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pediatric focused echocardiography

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https://www.readbyqxmd.com/read/27604617/12th-winfocus-world-congress-on-ultrasound-in-emergency-and-critical-care
#1
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/27582023/clinical-predictive-value-of-cystatin-c-in-pediatric-sickle-cell-disease-a-marker-of-disease-severity-and-subclinical-cardiovascular-dysfunction
#2
Azza Abdel Gawad Tantawy, Amira Abdel Moneam Adly, Eman Abdel Rahman Ismail, Mai Abdelazeem
BACKGROUND: Patients with sickle cell disease (SCD) are at high risk of renal dysfunction and cardiovascular morbidity. The association between cystatin C and renal function is well known, however, cystatin C has recently emerged as a strong predictor of cardiovascular events and adverse outcomes in patients with and without kidney disease, mostly related to both inflammation and atherosclerosis. AIM: To determine cystatin C levels in 53 children and adolescents with SCD compared to 40 age- and sex-matched healthy controls and assess its relation to markers of hemolysis, iron overload, sickle vasculopathy, and carotid intima-media thickness (CIMT)...
August 31, 2016: Clinical and Applied Thrombosis/hemostasis
https://www.readbyqxmd.com/read/27490603/echocardiography-and-focused-cardiac-ultrasound
#3
Darren Klugman, John T Berger
OBJECTIVES: The following review will describe the use of focused cardiac ultrasound performed by noncardiologists and its role as an acute hemodynamic monitoring tool in pediatric cardiac critical care. DATA SOURCE: MEDLINE and PubMed. CONCLUSION: The use of focused cardiac ultrasound has grown tremendously over recent years, and is increasingly being performed and interpreted by intensivists, anesthesiologists, and emergency medicine physicians...
August 2016: Pediatric Critical Care Medicine
https://www.readbyqxmd.com/read/27405593/pediatric-echocardiography-by-work-relative-value-units-is-study-complexity-adequately-captured
#4
Sowmya Balasubramanian, Alaina K Kipps, Shea N Smith, Theresa A Tacy, Elif Seda Selamet Tierney
BACKGROUND: Present resource-based relative value unit (RVU) assignment for echocardiography is based on Current Procedural Terminology (CPT) codes, which do not incorporate complexity of diagnosis, time spent for image acquisition, or interpretation of echocardiograms. The objective of this study was to determine whether CPT-based RVU assignment accurately reflects physician effort in performing and interpreting pediatric echocardiographic examinations. METHODS: Cardiac complexity category (CCC) and physician time for study interpretation of 123 echocardiograms (June to September 2013) were prospectively assigned...
July 9, 2016: Journal of the American Society of Echocardiography
https://www.readbyqxmd.com/read/27235185/pilot-study-on-the-feasibility-of-limited-focused-real-time-echocardiography-during-pediatric-renal-transplantation
#5
Katherine Taylor, Armando Lorenzo, Luc Mertens, Andreea Dragulescu
Pediatric renal transplantation protocols describe supraphysiological blood pressure and CVP to optimize graft perfusion. Ideal CVP and blood pressure targets in children are uncertain and difficult to achieve and/or sustain without incurring morbidity. We correlated intra-operative ECHO with standard monitoring to assess intravascular volume at critical intra-operative stages. A feasibility pilot study of real-time limited ECHO images during four critical stages of pediatric renal transplantation (baseline; venous and arterial clamps on; clamps off; 5-10 min post-clamp release) was conducted...
September 2016: Pediatric Transplantation
https://www.readbyqxmd.com/read/27162612/transthoracic-echocardiography-in-the-evaluation-of-pediatric-pulmonary-hypertension-and-ventricular-dysfunction
#6
REVIEW
Martin Koestenberger, Mark K Friedberg, Eirik Nestaas, Ina Michel-Behnke, Georg Hansmann
Transthoracic echocardiography (TTE) is the most accessible noninvasive diagnostic procedure for the initial assessment of pediatric pulmonary hypertension (PH). This review focuses on principles and use of TTE to determine morphologic and functional parameters that are also useful for follow-up investigations in pediatric PH patients. A basic echocardiographic study of a patient with PH commonly includes the hemodynamic calculation of the systolic pulmonary artery pressure (PAP), the mean and diastolic PAP, the pulmonary artery acceleration time, and the presence of a pericardial effusion...
March 2016: Pulmonary Circulation
https://www.readbyqxmd.com/read/26885487/spectrum-of-heart-diseases-in-children-an-echocardiographic-study-of-1-666-subjects-in-a-pediatric-hospital-yaounde-cameroon
#7
David Chelo, Félicitée Nguefack, Alain P Menanga, Suzanne Ngo Um, Jean C Gody, Sandra A Tatah, Paul O Koki Ndombo
BACKGROUND: Children's health programs in Sub-Saharan Africa have always been oriented primarily to infectious diseases and malnutrition. We are witnessing in the early 21(st) century an epidemiological transition marked by the decline of old diseases and the identification of new diseases including heart disease. Therefore, it is necessary to describe the spectrum of these diseases in order to better prepare health workers to these new challenges. METHODS: We conducted a cross-sectional study focused on heart disease diagnosed by echocardiography in children seen from January 2006 to December 2014 in a pediatric hospital of Yaounde...
February 2016: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/26830341/screening-for-rheumatic-heart-disease-quality-and-agreement-of-focused-cardiac-ultrasound-by-briefly-trained-health-workers
#8
Daniel Engelman, Joseph H Kado, Bo Reményi, Samantha M Colquhoun, Jonathan R Carapetis, Nigel J Wilson, Susan Donath, Andrew C Steer
BACKGROUND: Echocardiographic screening for rheumatic heart disease (RHD) has the potential to detect subclinical cases for secondary prevention, but is constrained by inadequate human resources in most settings. Training non-expert health workers to perform focused cardiac ultrasound (FoCUS) may enable screening at a population-level. We aimed to evaluate the quality and agreement of FoCUS for valvular regurgitation by briefly trained health workers. METHODS: Seven nurses participated in an eight week training program in Fiji...
February 1, 2016: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/26672632/a-new-look-at-acquired-heart-diseases-in-a-contemporary-sub-saharan-african-pediatric-population-the-case-of-yaound%C3%A3-cameroon
#9
Clovis Nkoke, Alain Menanga, Jerome Boombhi, David Chelo, Samuel Kingue
BACKGROUND: Acquired heart diseases (AHD) in children cause significant morbidity and mortality especially in low resource settings. There is limited description of acquired childhood heart diseases in Cameroon, making it difficult to estimate its current contribution to childhood morbidity and mortality. Echocardiography is the main diagnostic modality in low resource settings and has a key role in the characterization and management of these disorders. We aimed to determine the prevalence and spectrum of AHD in children in Yaoundé-Cameroon, in an era of echocardiography...
December 2015: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/26605333/the-role-of-focused-echocardiography-in-pediatric-intensive-care-a-critical-appraisal
#10
REVIEW
Heloisa Amaral Gaspar, Samira Saady Morhy
Echocardiography is a key tool for hemodynamic assessment in Intensive Care Units (ICU). Focused echocardiography performed by nonspecialist physicians has a limited scope, and the most relevant parameters assessed by focused echocardiography in Pediatric ICU are left ventricular systolic function, fluid responsiveness, cardiac tamponade and pulmonary hypertension. Proper ability building of pediatric emergency care physicians and intensivists to perform focused echocardiography is feasible and provides improved care of severely ill children and thus should be encouraged...
2015: BioMed Research International
https://www.readbyqxmd.com/read/26443044/using-improvement-methodology-to-optimize-echocardiographic-imaging-of-coronary-arteries-in-children
#11
Christopher Statile, Angela Statile, James Brown, Samuel Hanke, Michael Taylor, Erik Michelfelder
BACKGROUND: According to the American Society of Echocardiography, coronary artery (CA) imaging is recommended in pediatric examinations to identify CA anomalies. A review of the authors' center's echocardiographic studies revealed that CA images were often nondiagnostic. The aim of this study was to utilize quality improvement methodology to increase the percentage of first-time pediatric studies with definitive CA identification from a baseline of 45% to a goal of at least 75% in 9 months...
March 2016: Journal of the American Society of Echocardiography
https://www.readbyqxmd.com/read/26085762/teaching-focused-echocardiography-for-rheumatic-heart-disease-screening
#12
Daniel Engelman, Joseph H Kado, Bo Reményi, Samantha M Colquhoun, Caroline Watson, Sera C Rayasidamu, Andrew C Steer
Screening for rheumatic heart disease (RHD) requires workers skilled in echocardiography, which typically involves prolonged, specialized training. Task shifting echocardiographic screening to nonexpert health workers may be a solution in settings with limited human resources. An 8-week training program was designed to train health workers without any prior experience in focused echocardiography for RHD screening. Seven health workers participated. At the completion of training, the health workers performed unsupervised echocardiography on 16 volunteer children with known RHD status...
May 2015: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/26059008/assessment-of-myocardial-function-in-children-before-and-after-autologous-peripheral-blood-stem-cell-transplantation
#13
Hala ElMarsafawy, Mohamed Matter, Mohamed Sarhan, Rasha El-Ashry, Youssef Al-Tonbary
BACKGROUND: Increased interest is focused on the long-term adverse effects of bone marrow transplantation. Subclinical cardiac involvement appears common in adults, but only a few reports have examined pediatric patients. MATERIALS AND METHODS: A prospective case-control study of 19 children with normal cardiac function undergoing autologous hematopoietic stem cell transplantation (HSCT) was performed. Tissue Doppler imaging (TDI) and echocardiographic measurements were obtained according to the guidelines of the American Society of Echocardiography before and 3 months after HSCT...
January 2016: Echocardiography
https://www.readbyqxmd.com/read/25753503/right-ventricular-function-in-preterm-and-term-neonates-reference-values-for-right-ventricle-areas-and-fractional-area-of-change
#14
Philip T Levy, Brittney Dioneda, Mark R Holland, Timothy J Sekarski, Caroline K Lee, Amit Mathur, W Todd Cade, Alison G Cahill, Aaron Hamvas, Gautam K Singh
BACKGROUND: Right ventricular (RV) fractional area of change (FAC) is a quantitative two-dimensional echocardiographic measurement of RV function. RV FAC expresses the percentage change in the RV chamber area between end-diastole (RV end-diastolic area [RVEDA]) to end-systole (RV end-systolic area [RVESA]). The objectives of this study were to determine the maturational (age- and weight-related) changes in RV FAC and RV areas and to establish reference values in healthy preterm and term neonates...
May 2015: Journal of the American Society of Echocardiography
https://www.readbyqxmd.com/read/25644234/pretransplant-corrected-qt-dispersion-as-a-predictor-of-pericardial-effusion-after-pediatric-hematopoietic-stem-cell-transplantation
#15
Ryu Yanagisawa, Eizaburo Ishii, Noriko Motoki, Shoko Yamazaki, Daisuke Morita, Kazuo Sakashita, Masaaki Shiohara, Miyuki Tanaka, Yoshihiko Hidaka, Noriko Kubota, Eiko Hidaka, Yoshifumi Ogiso, Tomohiko Nakamura, Satoshi Yasukochi
Pericardial effusion is a potentially fatal complication following hematopoietic stem cell transplantation (HSCT). Therefore, the identification of risk factors could improve the outcome. Prolonged QT dispersion (QTD) and corrected QTD (QTcD) are associated with serious arrhythmias and sudden death in many forms of heart disease. However, no study has evaluated the efficacy of QTD and QTcD to predict pericardial effusion post-HSCT. We studied 89 pediatric HSCT patients to identify preoperative risk factors for pericardial effusion with particular focus on QTD and QTcD...
May 2015: Transplant International: Official Journal of the European Society for Organ Transplantation
https://www.readbyqxmd.com/read/25308548/current-concept-of-transcatheter-closure-of-atrial-septal-defect-in-adults
#16
REVIEW
Teiji Akagi
After the introduction of catheter intervention for atrial septal defect (ASD) in the pediatric population, therapeutic advantages of this less invasive procedure were focused on adult through geriatric populations. The most valuable clinical benefits of this procedure are the significant improvement of symptoms and daily activities, which result from the closure of left to right shunt without thoracotomy and cardiopulmonary bypass surgery. These benefits contribute to increase the number of adult patients of this condition who have hesitated over surgical closure...
January 2015: Journal of Cardiology
https://www.readbyqxmd.com/read/24951446/international-evidence-based-recommendations-for-focused-cardiac-ultrasound
#17
REVIEW
Gabriele Via, Arif Hussain, Mike Wells, Robert Reardon, Mahmoud ElBarbary, Vicki E Noble, James W Tsung, Aleksandar N Neskovic, Susanna Price, Achikam Oren-Grinberg, Andrew Liteplo, Ricardo Cordioli, Nitha Naqvi, Philippe Rola, Jan Poelaert, Tatjana Golob Guliĉ, Erik Sloth, Arthur Labovitz, Bruce Kimura, Raoul Breitkreutz, Navroz Masani, Justin Bowra, Daniel Talmor, Fabio Guarracino, Adrian Goudie, Wang Xiaoting, Rajesh Chawla, Maurizio Galderisi, Micheal Blaivas, Tomislav Petrovic, Enrico Storti, Luca Neri, Lawrence Melniker
BACKGROUND: Focused cardiac ultrasound (FoCUS) is a simplified, clinician-performed application of echocardiography that is rapidly expanding in use, especially in emergency and critical care medicine. Performed by appropriately trained clinicians, typically not cardiologists, FoCUS ascertains the essential information needed in critical scenarios for time-sensitive clinical decision making. A need exists for quality evidence-based review and clinical recommendations on its use. METHODS: The World Interactive Network Focused on Critical UltraSound conducted an international, multispecialty, evidence-based, methodologically rigorous consensus process on FoCUS...
July 2014: Journal of the American Society of Echocardiography
https://www.readbyqxmd.com/read/24502581/focused-cardiac-ultrasound-a-training-course-for-pediatric-intensivists-and-emergency-physicians
#18
Heloisa A Gaspar, Samira S Morhy, Alessandro C Lianza, Werther B de Carvalho, Jose L Andrade, Rogério R do Prado, Cláudio Schvartsman, Artur F Delgado
BACKGROUND: Focused echocardiographic examinations performed by intensivists and emergency room physicians can be a valuable tool for diagnosing and managing the hemodynamic status of critically ill children. The aim of this study was to evaluate the learning curve achieved using a theoretical and practical training program designed to enable pediatric intensivists and emergency physicians to conduct targeted echocardiograms. METHODS: Theoretical and practical training sessions were conducted with 16 pediatric intensivist/emergency room physicians...
February 5, 2014: BMC Medical Education
https://www.readbyqxmd.com/read/24267460/sports-participation-during-teenage-years
#19
James M Galas
Ensuring the safety of young athletes is a priority among health care providers. Controversy remains as to the best method of preparticipation screening. The American Academy of Pediatrics and the American Heart Association currently recommend screening with history and physical examination, without routine electrocardiogram or echocardiography. Meticulous conduction of a cardiac focused history and exam during the preparticipation evaluation can help identify those who may be at risk for sudden cardiac arrest...
February 2014: Pediatric Clinics of North America
https://www.readbyqxmd.com/read/23990140/dual-source-computed-tomography-in-patients-with-congenital-heart-disease
#20
Susanne Ihlenburg, Oliver Rompel, Andre Rueffer, Ariawan Purbojo, Robert Cesnjevar, Sven Dittrich, Martin Gloeckler
OBJECTIVES: The objective of this study was to review our early experience with the dual source computed tomography (DSCT), a recently available scanner technique equipped with two X-ray tubes and two detectors, in the context of congenital cardiac malformations. PATIENTS AND METHODS: We reviewed 40 pediatric patients with congenital heart disease (CHD) who underwent DSCT between September 2009 and December 2011 as diagnostic imaging tool for surgical procedures...
April 2014: Thoracic and Cardiovascular Surgeon
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