keyword
https://read.qxmd.com/read/38506793/percutaneous-interventional-thrombectomy-of-an-endovascular-av-fistula-a-case-report
#1
JOURNAL ARTICLE
Martin Brzoska, Tung Pham Son, Christian Dorbath, Roland Veith, Gunnar Henrik Heine
Dialysis access thrombosis is a common complication in the process of care. With the introduction of endovascular AV-fistulas [AVF]s the situation gained complexity with new potential thrombosis localizations. Several thrombectomy methods are available for recanalization of thrombosed AVFs ranging from invasive surgical methods to minimal invasive endovascular approaches. Early assessment, diagnosis and treatment is crucial for prolonging the life span of an AVF and preventing the need for placement of central venous catheters...
March 20, 2024: Journal of Vascular Access
https://read.qxmd.com/read/38498670/point-of-care-ultrasound-aids-in-the-management-of-patient-taking-semaglutide-before-surgery-a-case-report
#2
JOURNAL ARTICLE
John A Hodgson, Heine Rivera-Rodriguez, Peter Wu, Jaison Udani, Jeffrey Weiss
Semaglutide, a glucagon-like peptide-1 (GLP-1) analog, has various effects on the gastrointestinal tract. In patients undergoing anesthesia delayed gastric emptying time can have sequelae if not identified preoperatively. Modalities include thorough history regarding the last dose administration of a GLP-1 analog and ultrasound of gastric contents before induction of anesthesia. We present a case in which gastric ultrasound identified a patient at increased risk for aspiration on induction and allowed for appropriate alterations in the anesthetic plan...
March 1, 2024: A&A Practice
https://read.qxmd.com/read/38425660/optic-nerve-sheath-diameter-and-its-association-with-brain-swelling-in-pediatric-cerebral-malaria-a-retrospective-study
#3
JOURNAL ARTICLE
Madiha Q Raees, Montfort Benard Gushu, Terrie E Taylor, Karl B Seydel, Hunter J Wynkoop, Nicole F O'Brien
INTRODUCTION: Mortality in pediatric cerebral malaria (CM) in low- and middle-income countries (LMICs) is associated with brain swelling on magnetic resonance imaging (MRI); however, MRI is unavailable in most LMICs. Optic nerve sheath diameter (ONSD) measurement is an inexpensive method of detecting increased intracranial pressure compared with the invasive opening pressure (OP). Our primary objective was to determine if increased ONSD correlated with brain swelling on MRI in pediatric CM...
2024: Frontiers in Pediatrics
https://read.qxmd.com/read/38413943/comparison-of-in-person-versus-virtual-ultrasound-instruction-for-pediatric-residents
#4
JOURNAL ARTICLE
Jason T Gillon, E Liang Liu, Valerie Dutreuil, Stephanie G Cohen, Lekha A Shah
PURPOSE: Point-of-care ultrasound (POCUS) instruction is prevalent in medical schools but not in pediatric residency programs, even though the majority of pediatric residents desire POCUS instruction. Virtual ultrasound instruction with affordable handheld ultrasound devices may help remedy this deficiency by allowing qualified instructors to circumvent geographic and financial limitations to reach this population. This study sought to determine if virtual ultrasound instruction is an effective alternative to traditional in-person instruction in a cohort of pediatric residents for the extended Focused Assessment with Sonography in Trauma (eFAST) exam...
February 27, 2024: BMC Medical Education
https://read.qxmd.com/read/38413191/diagnostic-utility-of-point-of-care-ultrasound-and-optical-coherence-tomography-for-papilloedema-in-children-a-prospective-pilot-study
#5
JOURNAL ARTICLE
Hannah H Chiu, Nouf Al-Farsi, Agnes M F Wong, Adrienne Davis, Mark O Tessaro, Michael J Wan
BACKGROUND/AIMS: Papilloedema is an important sign of serious neurological disease, but it can be difficult to detect on funduscopy. The purpose of this study was to determine the diagnostic accuracy of point-of-care ultrasound (POCUS) and optical coherence tomography (OCT) for detecting papilloedema in children. METHODS: This was a prospective observational study at a tertiary care paediatric hospital. Patients were eligible for the study if they underwent a lumbar puncture with opening pressure and had high-quality POCUS and OCT imaging...
February 27, 2024: British Journal of Ophthalmology
https://read.qxmd.com/read/38412982/-venous-thromboembolism-was-is-new-in-the-revised-awmf-guideline
#6
JOURNAL ARTICLE
Birgit Linnemann, Katja Sibylle Mühlberg, Robert Klamroth
For the diagnosis of a lower-extremity deep vein thrombosis (LEDVT), venous duplex ultrasound is the method of first choice. If a qualified ultrasonography is not timely available, D-dimer testing, and limited ultrasound protocols (point-of-care ultrasound, POCUS) can contribute to therapeutic decision-making when clinical probability is low. A DOAC-based treatment regimen is preferable to a vitamin K antagonist for both acute therapy and secondary prophylaxis of venous thromboembolism (VTE). Treatment with DOACs is unproblematic up to a body weight (BW) of 120 kg or a body mass index (BMI) of 40 kg/m²...
March 2024: Deutsche Medizinische Wochenschrift
https://read.qxmd.com/read/38409086/impact-of-emergency-physician-performed-ultrasound-in-the-evaluation-of-adult-patients-with-acute-abdominal-pain-a-prospective-randomized-bicentric-trial
#7
RANDOMIZED CONTROLLED TRIAL
François Brau, Mathilde Papin, Eric Batard, Emeric Abet, Eric Frampas, Aurélie Le Thuaut, Emmanuel Montassier, Quentin Le Bastard, Philippe Le Conte
BACKGROUND: Abdominal pain is common in patients visiting the emergency department (ED). The aim of this study was to assess the diagnostic contribution of point-of-care ultrasound (POCUS) in patients presenting to the ED with acute abdominal pain. METHODS: We designed an interventional randomized, controlled, open label, parallel-group, trial in two French EDs. We included adult patients presenting to the ED with acute abdominal pain. Exclusion criteria were a documented end-of-life, an immediate need of life-support therapy and pregnant or breast-feeding women...
February 26, 2024: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/38392649/mechanical-thrombectomy-via-transbrachial-approach-in-the-emergency-management-of-acute-ischemic-stroke-patients-with-aortic-pathologies-our-experience-and-literature-review
#8
REVIEW
Aida Iancu, Raluca Tudor, Dana Simona Chita, Catalin Juratu, Anca Tudor, Florina Buleu, Daian Popa, Silviu Brad
STUDY DESIGN: Mechanical thrombectomy (MT) via the transbrachial approach (TBA) is a very rare option used in cases of patients with aortic pathologies and acute ischemic stroke (AIS) due to the insufficient evidence in the literature, the difficulty from a technical point of view and the result of this technique influenced by the complications that frequently accompany it. BACKGROUND: Only a few cases of patients with aortic pathologies and acute ischemic stroke where MT via TBA were reported in the literature, and its application in the emergency management of AIS has still not been dealt with in detail...
February 18, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38383828/the-usefulness-of-point-of-care-ultrasound-in-dehydrated-patients-in-a-pediatric-emergency-department
#9
JOURNAL ARTICLE
Tommaso Bellini, Benedetta Chianucci, Matteo D'Alessandro, Margherita Ricci, Maria Grazia Calevo, Silvia Misley, Emanuela Piccotti, Andrea Moscatelli
BACKGROUNDS: Dehydration is among the most common causes of Pediatric Emergency Department admission; however, no clinical signs, symptoms, or biomarkers have demonstrated sufficient sensitivity, specificity, or reliability to predict dehydration. METHODS: We conducted a prospective, monocentric, observational study at Giannina Gaslini Hospital, a tertiary care pediatric hospital. Our study aimed to compare inferior vena cava ultrasound measurement with volume depletion biomarkers to understand if point-of-care ultrasound could help grade, evaluate, and better manage dehydration in children presenting to the pediatric emergency department...
February 21, 2024: The ultrasound journal
https://read.qxmd.com/read/38372264/in-situ-clinical-education-of-frontline-healthcare-providers-in-under-resourced-areas-a-rapid-review
#10
REVIEW
Michael Seabrooke, Adrienne Seabrooke
Rural communities are geographically isolated from large urban areas, affecting access to definitive care, specialists and other health services that only service urban areas. Rural decision-makers are often faced with numerous challenges regarding the availability, capacity, sustainability and performance of health systems in rural and remote areas. We evaluated the current body of literature on educational initiatives being used in under-resourced areas to increase the knowledge or skills of healthcare workers...
January 1, 2024: Canadian Journal of Rural Medicine
https://read.qxmd.com/read/38365514/routine-kidney-graft-ultrasound-after-elective-ureteric-stent-removal-does-it-help
#11
JOURNAL ARTICLE
R Haridian Sosa Barrios, Víctor Burguera Vion, Daniel Villa Hurtado, Elizabeth R Viera Ramírez, Cristina Galeano Álvarez, Miriam Roncal Redín, Milagros Fernández Lucas, Maite E Rivera Gorrín
Transplantation (KTx) is considered to be the best renal replacement therapy, and improving its outcomes remains a primary challenge. KTx ureteral stenting has been used to prevent urological complications, but there is no consensus on the timing of stent removal, and literature regarding routine ultrasonography after ureteric stent removal (RUSUS) to detect complications is lacking. Point-of-care ultrasound has been gaining drive in the medical community in recent years, including nephrologists. We aimed to define the incidence of urological complications diagnosed with RUSUS, if those findings changed patient's management and ultrasound utility...
February 16, 2024: Transplantation Proceedings
https://read.qxmd.com/read/38363447/comparison-of-peer-assisted-learning-with-expert-led-learning-in-medical-school-ultrasound-education-a-systematic-review-and-meta-analysis
#12
JOURNAL ARTICLE
Raj Bapuji, Debra Eagles, Nathan Ferreira, Nathan Hecht, Yuxin Zhang, Michael Y Woo, Warren J Cheung, Valentina Ly, Paul Pageau
INTRODUCTION: Teaching point-of-care ultrasonography (PoCUS) to medical students is resource intensive. Peer-assisted learning, where the teacher can be a medical student, may be a feasible alternative to expert-led learning. The objective of this systematic review and meta-analysis was to compare the PoCUS performance assessments of medical students receiving peer-assisted vs expert-led learning. METHODS: This study was submitted to PROSPERO (CRD42023383915) and reported with PRISMA guidelines...
February 16, 2024: CJEM
https://read.qxmd.com/read/38356433/ultrasound-assisted-lumbar-punctures-in-children-an-updated-systematic-review-with-meta-analysis
#13
JOURNAL ARTICLE
Agata Ćwiek, Maciej Kołodziej
CONTEXT: Lumbar puncture (LP) is a common procedure in children, but the rates of unsuccessful and traumatic LPs remain high. Point-of-care ultrasound (POCUS) has been proposed as a tool for improvement. OBJECTIVES: Our aim was to systematically review current evidence on the usefulness of POCUS assisted LP in children. DATA SOURCES: PubMed, Embase, and the CENTRAL were searched up to November 2022. STUDY SELECTION: We searched for randomized control trials assessing the effectiveness of POCUS assisted LP in children...
February 15, 2024: Hospital Pediatrics
https://read.qxmd.com/read/38353693/advancing-glenohumeral-dysplasia-treatment-in-brachial-plexus-birth-injury-the-end-to-side-spinal-accessory-to-suprascapular-nerve-transfer-technique
#14
JOURNAL ARTICLE
Md Sibat Noor, Nathan Khabyeh-Hasbani, Mandana Behbahani, Steven M Koehler
PURPOSE: Brachial plexus birth injury (BPBI) is a common injury with the spectrum of disease prognosis ranging from spontaneous recovery to lifelong debilitating disability. A common sequela of BPBI is glenohumeral dysplasia (GHD) which, if not addressed early on, can lead to shoulder dysfunction as the child matures. However, there are no clear criteria for when to employ various surgical procedures for the correction of GHD. METHODS: We describe our approach to correcting GDH in infants with BPBIs using a reverse end-to-side (ETS) transfer from the spinal accessory to the suprascapular nerve...
February 14, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://read.qxmd.com/read/38340343/breast-radiologists-perceptions-on-the-detection-and-management-of-invasive-lobular-carcinoma-most-agree-imaging-beyond-mammography-is-warranted
#15
JOURNAL ARTICLE
Kristen Coffey, Wendie A Berg, Katerina Dodelzon, Maxine S Jochelson, Lisa A Mullen, Jay R Parikh, Laurie Hutcheson, Lars J Grimm
OBJECTIVE: To determine breast radiologists' confidence in detecting invasive lobular carcinoma (ILC) on mammography and the perceived need for additional imaging in screening and preoperative settings. METHODS: A 16-item anonymized survey was developed, and IRB exemption obtained, by the Society of Breast Imaging (SBI) Patient Care and Delivery Committee and the Lobular Breast Cancer Alliance. The survey was emailed to 2946 radiologist SBI members on February 15, 2023...
February 10, 2024: Journal of breast imaging
https://read.qxmd.com/read/38339962/inequalities-in-access-to-prenatal-care-during-the-covid-19-pandemic-analysis-of-a-population-based-cohort
#16
JOURNAL ARTICLE
Erin Hetherington, Elizabeth Darling, Sam Harper, Francis Nguyen, Laura Schummers, Wendy V Norman
BACKGROUND: Before the COVID-19 pandemic, access to prenatal care was lower among some socio-demographic groups. This pandemic caused disruptions to routine preventative care, which could have increased inequalities. OBJECTIVES: To investigate if the COVID-19 pandemic increased inequalities in access to prenatal care among those who are younger, live in rural areas, have a lower socio-economic situation (SES) and are recent immigrants. METHODS: We used linked administrative datasets from ICES to identify a population-based cohort of 455,245 deliveries in Ontario from January 2018 to December 2021...
February 10, 2024: Paediatric and Perinatal Epidemiology
https://read.qxmd.com/read/38321827/point-of-care-ultrasound-in-critical-care-obstetrics-a-scoping-review-of-the-current-evidence
#17
JOURNAL ARTICLE
Juliana G Martins, Jerri Waller, Rebecca Horgan, Tetsuya Kawakita, Camille Kanaan, Alfred Abuhamad, George Saade
OBJECTIVES: To synthesize the current evidence of maternal point-of-care ultrasound (POCUS) in obstetrics. A scoping review was conducted using PubMed, Clinicaltrials.gov, and the Cochrane library from inception through October 2023. METHODS: Studies were eligible for inclusion if they described the use of POCUS among obstetric or postpartum patients. Two authors independently screened all abstracts. Quantitative, qualitative, and mixed-methods studies were eligible for inclusion...
February 6, 2024: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/38308661/prehospital-management-of-chest-injuries-in-severely-injured-patients-a-systematic-review-and-clinical-practice-guideline-update
#18
REVIEW
Christian Waydhas, Barbara Prediger, Oliver Kamp, Christian Kleber, André Nohl, Stefan Schulz-Drost, Christof Schreyer, Robert Schwab, Manuel Florian Struck, Jessica Breuing, Heiko Trentzsch
PURPOSE: Our aim was to review and update the existing evidence-based and consensus-based recommendations for the management of chest injuries in patients with multiple and/or severe injuries in the prehospital setting. This guideline topic is part of the 2022 update of the German Guideline on the Treatment of Patients with Multiple and/or Severe Injuries. METHODS: MEDLINE and Embase were systematically searched to May 2021. Further literature reports were obtained from clinical experts...
February 3, 2024: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
https://read.qxmd.com/read/38266497/an-economic-evaluation-of-point-of-care-ultrasound-for-children-presenting-to-the-emergency-department-with-suspected-septic-arthritis-of-the-hip
#19
JOURNAL ARTICLE
Cate Bailey, Heather Deane, Adam O'Brien, Kim Dalziel
ObjectiveDiagnosing septic arthritis of the hip in children is time-sensitive, with earlier diagnosis improving outcomes. Point-of-care ultrasound (POCUS) requires specialised training and resources in emergency departments (ED) to potentially lower costs through reducing patient time in ED. We aimed to compare the costs of using POCUS for suspected septic arthritis of the hip to current practice.MethodsThis study is embedded in a retrospective review of 190 cases of suspected cases of septic hip joint collected over 5 years to investigate patient length of stay and time to perform ultrasound...
January 25, 2024: Australian Health Review: a Publication of the Australian Hospital Association
https://read.qxmd.com/read/38248050/efficiency-of-simulation-based-learning-using-an-abc-pocus-protocol-on-a-high-fidelity-simulator
#20
JOURNAL ARTICLE
Robert Simon, Cristina Petrisor, Constantin Bodolea, Adela Golea, Sara Hora Gomes, Oana Antal, Horațiu Nicolae Vasian, Orlanda Moldovan, Cosmin Ion Puia
Critically ill patients with rapidly deteriorating clinical status secondary to respiratory and cardio-vascular compromise are at risk for immediate collapse if the underlying pathology is not recognized and treated. Rapid diagnosis is of utmost importance regardless of the setting. Although there are data to support the use of point-of-care ultrasound in critical patients, there is no consensus about the best educational strategy to implement. We designed a curriculum based on the ABC (Airway, Breathing, Circulation) protocol that covers essential airway, lung, and cardiac ultrasound skills needed for fast diagnosis in critical patients and applied it in high-fidelity simulation-based medical education sessions for anesthesia and intensive care residents year one and two...
January 12, 2024: Diagnostics
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