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https://read.qxmd.com/read/34996627/do-i-really-need-this-transthoracic-echo-an-over-utilized-test-in-trauma-and-surgical-intensive-care-units
#1
JOURNAL ARTICLE
Jared Gallaher, Lucas Stone, Grant Marquart, Christopher Freeman, David Zonies
INTRODUCTION: Clinical use of transthoracic echocardiogram (TTE) in intensive care units (ICU) has dramatically increased without clear guidance on validated assessment indications, appropriateness, and patient value. METHODS: A retrospective analysis of consecutive TTEs performed among patients admitted to a tertiary trauma/surgical ICU over 2.5 years was performed. A bivariate analysis and Poisson regression was used to compare patients who received a TTE. Sensitivity analysis was performed to assess patient factors that predict change in management based on TTE...
May 2022: Injury
https://read.qxmd.com/read/34413281/cardiac-amyloidosis-presenting-with-pre-excitation-syndrome-heart-failure-and-severe-factor-x-deficiency-as-part-of-systemic-amyloid-light-chain-al-amyloidosis-a-fatal-combination
#2
JOURNAL ARTICLE
Hussam Almasri, Ahmed Almeer, Samah Awouda, Omnia Hamid, Sundus Sardar, Zubair Anwer, Feryal Ibrahim, Dina Soliman, Yahya Kandathil, Mohammad Abu-Tineh, Imad Alabdul Razzak, Safaa Hasan Alazawi
BACKGROUND Amyloid light-chain (AL) amyloidosis is a disease that results in systemic amyloid deposition, which may present with multi-organ dysfunction. It carries a poor prognosis at the time of diagnosis. CASE REPORT A 37-year-old patient with a history of Wolff-Parkinson-White syndrome and thyroiditis presented with syncope and hypovolemia. ECG showed non-specific T wave inversions in the lateral leads with no signs of ischemia. Laboratory investigations revealed deranged coagulation parameters with prolonged prothrombin time (PT) and activated partial thromboplastin time (aPTT) and follow-up factor assays revealed severe factor X deficiency...
August 19, 2021: American Journal of Case Reports
https://read.qxmd.com/read/31617021/the-use-of-an-external-ultrasound-fixator-probefix-on-intensive-care-patients-a-feasibility-study
#3
JOURNAL ARTICLE
M J Blans, F H Bosch, J G van der Hoeven
BACKGROUND: In critical care medicine, the use of transthoracic echo (TTE) is expanding. TTE can be used to measure dynamic parameters such as cardiac output (CO). An important asset of TTE is that it is a non-invasive technique. The Probefix is an external ultrasound holder strapped to the patient which makes it possible to measure CO using TTE in a fixed position possibly making the CO measurements more accurate compared to separate TTE CO measurements. The feasibility of the use of the Probefix to measure CO before and after a passive leg raising test (PLR) was studied...
October 11, 2019: The ultrasound journal
https://read.qxmd.com/read/30072143/evaluation-of-intensivist-basic-training-in-transthoracic-echocardiography-in-the-postoperative-period-of-heart-surgery
#4
JOURNAL ARTICLE
O Moreno, A Ochagavía, A Artigas, C Espinal, R Tomás, M D Bosque, C Fortià, F Baigorri
BACKGROUND: Transthoracic echocardiography can significantly change the management of many critical patients, and is being incorporated into many Intensive Care Units (ICU). Very few studies have examined the feasibility and impact of intensivists performing basic transthoracic echocardiography upon the management of critical patients after cardiac surgery. The present study therefore evaluates the quality of acquisition and accuracy of intensivist interpretation of basic transthoracic echocardiograms in the postoperative period of heart surgery...
December 2019: Medicina intensiva
https://read.qxmd.com/read/29910544/competence-of-intensivists-in-focused-transthoracic-echocardiography-in-intensive-care-unit-a-prospective-observational-study
#5
JOURNAL ARTICLE
Muthapillai Senthilnathan, Pankaj Kundra, Sandeep Kumar Mishra, Savitri Velayudhan, Ajith Ananthakrishna Pillai
OBJECTIVES: Focused transthoracic echocardiography (fTTE) in critical care can be used to assess patient's volume status, ventricular contractility, right ventricle chamber size, and valvular abnormalities. The objective of the study was to assess the competency of intensivists in performing fTTE in Intensive Care Unit (ICU) patients after a brief training course by cardiologist using a specific ECHO protocol. METHODS: One hundred and four patients in ICU were recruited for this prospective observational study over a period of 12 months...
May 2018: Indian Journal of Critical Care Medicine
https://read.qxmd.com/read/23271097/a-b-c-d-echo-limited-transthoracic-echocardiogram-is-a-useful-tool-to-guide-therapy-for-hypotension-in-the-trauma-bay-a-pilot-study
#6
JOURNAL ARTICLE
Paula Ferrada, Poornima Vanguri, Rahul J Anand, James Whelan, Therese Duane, Michel Aboutanos, Ajai Malhotra, Rao Ivatury
BACKGROUND: Limited transthoracic echocardiogram (LTTE) has been introduced as a technique to direct resuscitation in intensive care unit (ICU) patients. Our hypothesis is that LTTE can provide meaningful information to guide therapy for hypotension in the trauma bay. METHODS: LTTE was performed on hypotensive patients in the trauma bay. Views obtained included parasternal long and short, apical, and subxyphoid. Results were reported regarding contractility (good vs...
January 2013: Journal of Trauma and Acute Care Surgery
https://read.qxmd.com/read/22472406/qualitative-assessment-of-the-inferior-vena-cava-useful-tool-for-the-evaluation-of-fluid-status-in-critically-ill-patients
#7
JOURNAL ARTICLE
Paula Ferrada, Rahul J Anand, James Whelan, Michel A Aboutanos, Therese Duane, Ajai Malhotra, Rao Ivatury
Inferior vena cava (IVC) diameter change on limited transthoracic echocardiogram (LTTE) can provide a useful guide of fluid status evaluation in critically ill patients. Institutional review board approval was obtained. Prospective evaluation of hemodynamic status was performed in hypotensive patients via LTTE. Images were obtained using an ultrasound machine without M-mode capability. Qualitative assessment of the IVC was obtained via subxyphoid window. FLAT IVC was defined as diameter less than 2 cm and FAT IVC when the vein was equal or larger than 2 cm...
April 2012: American Surgeon
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