLLED TRIAL
Rienk van Beek, Harry J Zonneveldt, Tjeerd van der Ploeg, Jeroen Steens, Phillip Lirk, Marcus W Hollmann
BACKGROUND: Several adjuvants have been proposed to prolong the effect of peripheral nerve blocks, one of which is buprenorphine. In this randomized double blinded placebo controlled trial we studied whether the addition of buprenorphine to a femoral nerve block prolongs analgesia in patients undergoing total knee arthroplasty in a fast track surgery protocol. METHODS: The treatment group (B) was given an ultrasound-guided femoral nerve block with ropivacaine 0...
July 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28509763/achilles-tendon-load-is-progressively-increased-with-reductions-in-walking-speed
#7
Torsten Brauner, Philippe Pourcelot, Nathalie Crevier-Denoix, Thomas Horstmann, Scott C Wearing
INTRODUCTION: Achilles tendon rehabilitation protocols commonly recommend a gradual increase in walking speed to progressively intensify tendon loading. This study used transmission-mode ultrasound to evaluate the influence of walking speed on loading of the human Achilles tendon in vivo. METHODS: Axial transmission speed of ultrasound was measured in the right Achilles tendon of 33 adults (mean ± SD: age, 29 ± 3 yr; height, 1.725 ± 0.069 m; weight, 71.4 ± 19...
October 2017: Medicine and Science in Sports and Exercise
https://www.readbyqxmd.com/read/28471148/clinical-imaging-in-patients-experiencing-chest-pain
#8
Angelo Silverio, Rodolfo Citro
Non-invasive imaging modalities integrate the clinical and laboratory diagnostic work-up of patients admitted in emergency department for chest pain. Transthoracic echocardiography is the first-line imaging tool because it is rapidly and widely available, bedside feasible and cost-effective. Even when a comprensive exam is not feasible, a fast focused ultrasound exam should be performed. Contrast enhanced computed tomography is an easily accessible tool with specific application in patients suspected for pulmonary embolism (PE) and acute coronary syndrome (ACS) according to the pre-test risk assessment and to the clinical status...
May 3, 2017: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/28355374/qualitative-and-quantitative-ultrasound-assessment-of-gastric-content
#9
Flora Margarida Barra Bisinotto, Patrícia Luísa Pansani, Luciano Alves Matias da Silveira, Aline de Araújo Naves, Ana Cristina Abdu Peixoto, Hellen Moreira de Lima, Laura Bisinotto Martins
Objective: Pulmonary aspiration of the gastric contents is one of the most feared complications in anesthesia. Its prevention depends on preoperative fasting as well as identification of risky patients. A reliable diagnostic tool to assess gastric volume is currently lacking. The aim of this study performed on volunteers was to evaluate the feasibility of ultrasonography to identify qualitative and quantitative gastric content. Method: A standardized gastric scanning protocol was applied on 67 healthy volunteers to assess the gastric antrum in four different situations: fasting, after ingesting clear fluid, milk and a solid meal...
February 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28125828/characteristics-and-outcomes-of-fasting-orders-among-medical-inpatients
#10
Atsushi Sorita, Charat Thongprayoon, John T Ratelle, Ruth E Bates, Katie M Rieck, Aditya P Devalapalli, Adil Ahmed, Deanne T Kashiwagi
While many hospitalized patients have orders to fast in preparation for interventions, the extent to which these orders are necessary or adhere to evidence-based durations is unknown. In this study, we analyzed the length, indication, and associated outcomes of nil per os (NPO) orders for general medicine patients at an academic institution in the United States, and compared them to the best available evidence for recommended length of NPO. Of 924 NPO orders assessed, the indicated intervention was not performed for 183 (19...
January 2017: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
https://www.readbyqxmd.com/read/28103204/transthoracic-ultrasonography-for-the-immunocompromised-patient-a-pilot-project-that-introduces-transthoracic-ultrasonography-for-the-follow-up-of-hematological-patients-in-romania
#11
Ioana Frinc, Petru Ilies, Florin Zaharie, Delia Dima, Alina Tanase, Ljubomir Petrov, Alexandru Irimie, Cristian Berce, Cosmin Lisencu, Ioana Berindan-Neagoe, Ciprian Tomuleasa, Anca Bojan
In the past decade, there has been significant progress in clinical hematology with the discovery of targeted molecules and thus the achievement of both hematologic and molecular responses. Nevertheless, chemotherapy remains the treatment of choice for many types of hematological malignancies. Aggressive chemotherapy leads to immunosuppression, accompanied by a high rate of infections and an increased rate of treatment-related mortality. Invasive fungal infections as well as more common bacterial and viral infections are frequent in immunocompromised patients as they are difficult to diagnose and treat...
June 1, 2017: Romanian Journal of Internal Medicine, Revue Roumaine de Médecine Interne
https://www.readbyqxmd.com/read/28069217/facile-high-yield-ultrasound-mediated-protocol-for-zno-hierarchical-structures-synthesis-formation-mechanism-optical-and-photocatalytic-properties
#12
Oana Carp, Alina Tirsoaga, Ramona Ene, Adelina Ianculescu, Raluca F Negrea, Paul Chesler, Gabriela Ionita, Ruxandra Birjega
Hierarchical flowers-like zinc oxide structures have been successfully obtained by a simple and fast ultrasound-assisted method performed in a ordinary ultrasonic bath using an ammonia solution and zinc acetate, in the absence of any surfactant or template. The composition, structure, crystallinity, morphology and optical properties of the materials obtained at different ultrasound irradiation times were characterized by infrared, UV-Vis and photoluminescence spectroscopy, X-ray diffraction, scanning and transmission electron microscopy investigations...
May 2017: Ultrasonics Sonochemistry
https://www.readbyqxmd.com/read/27054365/postoperative-urinary-catheterization-thresholds-of-500-versus-800-ml-after-fast-track-total-hip-and-knee-arthroplasty-a-randomized-open-label-controlled-trial
#13
RANDOMIZED CONTROLLED TRIAL
Lars S Bjerregaard, Ulla Hornum, Charlotte Troldborg, Stina Bogoe, Per Bagi, Henrik Kehlet
BACKGROUND: No evidence-based threshold exists for postoperative urinary bladder catheterization. The authors hypothesized that a catheterization threshold of 800 ml was superior to 500 ml in reducing postoperative urinary catheterization and urological complications after fast-track total hip arthroplasty (THA) and total knee arthroplasty (TKA). METHODS: This was a randomized, controlled, open-label trial that included patients greater than or equal to 18 yr who underwent THA or TKA in three Danish, fast-track, orthopedic departments...
June 2016: Anesthesiology
https://www.readbyqxmd.com/read/27031655/transculturalization-recommendations-for-developing-latin-american-clinical-practice-algorithms-in-endocrinology-proceedings-of-the-2015-pan-american-workshop-by-the-american-association-of-clinical-endocrinologists-and-american-college-of-endocrinology
#14
Jeffrey I Mechanick, R Mack Harrell, Myriam Z Allende-Vigo, Carlos Alvayero, Onix Arita-Melzer, Pablo Aschner, Pauline M Camacho, Rogelio Zacarias Castillo, Sonia Cerdas, Walmir F Coutinho, Jaime A Davidson, Jeffrey R Garber, W Timothy Garvey, Fernando Javier Lavalle González, Denis O Granados, Osama Hamdy, Yehuda Handelsman, Manuel Francisco Jiménez-Navarrete, Mark A Lupo, Enrique J Mendoza, José G Jiménez-Montero, Farhad Zangeneh
The American Association of Clinical Endocrinologists (AACE) and American College of Endocrinology (ACE) convened their first Workshop for recommendations to optimize Clinical Practice Algorithm (CPA) development for Latin America (LA) in diabetes (focusing on glycemic control), obesity (focusing on weight loss), thyroid (focusing on thyroid nodule diagnostics), and bone (focusing on postmenopausal osteoporosis) on February 28, 2015, in San Jose, Costa Rica. A standardized methodology is presented incorporating various transculturalization factors: resource availability (including imaging equipment and approved pharmaceuticals), health care professional and patient preferences, lifestyle variables, socio-economic parameters, web-based global accessibility, electronic implementation, and need for validation protocols...
April 2016: Endocrine Practice
https://www.readbyqxmd.com/read/27004991/the-reliability-of-a-single-protocol-to-determine-endothelial-microvascular-and-autonomic-functions-in-adolescents
#15
Bert Bond, Craig A Williams, Alan R Barker
BACKGROUND: Impairments in macrovascular, microvascular and autonomic function are present in asymptomatic youths with clustered cardiovascular disease risk factors. This study determines the within-day reliability and between-day reliability of a single protocol to non-invasively assess these outcomes in adolescents. METHODS: Forty 12- to 15-year-old adolescents (20 boys) visited the laboratory in a fasted state on two occasions, approximately 1 week apart. One hour after a standardized cereal breakfast, macrovascular function was determined via flow-mediated dilation (FMD)...
November 2017: Clinical Physiology and Functional Imaging
https://www.readbyqxmd.com/read/27004328/can-ultrasound-abdomen-help-in-early-diagnosis-of-diabetes-mellitus-an-observational-study
#16
Javed Anwar, Muhammad Omer Aamir, Sanaullah, Zeeshan ul Hasnain Imdad, Ishrat Parveen, Nasreen Yousaf
BACKGROUND: Diabetes mellitus is a common disease. Similarly, ultrasound findings of fatty change and renal crystals are commonly seen on ultrasound. In the personal observation of the main author over the past so many years it was noticed that Diabetes Mellitus, Fatty liver and renal crystals all sit well together. This study tries to establish a relationship between diabetes mellitus renal echogenic foci and fatty liver. This study is first of its kind, as nobody has ever before investigated an association between the renal echogenic foci and fatty liver in relation to diabetes mellitus...
October 2015: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/26917071/the-incidence-of-neovascular-membranes-and-visual-field-defects-from-optic-nerve-head-drusen-in-children
#17
Jared E Duncan, Sharon F Freedman, Mays A El-Dairi
PURPOSE: To evaluate the incidence of visual field defects and choroidal neovascular membranes (CNVM) in a cohort of pediatric patients with optic nerve head drusen (ONHD). METHODS: The medical records of children with ONHD seen at a single center from January 2012 to July 2014 were retrospectively reviewed to identify patients who had a dilated fundus examination, fundus photography, spectral domain optical coherence tomography (SD-OCT)/enhanced-depth imaging (EDI) of the optic nerve head (ONH), SITA fast 24-2 Humphrey visual field (HVF) testing, lumbar puncture, and ocular ultrasound...
February 2016: Journal of AAPOS: the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
https://www.readbyqxmd.com/read/26847446/study-protocol-for-the-maule-cohort-mauco-of-chronic-diseases-chile-2014-2024
#18
Catterina Ferreccio, Juan Carlos Roa, Claudia Bambs, Alejandra Vives, Alejandro H Corvalán, Sandra Cortés, Claudia Foerster, Johanna Acevedo, Andrea Huidobro, Alvaro Passi, Pablo Toro, Yerko Covacevich, Rolando de la Cruz, Jill Koshiol, Mauricio Olivares, Juan Francisco Miquel, Francisco Cruz, Raúl Silva, Andrew F Quest, Marcelo J Kogan, Pablo F Castro, Sergio Lavandero
BACKGROUND: Maule Cohort (MAUCO), a Chilean cohort study, seeks to analyze the natural history of chronic diseases in the agricultural county of Molina (40,000 inhabitants) in the Maule Region, Chile. Molina´s population is of particular interest because in the last few decades it changed from being undernourished to suffering excess caloric intake, and it currently has the highest national rates of cardiovascular diseases, stomach cancer and gallbladder cancer. Between 2009 and 2011 Molina´s poverty rate dropped from 24...
2016: BMC Public Health
https://www.readbyqxmd.com/read/26792865/letrozole-vs-estradiol-valerate-induced-pcos-in-rats-glycemic-oxidative-and-inflammatory-status-assessment
#19
Alexandra Dăneasă, Cristina Cucolaş, Lavinia Manuela Lenghel, Diana Olteanu, Remus Orăsan, Gabriela A Filip
The objective of our study was to investigate glycemic, oxidative/antioxidative and inflammatory status in letrozole and estradiol valerate induced polycystic ovarian syndrome (PCOS) models. Sixty adult female Wistar rats were divided into four groups: L (0.2 mg letrozole/0.5 ml carboxymethyl cellulose (CMC), daily for 30 days), the control group CL, EV (one i.m. injection of 5 mg EV/0.5 ml sesame oil) and its corresponding control group CEV. After 30 days, ovarian morphology was assessed through ultrasound, serum free testosterone was determined, and an oral glucose tolerance test was performed...
April 2016: Reproduction: the Official Journal of the Society for the Study of Fertility
https://www.readbyqxmd.com/read/26693265/a-feasibility-study-to-determine-if-minimally-trained-medical-students-can-identify-markers-of-chronic-parasitic-infection-using-bedside-ultrasound-in-rural-tanzania
#20
Maria Barsky, Lauren Kushner, Megan Ansbro, Kate Bowman, Michael Sassounian, Kevin Gustafson, Shadi Lahham, Linda Joseph, John C Fox
BACKGROUND: Parasitic infections pose a significant health risk in developing nations and are a major cause of morbidity and mortality worldwide. In the Republic of Tanzania, the CDC estimates that 51.5% of the population is infected with one or more intestinal parasites. If diagnosed early, the consequences of chronic parasitic infection can potentially be avoided. METHODS: Six first-year medical students were recruited to enroll patients in the study. They underwent ten hours of formal, hands-on, ultrasound which included basic cardiac, hepatobiliary, renal, pulmonary and FAST scan ultrasound...
2015: World Journal of Emergency Medicine
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