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pediatric critical care ultrasonography

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https://www.readbyqxmd.com/read/27662566/prediction-of-catheter-associated-thrombosis-in-critically-ill-children
#1
Alexandra Marquez, Veronika Shabanova, Edward Vincent S Faustino
OBJECTIVE: We determined whether in critically ill children with an untunneled central venous catheter, the risk of catheter-associated deep venous thrombosis can be predicted within 24 hours after insertion of the catheter. DESIGN: Secondary analysis of two multicenter prospective cohort studies. SETTING: PICUs in Northeastern United States. PATIENTS: A total of 175 children admitted to the PICU within 24 hours after insertion of an untunneled central venous catheter who did not receive anticoagulation were included...
November 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27604617/12th-winfocus-world-congress-on-ultrasound-in-emergency-and-critical-care
#2
Yahya Acar, Onur Tezel, Necati Salman, Erdem Cevik, Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-Bordomás, Mustafa Z Mahmoud, Abdelmoneim Sulieman, Abbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H Lester Kirchner, Gregor Prosen, Ajda Anzic, Paul Leeson, Maryam Bahreini, Fatemeh Rasooli, Houman Hosseinnejad, Gabriel Blecher, Robert Meek, Diana Egerton-Warburton, Edina Ćatić Ćuti, Stanko Belina, Tihomir Vančina, Idriz Kovačević, Nadan Rustemović, Ikwan Chang, Jin Hee Lee, Young Ho Kwak, Do Kyun Kim, Chi-Yung Cheng, Hsiu-Yung Pan, Chia-Te Kung, Ela Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana Grgić Medić, Radovan Radonić, Abiola Fasina, Anthony J Dean, Nova L Panebianco, Patricia S Henwood, Oliviero Fochi, Moreno Favarato, Ezio Bonanomi, Ivan Tomić, Youngrock Ha, Hongchuen Toh, Elizabeth Harmon, Wilma Chan, Cameron Baston, Gail Morrison, Frances Shofer, Angela Hua, Sharon Kim, James Tsung, Isa Gunaydin, Zeynep Kekec, Mehmet Oguzhan Ay, Jinjoo Kim, Jinhyun Kim, Gyoosung Choi, Dowon Shim, Ji-Han Lee, Jana Ambrozic, Katja Prokselj, Miha Lucovnik, Gabrijela Brzan Simenc, Asta Mačiulienė, Almantas Maleckas, Algimantas Kriščiukaitis, Vytautas Mačiulis, Andrius Macas, Sharad Mohite, Zoltan Narancsik, Hugon Možina, Sara Nikolić, Jan Hansel, Rok Petrovčič, Una Mršić, Simon Orlob, Markus Lerchbaumer, Niklas Schönegger, Reinhard Kaufmann, Chun-I Pan, Chien-Hung Wu, Sarah Pasquale, Stephanie J Doniger, Sharon Yellin, Gerardo Chiricolo, Maja Potisek, Borut Drnovšek, Boštjan Leskovar, Kristine Robinson, Clara Kraft, Benjamin Moser, Stephen Davis, Shelley Layman, Yusef Sayeed, Joseph Minardi, Irmina Sefic Pasic, Amra Dzananovic, Anes Pasic, Sandra Vegar Zubovic, Ana Godan Hauptman, Ana Vujaklija Brajkovic, Jaksa Babel, Marina Peklic, Vedran Radonic, Luka Bielen, Peh Wee Ming, Nur Hafiza Yezid, Fatahul Laham Mohammed, Zainal Abidin Huda, Wan Nasarudin Wan Ismail, W Yus Haniff W Isa, Hashairi Fauzi, Praveena Seeva, Mohd Zulfakar Mazlan
A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization...
September 2016: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/27513327/the-state-of-point-of-care-ultrasonography-use-and-training-in-neonatal-perinatal-medicine-and-pediatric-critical-care-medicine-fellowship-programs
#3
J Nguyen, R Amirnovin, R Ramanathan, S Noori
OBJECTIVE: The current state of point-of-care ultrasonography (POCUS) use and education in neonatal-perinatal medicine (NPM) and pediatric critical care medicine (PCCM) is unknown. Our aim was to quantify POCUS use, training and perceptions regarding education and barriers among the United States NPM and PCCM fellowship programs. STUDY DESIGN: A 14-question survey was emailed to the fellowship directors of all the United States NPM and PCCM fellowship programs. RESULTS: The response rate was 55% (52/95) and 59% (39/66) for NPM and PCCM programs, respectively...
November 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/27182849/guidelines-for-the-appropriate-use-of-bedside-general-and-cardiac-ultrasonography-in-the-evaluation-of-critically-ill-patients-part-ii-cardiac-ultrasonography
#4
Alexander Levitov, Heidi L Frankel, Michael Blaivas, Andrew W Kirkpatrick, Erik Su, David Evans, Douglas T Summerfield, Anthony Slonim, Raoul Breitkreutz, Susanna Price, Matthew McLaughlin, Paul E Marik, Mahmoud Elbarbary
OBJECTIVE: To establish evidence-based guidelines for the use of bedside cardiac ultrasound, echocardiography, in the ICU and equivalent care sites. METHODS: Grading of Recommendations, Assessment, Development and Evaluation system was used to rank the "levels" of quality of evidence into high (A), moderate (B), or low (C) and to determine the "strength" of recommendations as either strong (strength class 1) or conditional/weak (strength class 2), thus generating six "grades" of recommendations (1A-1B-1C-2A-2B-2C)...
June 2016: Critical Care Medicine
https://www.readbyqxmd.com/read/26335234/ultrasound-guided-diagnosis-of-femoral-osteomyelitis-and-abscess
#5
Geoffrey E Hayden, Jana E Upshaw, Stephanie Bailey, Daniel B Park
Skin and soft tissue infections are common disease presentations to the pediatric emergency department, and rapid and accurate identification of potentially serious skin and soft tissue infections is critical. In cases of atraumatic musculoskeletal pain with systemic complaints, a bacterial etiology must be ruled out. Point-of-care ultrasonography is increasingly common in the pediatric emergency department and assists in rapid and accurate identification of a variety of disease processes. We present a case of a 14-year-old adolescent boy with atraumatic right knee pain to illustrate the benefits of point-of-care ultrasonography in the timely diagnosis of musculoskeletal and soft tissue pathology...
September 2015: Pediatric Emergency Care
https://www.readbyqxmd.com/read/26148103/point-of-care-ultrasonography-by-pediatric-emergency-medicine-physicians
#6
REVIEW
Jennifer R Marin, Resa E Lewiss
April 2015 marks the publication of the first national guideline regarding point-of-care ultrasound by pediatric emergency medicine physicians. The joint statement by the American Academy of Pediatrics, Society for Academic Emergency Medicine, American College of Emergency Physicians, and World Interactive Network Focused on Critical Ultrasound provides a framework on which pediatric emergency physicians can develop the necessary skills to use point-of-care ultrasound effectively and responsibly.
July 2015: Pediatric Emergency Care
https://www.readbyqxmd.com/read/26056799/chronic-complications-after-femoral-central-venous-catheter-related-thrombosis-in-critically-ill-children
#7
COMPARATIVE STUDY
Jeanine J Sol, Hennie Knoester, Marjorie de Neef, Anne M J B Smets, Aukje Betlem, C Heleen van Ommen
Prescription of thromboprophylaxis is not a common practice in pediatric intensive care units. Most thrombi are catheter-related and asymptomatic, without causing acute complications. However, chronic complications of these (a)symptomatic catheter-related thrombi, that is, postthrombotic syndrome (PTS) and residual thrombosis have not been studied. To investigate these complications, critically ill children of 1 tertiary center with percutaneous inserted femoral central venous catheters (FCVCs) were prospectively followed...
August 2015: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/25828784/factor-viii-may-predict-catheter-related-thrombosis-in-critically-ill-children-a-preliminary-study
#8
MULTICENTER STUDY
Edward Vincent S Faustino, Simon Li, Cicero T Silva, Matthew G Pinto, Li Qin, Joana A Tala, Henry M Rinder, Gary M Kupfer, Eugene D Shapiro
OBJECTIVE: If we can identify critically ill children at high risk for central venous catheter-related thrombosis, then we could target them for pharmacologic thromboprophylaxis. We determined whether factor VIII activity or G value was associated with catheter-related thrombosis in critically ill children. DESIGN: Prospective cohort study. SETTING: Two tertiary academic centers. PATIENTS: We enrolled children younger than 18 years who were admitted to the PICU within 24 hours after insertion of a central venous catheter...
July 2015: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/25825532/point-of-care-ultrasonography-by-pediatric-emergency-medicine-physicians
#9
REVIEW
Jennifer R Marin, Resa E Lewiss
Emergency physicians have used point-of-care ultrasonography since the 1990 s. Pediatric emergency medicine physicians have more recently adopted this technology. Point-of-care ultrasonography is used for various scenarios, particularly the evaluation of soft tissue infections or blunt abdominal trauma and procedural guidance. To date, there are no published statements from national organizations specifically for pediatric emergency physicians describing the incorporation of point-of-care ultrasonography into their practice...
April 2015: Pediatrics
https://www.readbyqxmd.com/read/25825531/point-of-care-ultrasonography-by-pediatric-emergency-medicine-physicians
#10
(no author information available yet)
Point-of-care ultrasonography is increasingly being used to facilitate accurate and timely diagnoses and to guide procedures. It is important for pediatric emergency medicine (PEM) physicians caring for patients in the emergency department to receive adequate and continued point-of-care ultrasonography training for those indications used in their practice setting. Emergency departments should have credentialing and quality assurance programs. PEM fellowships should provide appropriate training to physician trainees...
April 2015: Pediatrics
https://www.readbyqxmd.com/read/25805037/point-of-care-ultrasonography-by-pediatric-emergency-physicians-policy-statement
#11
EDITORIAL
Jennifer R Marin, Resa E Lewiss
Point-of-care ultrasonography is increasingly being used to facilitate accurate and timely diagnoses and to guide procedures. It is important for pediatric emergency physicians caring for patients in the emergency department to receive adequate and continued point-of-care ultrasonography training for those indications used in their practice setting. Emergency departments should have credentialing and quality assurance programs. Pediatric emergency medicine fellowships should provide appropriate training to physician trainees...
April 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/24694455/lung-ultrasonography-and-pediatric-cardiac-surgery-first-experience-with-a-new-tool-for-postoperative-lung-complications
#12
Vincenzo Vitale, Zaccaria Ricci, Paola Cogo
Lung ultrasonography is a diagnostic tool increasingly used in critical care. Few data are available for the pediatric population. We describe our experience with lung ultrasonography for 5 pediatric patients with common post-cardiac surgery lung complications (pleural effusion, pneumothorax, atelectasis, pneumonia). Ultrasonography was useful also for lung recruitment. Such data were confirmed by chest radiographs or by computed tomography, or both. Lung ultrasonography can be considered as a useful, real-time, bedside tool to detect specific lung diseases, reliably implementing radiographic images and potentially decreasing the total number of radiographs in critically ill children with congenital heart diseases...
April 2014: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/24379237/prospective-evaluation-of-a-clinical-pathway-for-suspected-appendicitis
#13
Ashley Saucier, Eunice Y Huang, Chetachi A Emeremni, Jay Pershad
OBJECTIVE: To evaluate the diagnostic accuracy of a clinical pathway for suspected appendicitis combining the Samuel's pediatric appendicitis score (PAS) and selective use of ultrasonography (US) as the primary imaging modality. METHODS: Prospective, observational cohort study conducted at an urban, academic pediatric emergency department. After initial evaluation, patients were determined to be at low (PAS 1-3), intermediate (PAS 4-7), or high (PAS 8-10) risk for appendicitis...
January 2014: Pediatrics
https://www.readbyqxmd.com/read/24183172/-chest-ultrasonography-in-pediatric-critical-care-practice
#14
B Riu, J Ruiz, A Mari, S Silva
An increasingly amount of evidence suggests that lung ultrasonography constitutes a relevant complementary diagnostic tool for adults patient in acute respiratory failure. A comprehensive and standardized ultrasonographic semiology has been described, relying on accurate and reproducible data directly obtained at patient's bedside. Therefore, pleural effusion, pneumothorax, pulmonary consolidation and interstitial lung disease can be diagnosed in a critical care environment with a similar level of performance than when reference diagnosis methods such as thoracic CT-scan are employed...
December 2013: Annales Françaises D'anesthèsie et de Rèanimation
https://www.readbyqxmd.com/read/23960693/ultrasonography-assessment-of-vocal-cords-mobility-in-children-after-cardiac-surgery
#15
Ghassan A Shaath, Abdulraouf Jijeh, Ahmad Alkurdi, Sameh Ismail, Mahmoud Elbarbary, Mohamed S Kabbani
OBJECTIVES: Upper airway obstruction after pediatric cardiac surgery is not uncommon. In the cardiac surgical population, an important etiology is vocal cord paresis or paralysis following extubation. In this study, we aimed to evaluate the feasibility and accuracy of ultrasonography (US) assessment of the vocal cords mobility and compare it to fiber-optic laryngoscope (FL). MATERIAL AND METHODS: A prospective pilot study has been conducted in Pediatric Cardiac ICU (PCICU) at King Abdulaziz Cardiac Center (KACC) from the 1st of June 2009 till the end of July 2010...
July 2012: Journal of the Saudi Heart Association
https://www.readbyqxmd.com/read/23392365/minimizing-complications-associated-with-percutaneous-central-venous-catheter-placement-in-children-recent-advances
#16
REVIEW
John M Costello, Timothy C Clapper, David Wypij
OBJECTIVES: To summarize existing knowledge regarding the prevalence of complications associated with temporary percutaneous central venous catheters placed in critically ill children, and to review evolving strategies to minimize the prevalence of these complications. DATA SOURCES: Literature review was performed: PubMed and EBSCOhost were searched using the terms central venous catheter, children, ultrasound, infection, thrombosis, and thromboembolism in various combinations...
March 2013: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/22883418/incidence-and-acute-complications-of-asymptomatic-central-venous-catheter-related-deep-venous-thrombosis-in-critically-ill-children
#17
MULTICENTER STUDY
Edward Vincent S Faustino, Philip C Spinella, Simon Li, Matthew G Pinto, Petronella Stoltz, Joana Tala, Mary Elizabeth Card, Veronika Northrup, Kenneth E Baker, T Rob Goodman, Lei Chen, Cicero T Silva
OBJECTIVE: To determined the current incidence and acute complications of asymptomatic central venous catheter (CVC)-related deep venous thrombosis (DVT) in critically ill children. STUDY DESIGN: We performed a prospective cohort study in 3 pediatric intensive care units. A total of 101 children with newly inserted untunneled CVC were included. CVC-related DVT was diagnosed using compression ultrasonography with color Doppler. RESULTS: Asymptomatic CVC-related DVT was diagnosed in 16 (15...
February 2013: Journal of Pediatrics
https://www.readbyqxmd.com/read/22791091/ultrasound-guided-femoral-vein-catheterization-in-neonates-with-cardiac-disease
#18
COMPARATIVE STUDY
Jeffrey A Alten, Santiago Borasino, William Q Gurley, Mark A Law, Rune Toms, Robert J Dabal
OBJECTIVE: To describe a novel technique for real-time, ultrasound-guided femoral vein catheterization in neonates with cardiac disease, and to compare it to a contemporaneous cohort of neonates undergoing femoral vein central venous line placement via landmark technique. DESIGN: Retrospective cohort study of data extracted from a quality improvement database. SETTING: Pediatric cardiac intensive care unit and cardiovascular operating room in pediatric tertiary hospital...
November 2012: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/22240508/correlation-of-internal-jugular-vein-common-carotid-artery-ratio-to-central-venous-pressure-a-pilot-study-in-pediatric-burn-patients
#19
COMPARATIVE STUDY
J Kevin Bailey, John McCall, Suzanne Smith, Richard J Kagan
The purpose of this pilot study was to identify the relationship between the ratio of the diameter/cross-sectional area of the internal jugular vein (IJV) and carotid artery and the central venous pressure (CVP). After obtaining approval from our Institutional Review Board, ultrasound images were repeatedly obtained from participants on consecutive days when a thoracic central line was in place. The CVP was then measured in standardized fashion, using our bedside monitors. A blinded observer measured the diameter of the common carotid artery and IJV, for comparison...
January 2012: Journal of Burn Care & Research: Official Publication of the American Burn Association
https://www.readbyqxmd.com/read/22169046/the-role-of-echocardiography-in-the-management-of-patients-supported-by-extracorporeal-membrane-oxygenation
#20
David Gerard Platts, John Francis Sedgwick, Darryl John Burstow, Daniel Vincent Mullany, John Francis Fraser
Extracorporeal life support can be viewed as a spectrum of modalities based on modifications of a cardiopulmonary bypass circuit to provide cardiac and respiratory support, which can be used for extended periods, from hours to several weeks. Extracorporeal membrane oxygenation (ECMO) is among the most frequently used forms of extracorporeal life support. It can be configured for venovenous blood flow, to provide adequate oxygenation and carbon dioxide removal in isolated refractory respiratory failure, or in a venoarterial configuration, when support is required for cardiac and/or respiratory failure...
February 2012: Journal of the American Society of Echocardiography
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