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ultrasound in anesthesiology

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https://www.readbyqxmd.com/read/28079754/ultrasound-guided-needle-technique-accuracy-prospective-comparison-of-passive-magnetic-tracking-versus-unassisted-echogenic-needle-localization
#1
Angela N Johnson, Jeffery S Peiffer, Nahi Halmann, Luke Delaney, Cindy A Owen, Jeff Hersh
BACKGROUND AND OBJECTIVES: Ultrasound-guided regional anesthesia facilitates an approach to sensitive targets such as nerve clusters without contact or inadvertent puncture. We compared accuracy of needle placement with a novel passive magnetic ultrasound needle guidance technology (NGT) versus conventional ultrasound (CU) with echogenic needles. METHODS: Sixteen anesthesiologists and 19 residents performed a series of 16 needle insertion tasks each, 8 using NGT (n = 280) and 8 using CU (n = 280), in high-fidelity porcine phantoms...
January 11, 2017: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/28066904/implementing-point-of-care-ultrasonography-of-the-heart-and-lungs-in-an-anesthesia-department
#2
M T Bøtker, M L Vang, T Grøfte, H Kirkegaard, C A Frederiksen, E Sloth
BACKGROUND: Implementation of point-of-care ultrasonography (POCUS) of the heart and lungs requires image acquisition skills among providers. We aimed to determine the effect of POCUS implementation using a systematic education program on image acquisition skills and subsequent use and barriers in a department of anesthesiology. METHODS: Twenty-five anesthesiologists underwent a systematic education program in POCUS during the fall of 2012. A POCUS expert evaluated images from baseline and evaluation examinations performed on two healthy individuals as useful or not useful for clinical interpretation...
February 2017: Acta Anaesthesiologica Scandinavica
https://www.readbyqxmd.com/read/28005161/-epidural-anesthesia-for-fetoscopy-retrospective-analysis-of-a%C3%A2-one-year-cohort
#3
N Kiefer, S F Suter, C Berg, U Gembruch, S U Weber
BACKGROUND: The introduction of routine prenatal screening using ultrasound has led to a substantial increase in diagnoses of fetal disorders that are amenable to intrauterine treatment. While an ultrasound guided insertion of small bore cannulas can be performed under local anesthesia, insertion of a fetoscope usually requires anesthetic management for the mother and the fetus. Additionally, the fetus' intrauterine position may have to be manipulated in order to enable access. Such manoeuvres depend on relaxation of the mother's abdominal wall...
December 22, 2016: Der Anaesthesist
https://www.readbyqxmd.com/read/27957515/ultrasound-skill-and-application-of-knowledge-assessment-using-an-innovative-osce-competition-based-simulation-approach
#4
Annette Rebel, Habib Srour, Amy DiLorenzo, Dung Nguyen, Shelly Ferrell, Sanjay Dwarakanatli, Emily Haas, Randall M Schell
BACKGROUND: Despite Point-of Care Ultrasound (PoC US) rapidly becoming an important tool in perioperative medicine structured education, PoC US is currently rarely integrated into the anesthesiology residency curriculum. The aim of this project was to assess the current ultrasound skills of anesthesiology residents at one institution and evaluate the needs for development of a formal ultrasound curriculum. METHODS: A event containing 6 different OSCE PoC US stations was developed with following stations: vascular, peripheral nerve block, lung ultrasound, transthoracic echocardiography (TTE) human model, pathologic TTE (simulator), and inferior vena cava (IVC) evaluation (simulator)...
July 2016: Journal of Education in Perioperative Medicine: JEPM
https://www.readbyqxmd.com/read/27852382/-effect-comparison-of-ultrasound-guided-lower-extremity-nerve-block-and-spinal-anesthesia-in-ankle-surgery
#5
L L Yang, J S Ji, Z W Zhao, W Wang, S Luo, Y C Mo, J L Wang
Objective: To compare the anesthesia effect between ultrasound-guided lower extremity nerve block and spinal anesthesia in ankle surgery. Methods: Upon the approval of institutional Ethics Committee and informed consent, 80 patients American Society of Anesthesiology (ASA)Ⅰ-Ⅱaged 18-70 yr, undergoing ankle surgery from December 2014 to May 2015 in the Fifth Affiliated Hospital of Wen Zhou Medical College, were randomly divided by random numbers into two groups (n=40): nerve block group (group N) and spinal anesthesia (group S)...
November 8, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27695498/magnetic-resonance-imaging-of-neonates-in-the-magnetic-resonance-compatible-incubator
#6
Monika Bekiesińska-Figatowska, Ewa Helwich, Magdalena Rutkowska, Joanna Stankiewicz, Iwona Terczyńska
INTRODUCTION: The authors present the first experience in neonatal magnetic resonance imaging (MRI) examinations using an MR compatible incubator (INC) at the Institute of Mother and Child. MATERIAL AND METHODS: Forty-nine examinations of 47 newborns (20 girls, 27 boys) were performed using the GE Signa HDxt 1.5T system and INC Nomag IC 1.5. Demographic data, anesthetic methods and MRI findings in the INC in comparison with previously performed imaging were analyzed...
October 1, 2016: Archives of Medical Science: AMS
https://www.readbyqxmd.com/read/27686512/assessment-of-perioperative-ultrasound-workflow-understanding-a-consensus
#7
Lu Yeh, Mario Montealegre-Gallegos, Feroze Mahmood, Philip E Hess, Marc Shnider, John D Mitchell, Stephanie B Jones, Azad Mashari, Vanessa Wong, Robina Matyal
OBJECTIVES: Understanding of the workflow of perioperative ultrasound (US) examination is an integral component of proficiency. Workflow consists of the practical steps prior to executing an US examination (eg, equipment operation). Whereas other proficiency components (ie, cognitive knowledge and manual dexterity) can be tested, workflow understanding is difficult to define and assess due to its contextual and institution-specific nature. The objective was to define the workflow components of specific perioperative US applications using an iterative process to reach a consensus opinion...
July 9, 2016: Journal of Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27595259/-the-radiologist-physician-in-major-trauma-evaluation
#8
REVIEW
Gaspar Alberto Motta-Ramírez
BACKGROUND: Trauma is the most common cause of death in young adults. A multidisciplinary trauma team consists of at least a surgical team, an anesthesiology team, radiologic team, and an emergency department team. OBJECTIVE: Recognize the integration of multidisciplinary medical team in managing the trauma patient and which must include the radiologist physician responsible for the institutional approach to the systematization of the trauma patient regarding any radiological and imaging study with emphasis on the FAST (del inglés, Focused Assessment with Sonography in Trauma)/USTA, Whole body computed tomography...
July 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/27529853/images-in-anesthesiology-gastric-ultrasound
#9
Kariem El-Boghdadly, Richelle Kruisselbrink, Vincent W S Chan, Anahi Perlas
No abstract text is available yet for this article.
September 2016: Anesthesiology
https://www.readbyqxmd.com/read/27516142/rating-scale-for-the-assessment-of-competence-in-ultrasound-guided-peripheral-vascular-access-a-delphi-consensus-study
#10
Stine C Primdahl, Tobias Todsen, Louise Clemmesen, Lars Knudsen, Jesper Weile
INTRODUCTION: Peripheral vascular access is vital for treatment and diagnostics of hospitalized patients. Ultrasound-guided vascular access (UGVA) is superior to the landmark technique. To ensure competence-based education, an assessment tool of UGVA competence is needed. We aimed to develop a global rating scale (RS) for assessment of UGVA competence based on opinions on the content from ultrasound experts in a modified Delphi consensus study. METHODS: We included experts from anesthesiology, emergency medicine and radiology across university hospitals in Denmark...
September 21, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27472989/point-of-care-ultrasound-a-wfumb-position-paper
#11
REVIEW
Christoph F Dietrich, Adrian Goudie, Liliana Chiorean, Xin Wu Cui, Odd Helge Gilja, Yi Dong, Jacques S Abramowicz, Sudhir Vinayak, Susan Campbell Westerway, Christian Pállson Nolsøe, Yi-Hong Chou, Michael Blaivas
Over the last decade, the use of portable ultrasound scanners has enhanced the concept of point of care ultrasound (PoC-US), namely, "ultrasound performed at the bedside and interpreted directly by the treating clinician." PoC-US is not a replacement for comprehensive ultrasound, but rather allows physicians immediate access to clinical imaging for rapid and direct solutions. PoC-US has already revolutionized everyday clinical practice, and it is believed that it will dramatically change how ultrasound is applied in daily practice...
January 2017: Ultrasound in Medicine & Biology
https://www.readbyqxmd.com/read/27195630/perioperative-ultrasound-training-in-anesthesiology-a-call-to-action
#12
Feroze Mahmood, Robina Matyal, Nikolaos Skubas, Mario Montealegre-Gallegos, Madhav Swaminathan, Andre Denault, Roman Sniecinski, John D Mitchell, Mark Taylor, Stephen Haskins, Sajid Shahul, Achikam Oren-Grinberg, Patrick Wouters, Douglas Shook, Scott T Reeves
No abstract text is available yet for this article.
June 2016: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/27185704/a-peer-designed-selective-in-anesthesiology-critical-care-and-perioperative-medicine-for-first-and-second-year-medical-students
#13
Michael Tien, Christopher M Aiudi, Hans P Sviggum, Timothy R Long
STUDY OBJECTIVE: The objective of this study was to design and implement a preclinical elective (termed selective) in anesthesiology, critical care, and perioperative medicine and to report survey results assessing the impact of the selective on first- and second-year medical students' understanding of basic concepts, comfort with procedural skills, and interest in the specialty. DESIGN: Preinvention and postintervention survey evaluation was used as the design of this study...
June 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27185702/two-methods-for-teaching-basic-upper-airway-sonography
#14
Christina S Boncyk, Kristopher M Schroeder, Brooke Anderson, Richard E Galgon
STUDY OBJECTIVE: The purpose of this study was to evaluate and compare hands-on gel phantom versus instructional video teaching methods to improve anesthesia residents and staff members' ability to correctly identify airway structures using ultrasound on a human volunteer. DESIGN: Randomized, controlled trial. SETTING: Simulation laboratory. STUDY SUBJECTS: Fifty-four anesthesiology resident and staff members (27 anesthesiologists and 27 anesthesiology residents) at the University of Wisconsin-Madison...
June 2016: Journal of Clinical Anesthesia
https://www.readbyqxmd.com/read/27180948/development-and-evaluation-of-a-simulation-based-curriculum-for-ultrasound-guided-central-venous-catheterization
#15
Robert McGraw, Tim Chaplin, Conor McKaigney, Louise Rang, Melanie Jaeger, Damian Redfearn, Colleen Davison, Tamas Ungi, Matthew Holden, Caitlin Yeo, Zsuzsanna Keri, Gabor Fichtinger
OBJECTIVE: To develop a simulation-based curriculum for residents to learn ultrasound-guided (USG) central venous catheter (CVC) insertion, and to study the volume and type of practice that leads to technical proficiency. METHODS: Ten post-graduate year two residents from the Departments of Emergency Medicine and Anesthesiology completed four training sessions of two hours each, at two week intervals, where they engaged in a structured program of deliberate practice of the fundamental skills of USG CVC insertion on a simulator...
November 2016: CJEM
https://www.readbyqxmd.com/read/26980475/feasibility-of-eye-tracking-technology-to-quantify-expertise-in-ultrasound-guided-regional-anesthesia
#16
T Kyle Harrison, T Edward Kim, Alex Kou, Cynthia Shum, Edward R Mariano, Steven K Howard
Ultrasound-guided regional anesthesia (UGRA) requires an advanced procedural skill set that incorporates both sonographic knowledge of relevant anatomy as well as technical proficiency in needle manipulation in order to achieve a successful outcome. Understanding how to differentiate a novice from an expert in UGRA using a quantifiable tool may be useful for comparing educational interventions that could improve the rate at which one develops expertise. Exploring the gaze pattern of individuals performing a task has been used to evaluate expertise in many different disciplines, including medicine...
June 2016: Journal of Anesthesia
https://www.readbyqxmd.com/read/26952217/ultrasound-guidance-improves-the-success-rate-of-axillary-plexus-block-a-meta-analysis
#17
REVIEW
Qin Qin, Debao Yang, Hong Xie, Liyuan Zhang, Chen Wang
OBJECTIVE: To evaluate the value of real-time ultrasound (US) guidance for axillary brachial plexus block (AXB) through the success rate and the onset time. METHODS: The meta-analysis was carried out in the Anesthesiology Department of the Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China. A literature search of Medline, EMBASE, Cochrane database from the years 2004 to 2014 was performed. The literature searches were carried out using medical subject headings and free-text word: "axilla", "axillary", "brachial plexus", "ultrasonography", "ultrasound", "ultrasonics"...
March 2016: Brazilian Journal of Anesthesiology
https://www.readbyqxmd.com/read/26951450/anesthetic-management-of-the-first-pediatric-bilateral-hand-transplant
#18
Harshad G Gurnaney, John E Fiadjoe, L Scott Levin, Benjamin Chang, Heather Delvalle, Jorge Gálvez, Mohamed A Rehman
PURPOSE: The purpose of this case report is to describe the anesthetic and case management of the first vascularized composite allograft pediatric bilateral hand transplant. CLINICAL DETAILS: Our patient was an eight-year-old male with a medical history of Staphylococcus aureus sepsis at one year of age that resulted in end-stage renal disease as well as bilateral upper and lower extremity amputations. After referral for bilateral hand transplantation, the transplantation team, with expertise in all aspects of perioperative care (surgery, anesthesiology, nephrology, renal transplantation, pediatric intensive care, and therapeutic pharmacy), was consulted to help develop anesthetic and other perioperative protocols for surgery...
June 2016: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
https://www.readbyqxmd.com/read/26866296/comparative-effectiveness-of-simulation-based-deliberate-practice-versus-self-guided-practice-on-resident-anesthesiologists-acquisition-of-ultrasound-guided-regional-anesthesia-skills
#19
RANDOMIZED CONTROLLED TRIAL
Ankeet Deepak Udani, T Kyle Harrison, Edward R Mariano, Ryan Derby, Jack Kan, Toni Ganaway, Cynthia Shum, David M Gaba, Pedro Tanaka, Alex Kou, Steven K Howard
BACKGROUND AND OBJECTIVES: Simulation-based education strategies to teach regional anesthesia have been described, but their efficacy largely has been assumed. We designed this study to determine whether residents trained using the simulation-based strategy of deliberate practice show greater improvement of ultrasound-guided regional anesthesia (UGRA) skills than residents trained using self-guided practice in simulation. METHODS: Anesthesiology residents new to UGRA were randomized to participate in either simulation-based deliberate practice (intervention) or self-guided practice (control)...
March 2016: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/26847538/-ultrasound-guidance-improves-the-success-rate-of-axillary-plexus-block-a-meta-analysis
#20
Qin Qin, Debao Yang, Hong Xie, Liyuan Zhang, Chen Wang
OBJECTIVE: To evaluate the value of real-time ultrasound (US) guidance for axillary brachial plexus block (AXB) through the success rate and the onset time. METHODS: The meta-analysis was carried out in the Anesthesiology Department of the Second Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province, China. A literature search of Medline, Embase, Cochrane database from the years 2004 to 2014 was performed. The literature searches were carried out using medical subject headings and free-text word: "axilla", "axillary", "brachial plexus", "ultrasonography", "ultrasound", "ultrasonics"...
March 2016: Revista Brasileira de Anestesiologia
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