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https://www.readbyqxmd.com/read/27895879/evaluation-of-stress-scores-throughout-radiological-biopsies
#1
Ozlem Turkoglu, Hasan Huseyin Mutlu
BACKGROUND: Ultrasound-guided biopsy procedures are the most prominent methods that increase the trauma, stress and anxiety experienced by the patients. OBJECTIVES: Our goal was to examine the level of stress in patients waiting for radiologic biopsy procedures and determine the stress and anxiety level arising from waiting for a biopsy procedure. PATIENTS AND METHODS: This prospective study included 35 female and 65 male patients who were admitted to the interventional radiology department of Kartal Dr...
October 2016: Iranian Journal of Radiology: a Quarterly Journal Published By the Iranian Radiological Society
https://www.readbyqxmd.com/read/27871093/effect-of-abdominal-loading-location-on-liver-motion-experimental-assessment-using-ultrafast-ultrasound-imaging-and-simulation-with-a-human-body-model
#2
Anicet Le Ruyet, Fabien Berthet, Frédéric Rongiéras, Philippe Beillas
A protocol based on ultrafast ultrasound imaging was applied to study the in situ motion of the liver while the abdomen was subjected to compressive loading at 3 m/s by a hemispherical impactor or a seatbelt. The loading was applied to various locations between the lower abdomen and the mid thorax while feature points inside the liver were followed on the ultrasound movie (2000 frames per second). Based on tests performed on five post mortem human surrogates (including four tested in the current study), trends were found between the loading location and feature point trajectory parameters such as the initial angle of motion or the peak displacement in the direction of impact...
November 2016: Stapp Car Crash Journal
https://www.readbyqxmd.com/read/27834001/thorax-to-head-ratio-and-defect-diameter-to-head-ratio-in-giant-omphaloceles-as-predictor-for-fetal-outcome
#3
Nina Diemon, Katrin Funke, Mareike Möllers, Kerstin Hammer, Johannes Steinhard, Cristina Sauerland, Volker Müller, Walter Klockenbusch, Ralf Schmitz
PURPOSE: To investigate the relationship between the thorax diameter and defect diameter of giant omphaloceles as a predictor for fetal outcome. METHODS: In a retrospective study, 17 fetuses with isolated giant omphaloceles were included for evaluation. The anterior-posterior thorax diameter and the defect diameter were measured from ultrasound images. For analysis, the thorax-to-head ratio (T/HC), the defect diameter-to-head ratio (DD/HC), and the quotient of the defect diameter and the thorax diameter (DD/T) were calculated...
November 11, 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27827289/-a-man-with-dyspnoea-after-falling-from-a-roof
#4
J G Veldhuis, L J Geut
We describe a 63-year-old male presented to the emergency room after a blunt thoracic injury. His breathing was painful. The supine X-ray of the thorax did not show signs of a pneumothorax. However, using point-of-care ultrasound we were able to confirm this diagnosis.
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27813098/four-cases-of-pulmonary-thromboembolism-diagnosed-by-endobronchial-ultrasound
#5
Onur Fevzi Erer, Pinar Cimen, Mehmet Unlu, Nuran Katgi
Endobronchial ultrasound (EBUS) is a technique for the detection of mediastinal abnormalities. A total of 548 EBUS procedures were performed for various indications, and in four cases (0.7%), filling defects in central pulmonary arteries were demonstrated fortuitously during the procedure. Subsequently, all patients underwent contrast-enhanced CT of the thorax to confirm the diagnosis of pulmonary thromboembolism (PTE). In three of the four cases, there was a concomitant lung cancer. PTE can be incidentally detected during EBUS; therefore, pulmonary arteries should be examined carefully during EBUS in all patients, particularly in patients with suspected or proven malignancy...
November 3, 2016: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/27749664/emergency-point-of-care-ultrasound-diagnosis-of-diaphragmatic-hernia-in-the-pediatric-emergency-department
#6
Marie Pier Desjardins, Kirstin D Weerdenburg, Jason W Fischer
We present a case series of 2 patients who presented to a pediatric emergency department with history and symptoms suggestive of diaphragmatic hernia. Point-of-care ultrasound was used at the bedside to demonstrate the presence of bowel in the thorax and accurately guided the care of these children.
October 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27705969/non-invasive-haemodynamic-monitoring-in-pregnancy-a-comparative-study-using-ultrasound-and-bioreactance
#7
Dimuthu Vinayagam, Sophie Bowe, Elaine Sheehan, Basky Thilaganathan, Asma Khalil
BACKGROUND: Due to the importance of cardiovascular dysfunction and advances in the development and use of non-invasive cardiac output (CO) monitoring devices, there is a growing interest in their use in the obstetric population. The aim of this study was to compare two commercially available, non-invasive CO monitors in the assessment of heart rate (HR), stroke volume (SV), CO, cardiac index (CI) and total peripheral resistance (TPR) in an obstetric population. METHODS: This was a prospective, comparative study including two groups...
October 6, 2016: Fetal Diagnosis and Therapy
https://www.readbyqxmd.com/read/27648294/phase-ii-study-of-neo-adjuvant-chemotherapy-for-locally-advanced-gastric-cancer
#8
Alex Yuang-Chi Chang, Kian Fong Foo, Wen-Hsin Koo, Simon Ong, Jimmy So, Daniel Tan, Khong Hee Lim
BACKGROUND: Neoadjuvant chemotherapy improves survival of locally advanced gastric cancer patients. However, benefit is limited and the best regimen remains controversial. OBJECTIVES: Our primary objective of this prospective, multicenter phase 2 study was to evaluate the pathological complete response rate (PCR) with 2 cycles of docetaxel and capecitabine. METHODS: To be eligible, patients had to have histologically documented gastric cancer, a ECOG performance status 0 or 1, T3or4 Nany M0 staging after oesophagogastroduodenoscopy (OGD), endoscopic ultrasound (EUS), CT scan of thorax and abdomen, and negative laparoscopic examination and peritoneal washing...
2016: BMJ Open Gastroenterology
https://www.readbyqxmd.com/read/27575451/an-unusual-chest-x-ray-showing-part-of-a-drain-tube-still-in-the-thorax-after-its-removal-and-some-suggestive-ultrasound-findings
#9
Daniele G Biasucci, Alessandro Pizza, Andrea Scapigliati, Francesca Bevilacqua, Bruno ROMANò, Maria E Antoniucci, Michele Corrado, Sergio Guarneri, Roberto Zamparelli
No abstract text is available yet for this article.
August 30, 2016: Minerva Anestesiologica
https://www.readbyqxmd.com/read/27556194/sonographic-findings-of-hydropneumothorax
#10
Joel Anthony Nations, Patrick Smith, Scott Parrish, Robert Browning
Ultrasound is increasingly being used in examination of the thorax. The sonographic features of normal aerated lung, abnormal lung, pneumothorax, and intrapleural fluid have been published. The sonographic features of uncommon intrathoracic syndromes are less known. Hydropneumothorax is an uncommon process in which the thoracic cavity contains both intrapleural air and water. Few published examples of the sonographic findings in hydropneumothorax exist. We present 3 illustrative cases of the sonographic features of hydropneumothorax with comparative imaging and a literature review of the topic...
September 2016: Ultrasound Quarterly
https://www.readbyqxmd.com/read/27555164/locating-the-optimal-internal-jugular-target-site-for-central-venous-line-placement
#11
Chris R Giordano, Kevin R Murtagh, Jaime Mills, Lori A Deitte, Mark J Rice, Patrick J Tighe
STUDY OBJECTIVE: Historically, the placement of internal jugular central venous lines has been accomplished by using external landmarks to help identify target-rich locations in order to steer clear of dangerous structures. This paradigm is largely being displaced, as ultrasound has become routine practice, raising new considerations regarding target locations and risk mitigation. Most human anatomy texts depict the internal jugular vein as a straight columnar structure that exits the cranial vault the same size that it enters the thoracic cavity...
September 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27473720/transesophageal-lung-ultrasonography-a-novel-technique-for-investigating-hypoxemia
#12
Yiorgos Alexandros Cavayas, Martin Girard, Georges Desjardins, André Y Denault
BACKGROUND: Acute deterioration in respiratory status commonly occurs in patients who cannot be transported for imaging studies, particularly during surgical procedures and in critical care settings. Transthoracic lung ultrasonography has been developed to allow rapid diagnosis of respiratory conditions at the bedside. Nevertheless, the thorax is not always accessible, especially in the perioperative setting. Transesophageal lung ultrasonography (TELU) can be used to circumvent this problem...
November 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/27428394/comparison-of-four-views-to-single-view-ultrasound-protocols-to-identify-clinically-significant-pneumothorax
#13
Gregg Helland, Romolo Gaspari, Samuel Licciardo, Alexandra Sanseverino, Ulises Torres, Timothy Emhoff, David Blehar
OBJECTIVE: Ultrasound (US) has been shown to be effective at identifying a pneumothorax (PTX); however, the additional value of adding multiple views has not been studied. Single- and four-view protocols have both been described in the literature. The objective of this study was to compare the diagnostic accuracy of single-view versus four-view lung US to detect clinically significant PTX in trauma patients. METHODS: This was a randomized, prospective trial on trauma patients...
July 18, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27313703/recurrent-renal-cell-carcinoma-manifesting-as-a-large-intrathoracic-fibrotic-mass-a-case-report
#14
Ji Hyun Kim, Jae Hoon Jeong, Sung-Hyun Park, Jin Seon Jeong, Young-Joon Ryu, Seo-Young Song
Renal cell carcinomas (RCCs) have a strong tendency to metastasize, and the most common sites are the lungs, bones and liver. Late recurrence is another feature of the RCC, with lesions appearing ≥10 years after surgical treatment. However, fibrosis has rarely been associated with the disease. The present study reports a case of recurrent RCC that manifested as a fibrotic mass within the thorax. A 48-year-old man presented with dyspnea that had persisted for 3 days. The patient had undergone a right radical nephrectomy for stage II clear cell carcinoma of the kidney 6 years previously...
June 2016: Oncology Letters
https://www.readbyqxmd.com/read/27218215/approach-to-the-diagnosis-of-skeletal-dysplasias-experience-at-a-center-with-limited-resources
#15
Manisha Kumar, Seema Thakur, Arunima Haldar, Rama Anand
PURPOSE: A fetus with skeletal disorder poses diagnostic challenges in a resource-poor setting with limited management options. The objective of the study was to develop a step-by-step approach for the diagnosis of skeletal dysplasia in light of the limited resources available. METHODS: An algorithmic approach was used. The assessment for lethality was the first step, followed by the evaluation for fractures. In cases without evidence of fracture, severe constriction of thorax or associated polydactyly were searched for...
May 24, 2016: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/27218200/pneumothorax-following-shoulder-arthroscopy-under-combined-regional-and-general-anaesthesia-a-case-report
#16
Oskar Leander-Olsson, Anna Borglund-Hemph, Jan G Jakobsson
INTRODUCTION: Pneumothorax is a most rare intraoperative event but jeopardise safety. Risk factors for its occurrence should be acknowledged and it should be considered in cases of unexpected deterioration of oxygenation that not respond to standard management to improve oxygenation. PRESENTATION OF CASE: We describe a patient with mild obesity and recent shoulder trauma scheduled for elective arthroscopy under combined interscalene block and general anaesthesia in the beach chair position...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27208195/improving-the-prediction-of-neonatal-outcomes-in-isolated-left-sided-congenital-diaphragmatic-hernia-by-direct-and-indirect-sonographic-assessment-of-liver-herniation
#17
Nicolas Sananes, Ingrid Britto, Adesola C Akinkuotu, Oluyinka O Olutoye, Darrell L Cass, Haleh Sangi-Haghpeykar, Timothy C Lee, Christopher I Cassady, Amy Mehollin-Ray, Stephen Welty, Caraciolo Fernandes, Michael A Belfort, Wesley Lee, Rodrigo Ruano
OBJECTIVES: Liver herniation can be assessed sonographically by either a direct (liver-to-thoracic area ratio) or an indirect (stomach position) method. Our objective was to evaluate the utility of those methods to assess liver herniation for the prediction of neonatal outcomes in patients with isolated left-sided congenital diaphragmatic hernia (CDH). METHODS: We conducted a retrospective cohort study of all patients with CDH who had prenatal assessment and were delivered at Texas Children's Hospital between January 2004 and April 2014...
July 2016: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/27172108/-significance-of-secondary-mucosal-primaries-in-patients-with-a-cervical-cup-syndrome
#18
A M Franzen, A Lieder, A Buchali
BACKGROUND: We discuss the significance of an occult primary in the prognosis of cervical carcinoma with unknown primary (CUP) after completion of diagnostic and treatment. PATIENTS/METHODS: A series of 36 patients diagnosed between 2001 and 2009 underwent staging including panendoscopy, mapping and tonsillectomy, ultrasound and CT/MRI of the neck, thorax and abdomen. The patients recieved neck surgery followed by adjuvant radio-(chemo-)therapy of cervical fields as well as limited mucosal irradiation (IMRT, GHD 50 Gy)...
July 2016: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/27159073/a-comparison-of-web-based-with-traditional-classroom-based-training-of-lung-ultrasound-for-the-exclusion-of-pneumothorax
#19
Thomas Edrich, Matthias Stopfkuchen-Evans, Patrick Scheiermann, Markus Heim, Wilma Chan, Michael B Stone, Daniel Dankl, Jonathan Aichner, Dominik Hinzmann, Pingping Song, Ashley L Szabo, Gyorgy Frendl, Kamen Vlassakov, Dirk Varelmann
BACKGROUND: Lung ultrasound (LUS) is a well-established method that can exclude pneumothorax by demonstration of pleural sliding and the associated ultrasound artifacts. The positive diagnosis of pneumothorax is more difficult to obtain and relies on detection of the edge of a pneumothorax, called the "lung point." Yet, anesthesiologists are not widely taught these techniques, even though their patients are susceptible to pneumothorax either through trauma or as a result of central line placement or regional anesthesia techniques performed near the thorax...
July 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27143078/-clinical-analysis-of-two-cases-with-diffuse-pulmonary-lymphatic-disease
#20
J R Liu, W B Shen, Z Wen, R An, C J Zhou, S Y Zhao
OBJECTIVE: To analyze the clinical characteristics and diagnosis of 2 cases with diffuse pulmonary lymphatic disease. METHOD: Clinical manifestations of the children were retrospectively analyzed. Two patients were both from Beijing Children Hospital in 2013 and 2014.Diffuse pulmonary lymphatic disease was diagnosed by pathology of pleura in case 1 and by lymphoscintigraphy in case 2. RESULT: The first patient was a male aged 10-year-5-month who presented with a history of pleural effusion for 2 years...
May 2016: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
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