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Point of care ultrasound

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https://www.readbyqxmd.com/read/28095957/point-of-care-ultrasound-utility-and-potential-for-high-altitude-crew-recovery-missions
#1
Laura A Galdamez, Jonathan B Clark, Erik L Antonsen
INTRODUCTION: Flights to high altitude can lead to exposure and unique pathology not seen in normal commercial aviation. METHODS: This paper assesses the potential for point-of-care ultrasound to aid in management and disposition of injured crewmembers from a high altitude incident. This was accomplished through a systematic literature review regarding current diagnostic and therapeutic uses of ultrasound for injuries expected in high altitude free fall and parachuting...
February 1, 2017: Aerospace Medicine and Human Performance
https://www.readbyqxmd.com/read/28087089/point-of-care-ultrasound-diagnosis-of-posterior-sternoclavicular-joint-dislocation
#2
Rachel R Bengtzen, Ryan C Petering
BACKGROUND: Posterior sternoclavicular dislocations can be challenging diagnostically, as traumatic force often happens to the lateral shoulder rather than directly to the sternoclavicular joint. Shoulder radiographs do not illustrate the sternoclavicular joint well, and can miss the diagnosis. This injury, however, has the potential for life-threatening complications due to proximity of mediastinal structures that might also be injured. CASE REPORT: The following case illustrates a delayed diagnosis of posterior sternoclavicular dislocation...
January 10, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28073593/integrative-cardiopulmonary-ultrasound-for-interstitial-lung-disease-assessment-correlation-between-lung-ultrasound-performance-and-cardiac-involvement
#3
Wei-Wei Zhu, Yi-Dan Li, Hong Li, Xiu-Zhang Lu, Ling-Yun Kong, Xiao-Guang Ye, Qi-Zhe Cai, Lan-Lan Sun, Wei Jiang, Li Wang
The aims of this study were to apply integrative cardiopulmonary ultrasound (thoracic ultrasound) to the evaluation of patients with interstitial lung disease (ILD) and to determine the relationship between lung ultrasound signs and echocardiographic parameters such as systolic pulmonary artery pressure (SPAP) and various right ventricular parameters. ILD patients and healthy controls underwent lung ultrasound (LUS) and echocardiographic tests. In addition to traditional echocardiographic parameters, right ventricular free wall longitudinal strain (RVLS_FW) was measured using 2-D speckle-tracking echocardiography...
January 7, 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/28068731/-geriatric-ultrasound
#4
Eckhart Froehlich, Jan Pauluschke-Froehlich, Ines Debove, Werner Vey, Christoph Klinger, Christoph F Dietrich
In geriatric patients, ultrasound is the appropriate diagnostic technique to detect and to follow-up underlying and accompanying diseases of the heart, lung, liver, kidneys, pancreas, gastrointestinal tract and of arterial and venous vessels. Based on a systematic survey of the published literature, this review describes the value of ultrasound in geriatric patients focussing on point of care.
January 9, 2017: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/28066904/implementing-point-of-care-ultrasonography-of-the-heart-and-lungs-in-an-anesthesia-department
#5
M T Bøtker, M L Vang, T Grøfte, H Kirkegaard, C A Frederiksen, E Sloth
BACKGROUND: Implementation of point-of-care ultrasonography (POCUS) of the heart and lungs requires image acquisition skills among providers. We aimed to determine the effect of POCUS implementation using a systematic education program on image acquisition skills and subsequent use and barriers in a department of anesthesiology. METHODS: Twenty-five anesthesiologists underwent a systematic education program in POCUS during the fall of 2012. A POCUS expert evaluated images from baseline and evaluation examinations performed on two healthy individuals as useful or not useful for clinical interpretation...
February 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/28063721/point-of-care-lung-ultrasound-of-children-with-acute-asthma-exacerbations-in-the-pediatric-emergency-department
#6
Samantha Dankoff, Patricia Li, Adam J Shapiro, Terry Varshney, Alexander S Dubrovsky
OBJECTIVES: Primary objective was to characterize lung ultrasound findings in children with asthma presenting with respiratory distress to the emergency department (ED). Secondary objectives included correlating these findings with patients' clinical course in the ED. METHODS: Eligible patients 2-17years of age, underwent a lung ultrasound by the study sonographer between November 2014 to December 2015. Positive lung ultrasound was defined as the presence of ≥1 of the following findings: ≥3 B-lines per intercostal space, consolidation and/or pleural abnormalities...
December 26, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28050884/eliciting-renal-tenderness-by-sonopalpation-in-diagnosing-acute-pyelonephritis
#7
Jeremy S Faust, James W Tsung
Diagnosing acute pyelonephritis relies on the combination of historical, physical, and laboratory findings. Costovertebral angle tenderness is important, although its accuracy is unknown. Point-of-care ultrasound-guided palpation (sonopalpation) may aid clinicians in localizing pain to discrete anatomic structures in cases of suspected acute pyelonephritis lacking classic features. We describe three low-to-moderate pre-test probability cases wherein maximal tenderness was elicited by renal sonopalpation, aiding in the diagnosis of acute pyelonephritis...
December 2017: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/28045845/drop-the-knife-and-pick-up-the-transducer
#8
Sathyaseelan Subramaniam, Nooruddin Tejani, Michael Secko
Ultrasound has a diagnostic and procedural role when managing breast abscesses. We present the case of an adolescent girl diagnosed with a breast abscess with point-of-care ultrasound who subsequently underwent ultrasound-guided aspiration as a form of definitive management.
January 2017: Pediatric Emergency Care
https://www.readbyqxmd.com/read/28039244/ultrasound-assessment-of-gastric-volume-in-severely-obese-individuals-a-validation-study
#9
R Kruisselbrink, C Arzola, T Jackson, A Okrainec, V Chan, A Perlas
BACKGROUND: Point-of-care gastric ultrasound is an emerging tool to assess gastric content and volume at the bedside. The examination includes both a qualitative and a quantitative component. The aim of this study was to evaluate the performance of an existing model for predicting gastric volume in severely obese subjects (BMI >35 kg m(-2)). METHODS: This observer-blinded experimental study compared the gastric volume predicted based on a sonographically measured cross-sectional area of the gastric antrum with the gastric volume measured by suctioning under gastroscopic guidance in a cohort of severely obese subjects...
January 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/28012823/primary-care-management-of-skin-abscesses-guided-by-ultrasound
#10
Laura J S Greenlund, Stephen P Merry, Tom D Thacher, William J Ward
BACKGROUND: Primary care providers often manage skin abscesses in the outpatient setting. Estimating the size and depth of an abscess, and distinguishing abscess from cellulitis by clinical exam can be challenging due to surrounding firm tissue induration. Definitive treatment of abscess requires incision and drainage, and the approach chosen may be altered by abscess size, depth, and surrounding neurovascular structures. METHODS: For 31 consecutive patients seen in the primary care outpatient clinic we prospectively compared the estimated size of skin abscesses by clinical examination with that determined by ultrasound...
December 21, 2016: American Journal of Medicine
https://www.readbyqxmd.com/read/28008692/a-response-to-diagnostic-performance-of-wells-score-combined-with-point-of-care-lung-and-venous-ultrasound-in-suspected-pulmonary-embolism
#11
Robert R Ehrman, John Z Gallien
We enjoyed the article by Nazerian et al., Diagnostic performance of Wells' Score combined with point-of-care lung and venous ultrasound in suspected pulmonary embolism [1]. We recognize the need to safely exclude the diagnosis of pulmonary embolism (PE) without the use of ionizing radiation through use of evidence-based clinical decision aids (CDAs). We agree that point-of-care ultrasound can play a role in the evaluation of suspected PE. This article is protected by copyright. All rights reserved.
December 22, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28008681/prediction-rule-for-diagnosis-of-pulmonary-embolism-enhanced-by-lung-and-venous-ultrasound-making-confusion-or-increasing-efficiency
#12
Giovanni Volpicelli, Simone Vanni, Cecilia Becattini, Giuseppe Francesco Sferrazza Papa, Chiara Gigli, Stefano Grifoni, Peiman Nazerian
We thank the Authors for their interest in our study [1] and the questions raised. Our response begins from their conclusion: "…we fear that uWells' may create more noise than signal in the already murky PE milieu". We find curious that two strongly evidence based applications of point-of-care ultrasound (POCUS) added to the clinical evaluation might create confusion rather than resolving challenging questions. This article is protected by copyright. All rights reserved.
December 22, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/28008296/point-of-care-ultraportable-echocardiography-predicts-diuretic-response-in-patients-admitted-with-acute-decompensated-heart-failure
#13
Dena K Krishnan, Barbara Pawlaczyk, Peter A McCullough, Susan Enright, Arvind Kunadi, Thomas E Vanhecke
BACKGROUND: Routine management of patients with acute decompensated heart failure (ADHF) requires careful attentiveness to fluid status and diuretic treatment efficacy. New advances in ultrasound have made ultraportable echocardiography (UE) available to physicians for point-of-care use. The purpose of this study is to explore physiologic measures of intravascular fluid volume derived from UE and explore predictors of diuretic response in ADHF. METHODS: Various echocardiography imaging measurements, particularly diameter and collapse of inferior vena cava (IVC), were collected from 77 patients admitted with a primary diagnosis of ADHF...
2016: Clinical Medicine Insights. Cardiology
https://www.readbyqxmd.com/read/28005258/pancreatic-cancer-management-and-treatment-landscape-awareness-of-gastroenterologists-results-from-us-physician-surveys-conducted-in-2013-and-2015
#14
Gregory D Salinas, Lee Whitworth, Patti Merwin, Joan Emarine
INTRODUCTION: In the US, gastroenterologists (GIs) often inform patients of the initial diagnosis of pancreatic cancer. Thus, GIs are frequently the first physicians to provide vital information regarding treatment strategies and options to patients which can have significant impact on subsequent clinical decision-making. Since treatments for pancreatic cancer are rapidly evolving, it may be challenging for GIs to maintain an adequate knowledge base required to provide accurate cursory information or avoid providing inaccurate data to patients at a very sensitive point in time in their care...
December 22, 2016: Journal of Gastrointestinal Cancer
https://www.readbyqxmd.com/read/27998636/use-of-point-of-care-ultrasound-for-the-diagnosis-of-ovarian-hyperstimulation-syndrome
#15
Sowdhamani Bellapu, Joshua Guttman
BACKGROUND: Ovarian hyperstimulation syndrome (OHSS) occurs when ovaries are overstimulated and enlarged due to fertility treatments resulting in a shift of serum from the intravascular space to the third space, mainly the abdominal cavity. It is the most serious complication of ovarian hyperstimulation for assisted reproduction. CASE REPORT: We present the case of a 40-year-old woman who presented with abdominal bloating and nausea 2 weeks after undergoing in vitro fertilization (IVF); she was diagnosed by an outside radiology ultrasound as having a ruptured ovarian cyst...
December 17, 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27998322/international-federation-for-emergency-medicine-consensus-statement-sonography-in-hypotension-and-cardiac-arrest-shoc-an-international-consensus-on-the-use-of-point-of-care-ultrasound-for-undifferentiated-hypotension-and-during-cardiac-arrest
#16
Paul Atkinson, Justin Bowra, James Milne, David Lewis, Mike Lambert, Bob Jarman, Vicki E Noble, Hein Lamprecht, Tim Harris, Jim Connolly
: Introduction The International Federation for Emergency Medicine (IFEM) Ultrasound Special Interest Group (USIG) was tasked with development of a hierarchical consensus approach to the use of point of care ultrasound (PoCUS) in patients with hypotension and cardiac arrest. METHODS: The IFEM USIG invited 24 recognized international leaders in PoCUS from emergency medicine and critical care to form an expert panel to develop the sonography in hypotension and cardiac arrest (SHoC) protocol...
December 21, 2016: CJEM
https://www.readbyqxmd.com/read/27994100/the-impact-of-systematic-point-of-care-ultrasound-on-management-of-patients-in-a-resource-limited-setting
#17
Alastair Stanley, Bahati M K Wajanga, Hyasinta Jaka, Rachael Purcell, Lauren Byrne, Felicity Williams, Candace Rypien, Abigail Sharpe, Patrick Laws, Lucas Faustine, Tshepo Leeme, Emmanuel Mwabutwa, Robert Peck, Matthew Stephens, Daniel Kaminstein
Although target point-of-care (POC) ultrasonography has been shown to benefit patients in resource-limited settings, it is not clear whether a systematic POC ultrasound assessment in these settings can also lead to similar changes in patient management. A predefined systematic set of POC ultrasound scans were performed on inpatients at a tertiary referral hospital in Tanzania to see if this resulted in changes to patient management. Of the 55 patients scanned, an abnormality was detected in 75% (N = 41), and a change in patient management was recommended or implemented on the basis of POC ultrasound findings in 53% (N = 29)...
December 19, 2016: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/27989537/delayed-cardiac-tamponade-a-rare-but-life-threatening-complication-of-catheter-ablation
#18
Elizabeth Yetter, Jared Brazg, Diane Del Valle, Laura Mulvey, Eitan Dickman
Delayed cardiac tamponade (DCT) is a rare and life-threatening complication of catheter ablation performed as a treatment of atrial fibrillation, with few cases described in the medical literature. We present the case of a 57year-old man presenting with DCT 61days following a catheter ablation procedure. To the best of our knowledge, this is the most delayed case of cardiac tamponade (CT) following catheter ablation described in the literature. We also discuss the importance of point of care ultrasound (POCUS) in the diagnosis and treatment of CT...
November 17, 2016: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27987483/the-diagnostic-utility-of-sonographic-carotid-flow-time-in-determining-volume-responsiveness
#19
Hamid Shokoohi, Grant W Berry, Murteza Shahkolahi, Jackson King, Jordan King, Mohammad Salimian, Ameneh Poshtmashad, Ali Pourmand
OBJECTIVE: We aimed to predict volume responsiveness and to assess the diagnostic accuracy of carotid flow time (FTc) with the change in hydration status before and after a passive leg raise (PLR) maneuver. METHODS: Participants who presented at a community health fair in a dehydrated state following a prolonged fast while observing the month of Ramadan were recruited. Sonographic FTc measurements were obtained in the semi-Fowler position and after a PLR maneuver while participants were in a fasting state and repeated approximately 3 hours after breaking their fast...
November 9, 2016: Journal of Critical Care
https://www.readbyqxmd.com/read/27986838/a-randomised-experiment-comparing-low-cost-ultrasound-gel-alternative-with-commercial-gel
#20
Christine Riguzzi, Allison Binkowski, Mike Butterfield, Farhad Sani, Nathan Teismann, Jahan Fahimi
OBJECTIVE: Point-of-care ultrasound is a portable, relatively low-cost imaging modality with great potential utility in low-resource settings. However, commercially produced ultrasound gel is often cost-prohibitive and unavailable. We investigated whether images obtained using an alternative cornstarch-based gel would be of comparable quality with those using commercial gel. METHODS: This was a blinded, randomised, cross-over study comparing commercially produced ultrasound gel with home-made cornstarch-based gel...
December 16, 2016: Emergency Medicine Journal: EMJ
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