keyword
https://read.qxmd.com/read/38086182/resuscitative-transesophageal-echocardiography-in-emergency-departments-in-the-united-states-and-canada-a-cross-sectional-survey
#21
JOURNAL ARTICLE
Felipe Teran, Frances Mae West, Tom Jelic, Lindsay Taylor, Zan M Jafry, Katharine M Burns, Clark G Owyang, Claire Centeno Emt, Benjamin S Abella, Phillip Andrus
INTRODUCTION: Over the past two decades, transesophageal echocardiography (TEE) has been used with increasing frequency to evaluate critically ill patients outside of traditional settings. The purpose of this study was to characterize the number of programs, users, practice characteristics, training and competency requirements and barriers for the current use of resuscitative transesophageal echocardiography (TEE) in Emergency Departments (EDs) in the United States and Canada. METHODS: A closed internet-based, cross-sectional, point-prevalence survey was administered via email to 120 program directors of emergency ultrasound fellowships (EUSF) and 43 physicians from EDs without EUSF from the United States and Canada...
November 29, 2023: American Journal of Emergency Medicine
https://read.qxmd.com/read/38082052/muscle-ultrasound-shear-wave-elastography-for-detection-of-early-onset-lower-limb%C3%A2-ischemia-in-patients-with-veno-arterial-extracorporeal-membrane-oxygenation
#22
JOURNAL ARTICLE
Mariya Maslarska, Sven Piepenburg, Dirk Westermann, Alexander Supady, Christoph Hehrlein
BACKGROUND AND OBJECTIVES: Limb ischemia or compartment syndrome, requiring surgery, are some of the frequent cannula-related complications in patients supported with veno-arterial extracorporeal membrane oxygenation (VA-ECMO). The purpose of this exploratory study is to depict and evaluate the dynamic changes in the lower limb muscles with ultrasound shear wave elastography as marker for early lower limb ischemia. METHODS: Eleven patients with VA-ECMO after cardiac arrest were included in this study...
December 11, 2023: Intensive Care Medicine Experimental
https://read.qxmd.com/read/38071677/fatal-coronary-perforation-during-percutaneous-coronary-intervention-the-medico-legal-interest-in-establishing-the-correlation-between-in-vivo-imaging-and-post-mortem-histopathology
#23
JOURNAL ARTICLE
Guido Pelletti, Clara Fiorentini, Filippo Pirani, Paolo Fais, Susi Pelotti
A 64-year-old man diagnosed with chronic coronary syndrome (CCS) underwent elective percutaneous coronary intervention (PCI) to place a stent in a branch of the first diagonal artery. Fifteen minutes after the procedure, the patient suffered a cardiac arrest, which was subsequently determined to be caused by cardiac tamponade identified through ultrasound examination. Despite an hour of cardiopulmonary resuscitation, the patient died and a forensic investigation was requested by the public prosecutor. On review of the coronary angiography images, an extravasation of contrast was noted, which was classified as a type II perforation according to the Ellis classification...
December 10, 2023: Forensic Science, Medicine, and Pathology
https://read.qxmd.com/read/38068434/application-of-technology-in-cardiopulmonary-resuscitation-a-narrative-review
#24
REVIEW
Catherine V Levitt, Kirsten Boone, Quincy K Tran, Ali Pourmand
Novel medical technologies are designed to aid in cardiopulmonary resuscitation both in and out of the hospital. Out-of-hospital innovations utilize the skills of paramedics, bystanders, and other prehospital personnel, while in-hospital innovations traditionally aid in physician intervention. Our review of current literature aims to describe the benefits and limitations of six main technologic advancements with wide adoption for their practicality and functionality. The six key technologies include: extracorporeal membrane oxygenation (ECMO), real-time feedback devices, smart devices, video review, point-of-care ultrasound, and unmanned aerial vehicle (drone) automated external defibrillator (AED) delivery...
November 29, 2023: Journal of Clinical Medicine
https://read.qxmd.com/read/38063930/additional-predictive-value-of-optic-nerve-sheath-diameter-for-neurological-prognosis-after-cardiac-arrest-a-prospective-cohort-study
#25
JOURNAL ARTICLE
Marlous M L H Verhulst, Iris M Visser, Hanneke M Keijzer, Nicole L M de Kruijf, Erwin J G Peters, Thom Wilbers, Roel V Peelen, Jeannette Hofmeijer, Michiel J Blans
BACKGROUND: The goal is to estimate the additional value of ultrasonographic optic nerve sheath diameter (ONSD) measurement on days 1-3, on top of electroencephalography (EEG), pupillary light reflexes (PLR), and somatosensory evoked potentials (SSEP), for neurological outcome prediction of comatose cardiac arrest patients. We performed a prospective longitudinal cohort study in adult comatose patients after cardiac arrest. ONSD was measured on days 1-3 using ultrasound. Continuous EEG, PLR, and SSEP were acquired as standard care...
December 8, 2023: The ultrasound journal
https://read.qxmd.com/read/38056790/point-of-care-ultrasound-in-pediatrics-a-review-and-update
#26
REVIEW
Saul Flores, Erik Su, Justin M Moher, Adam C Adler, Alan F Riley
Point-Of-Care-Ultrasound (POCUS) has encountered a tremendous expansion in patient care. POCUS has taken a central role during invasive procedures. POCUS has expanded to most subspecialties from adult to pediatric and neonatal health care. POCUS in pediatrics has also become part of specific critical situations such as myocardial function assessment during cardiac arrest, ECMO deployment and neurological evaluation. In this review we will go over the most important historical aspects of POCUS. We will also review important aspects of POCUS in the intensive care unit, cardiologist evaluation and in the emergency department among others...
December 4, 2023: Seminars in Ultrasound, CT, and MR
https://read.qxmd.com/read/38018071/a-case-report-of-point-of-care-ultrasound-directed-thrombectomy-a-reversible-cause-of-cardiac-arrest-managed-with-extracorporeal-membrane-oxygenation-cannulation
#27
Megan Hoffer, Salim Aziz, Keith Boniface, Jenna E Aziz, Ali Pourmand
Extracorporeal membrane oxygenation (ECMO) has been increasingly employed in the emergency department for patients with a potentially reversible cause of cardiac arrest. We present the case of a young female patient with an in-hospital cardiac arrest who was found to have severe right heart strain on point-of-care ultrasound (POCUS), suggesting a massive pulmonary embolism. Rapid bedside diagnosis using ultrasound expedited bedside cannulation and initiation of ECMO as a bridge to surgical thrombectomy, and ultimately the patient survived with full neurologic function...
November 29, 2023: Clinical and Experimental Emergency Medicine
https://read.qxmd.com/read/38010384/how-i-use-ultrasound-in-cardiac-arrest
#28
EDITORIAL
Adrian Wong, Philippe Vignon, Chiara Robba
No abstract text is available yet for this article.
November 6, 2023: Intensive Care Medicine
https://read.qxmd.com/read/37996693/pocus-literature-primer-key-papers-on-pocus-in-cardiac-arrest-and-shock
#29
JOURNAL ARTICLE
Daniel J Kim, Paul Atkinson, Gillian Sheppard, Jordan Chenkin, Rajiv Thavanathan, David Lewis, Colin R Bell, Tomislav Jelic, Elizabeth Lalande, Ian M Buchanan, Claire L Heslop, Talia Burwash-Brennan, Frank Myslik, Paul Olszynski
OBJECTIVE: The objective of this study is to identify the top five most influential papers published on the use of point-of-care ultrasound (POCUS) in cardiac arrest and the top five most influential papers on the use of POCUS in shock in adult patients. METHODS: An expert panel of 14 members was recruited from the Canadian Association of Emergency Physicians (CAEP) Emergency Ultrasound Committee and the Canadian Ultrasound Fellowship Collaborative. The members of the panel are ultrasound fellowship trained or equivalent, are engaged in POCUS research, and are leaders in POCUS locally and nationally in Canada...
January 2024: CJEM
https://read.qxmd.com/read/37980924/apixaban-versus-no-anticoagulation-for-the-prevention-of-venous-thromboembolism-in-children-with-newly-diagnosed-acute-lymphoblastic-leukaemia-or-lymphoma-prevapix-all-a-phase-3-open-label-randomised-controlled-trial
#30
RANDOMIZED CONTROLLED TRIAL
Sarah H O'Brien, Vilmarie Rodriguez, Glen Lew, Jane W Newburger, Corinna L Schultz, Etan Orgel, Kimberly Derr, Mark A Ranalli, Adam J Esbenshade, Jessica Hochberg, Hyoung Jin Kang, Yulia Dinikina, Donna Mills, Mark Donovan, Joshua L Dyme, Nicholas A Favatella, Lesley G Mitchell
BACKGROUND: Paediatric patients with acute lymphoblastic leukaemia or lymphoma are at increased risk of venous thromboembolism resulting in increased mortality and morbidity. We hypothesised that apixaban, a direct oral anticoagulant, would safely reduce venous thromboembolism in this patient population. METHODS: PREVAPIX-ALL was a phase 3, open-label, randomised, controlled trial conducted in 74 paediatric hospitals in 9 countries. Participants aged 1 year or older to younger than 18 years with newly diagnosed acute lymphoblastic leukaemia (pre-B cell or T cell) or lymphoblastic lymphoma (B cell or T cell immunophenotype) and a central venous line in place throughout induction were randomly assigned 1:1 to standard of care (SOC, ie, no systemic anticoagulation) or weight-adjusted twice-daily apixaban during induction...
January 2024: Lancet Haematology
https://read.qxmd.com/read/37973909/feasibility-of-resuscitative-transesophageal-echocardiography-at-out-of-hospital-emergency-scenes-of-cardiac-arrest
#31
JOURNAL ARTICLE
Mario Krammel, Thomas Hamp, Christina Hafner, Ingrid Magnet, Michael Poppe, Peter Marhofer
Guidelines recommend the use of ultrasound in cardiac arrest. Transthoracic echocardiography, has issues with image quality and by increasing hands-off times during resuscitation. We assessed the feasibility of transesophageal echocardiography (TEE), which does not have both problems, at out-of-hospital cardiac arrest (OHCA) emergency scenes. Included were 10 adults with non-traumatic OHCA in Vienna, Austria. An expert in emergency ultrasound was dispatched to the scenes in addition to the resuscitation team...
November 16, 2023: Scientific Reports
https://read.qxmd.com/read/37967487/hypertrophic-cardiomyopathy-in-a-dog-a-systematic-diagnostic-approach
#32
J Novo Matos, J Silva, S Regada, S Rizzo, M Serena Beato, C Basso
A seven-year-old female neutered Parson Russel Terrier was referred for syncopal episodes. An electrocardiogram revealed paroxysmal atrial flutter followed by periods of sinus arrest, suggesting sick sinus syndrome. Echocardiography showed severe biventricular wall thickening (hypertrophic cardiomyopathy (HCM) phenotype) with no signs of fixed or dynamic left ventricular outflow tract obstruction. Blood pressure, abdominal ultrasound, serum total thyroxin and thyroid-stimulating hormone, and insulin-like growth factor-1 were all within normal limits...
October 16, 2023: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
https://read.qxmd.com/read/37935278/cerebral-hemodynamic-effects-of-head-up-cpr-in-a-porcine-model
#33
JOURNAL ARTICLE
Deborah Jaeger, Marinos Kosmopoulos, Sebastian Voicu, Rajat Kalra, Christopher Gaisendrees, Georg Schlartenberger, Jason A Bartos, Demetri Yannopoulos
AIM: To assess the hemodynamic effects of head elevation on cerebral perfusion during cardiopulmonary resuscitation (CPR) in a porcine model of cardiac arrest. METHODS: VF was induced in eight 65 kg pigs that were treated with CPR after five minutes of no flow. Mean arterial pressure (MAP) was measured at the descending thoracic aorta. Internal carotid artery blood flow (CBF) was measured with an ultrasound probe. Cerebral perfusion pressure (CerPP) was calculated in two ways (CerPPICAP and CerPPreported ) using the same intracranial pressure (ICP) measurement...
December 2023: Resuscitation
https://read.qxmd.com/read/37926583/formal-ultrasound-curriculum-for-surgical-critical-care-fellows-leads-to-improvement-in-comfort-and-skills-in-the-intensive-care-unit
#34
JOURNAL ARTICLE
Anahita Jalilvand, Amar Bhatt, Rafal Kopanczyk, Wendy Wahl
BACKGROUND: Despite its importance, there are no official guidelines for point of care ultrasound training during surgical critical care fellowship. The primary objective of this study was to evaluate the comfort and competency of fellows after implementation of a point of care ultrasound program. METHODS: Surgical critical care fellows (n = 7) participated in an ultrasound rotation (2021-2022), including dedicated lectures and training with interventional and echocardiography technicians...
November 3, 2023: Surgery
https://read.qxmd.com/read/37868243/cardiac-point-of-care-ultrasound-p-o-c-u-s-utilization-for-hospitalists-in-the-assessment-of-patients-with-cardiac-complaints-an-educational-overview
#35
REVIEW
David B Money, Mohammad Mehio, Christopher Scoma, Shanu Gupta
The use of cardiac point-of-care ultrasound (P.O.C.U.S.) is underutilized in the field of internal medicine for the assessment of patients with cardiac complaints. Numerous studies in emergency medicine, anesthesia, and critical care have demonstrated the successful application of cardiac P.O.C.U.S. in resident and attending physicians with limited prior exposure. This article review overviews the practical implementation of cardiac P.O.C.U.S. for hospitalists by discussing proper technique and assessment for common pathology seen in the medical ward setting...
2023: Journal of Community Hospital Internal Medicine Perspectives
https://read.qxmd.com/read/37859655/transcranial-doppler-during-the-first-week-after-cardiac-arrest-and-association-with-6-month-outcomes
#36
JOURNAL ARTICLE
Antje Reichenbach, Lars Alteheld, Julia Henriksen, Espen Rostrup Nakstad, Geir Øystein Andersen, Kjetil Sunde, Jūratė Šaltytė Benth, Christofer Lundqvist
BACKGROUND: Early prediction of outcomes in comatose patients after out-of-hospital cardiac arrest is challenging. Prognostication tools include clinical examination, biomarkers, and neuroradiological and neurophysiological tests. We studied the association between transcranial Doppler (TCD) and the outcome. METHODS: This was a pre-defined sub-study of the prospective observational Norwegian Cardiorespiratory Arrest Study. Patients underwent standardized post-resuscitation care, including target temperature management (TTM) to 33°C for 24 h...
2023: Frontiers in Neurology
https://read.qxmd.com/read/37842616/successful-treatment-of-near-fatal-pulmonary-embolism-and-cardiac-arrest-in-an-adult-patient-with-fulminant-psittacosis-induced-severe-acute-respiratory-distress-syndrome-after-veno-venous-extracorporeal-membrane-oxygenation-rescue-a-case-report-and-follow
#37
Song-Liu Yang, Yang Gao, Zhi-Yang Han, Xue Du, Wen Liu, Song-Gen Jin, Ying Bi, Peng-Fei Chen, Chuang-Shi Yue, Ji-Han Wu, Qi-Qi Lai, Yu-Jia Tang, Xin-Tong Wang, Yuan-Yuan Ji, Ming-Yan Zhao, Kai Kang, Kai-Jiang Yu
BACKGROUND: Veno-venous extracorporeal membrane oxygenation (ECMO) was successfully performed for the rescue of an adult patient with severe acute respiratory distress syndrome (ARDS) induced by fulminant psittacosis, and then a near-fatal pulmonary embolism (PE) and cardiac arrest (CA) of the same patient was cured through catheter-directed thrombolysis. CASE PRESENTATION: A 51-year-old female patient was admitted to the hospital on September 10, 2021 due to slurred speech, weakness in lower limbs, dizziness, and nausea...
October 2023: Heliyon
https://read.qxmd.com/read/37764107/a-fatal-a-h5n1-avian-influenza-virus-infection-in-a-cat-in-poland
#38
Olga Szaluś-Jordanow, Anna Golke, Tomasz Dzieciątkowski, Dorota Chrobak-Chmiel, Magdalena Rzewuska, Michał Czopowicz, Rafał Sapierzyński, Michał Kardas, Kinga Biernacka, Marcin Mickiewicz, Agata Moroz-Fik, Andrzej Łobaczewski, Ilona Stefańska, Ewelina Kwiecień, Iwona Markowska-Daniel, Tadeusz Frymus
A European Shorthair male cat, neutered, approximately 6 years of age, was presented to the veterinary clinic due to apathy and anorexia. The cat lived mostly outdoors and was fed raw chicken meat. After 3 days of diagnostic procedures and symptomatic treatment, respiratory distress and neurological signs developed and progressed into epileptic seizures, followed by respiratory and cardiac arrest within the next 3 days. Post-mortem examination revealed necrotic lesions in the liver, lungs, and intestines. Notably, the brain displayed perivascular infiltration of lymphocytes and histiocytes...
September 9, 2023: Microorganisms
https://read.qxmd.com/read/37757671/resuscitative-transesophageal-echocardiography-during-the-acute-resuscitation-of-trauma-a-retrospective-observational-study
#39
JOURNAL ARTICLE
Ross Prager, Eric Walser, Kaan Y Balta, M D Anton Nikouline, William R Leeper, Kelly Vogt, Neil Parry, Robert Arntfield
BACKGROUND: Resuscitative transesophageal echocardiography (TEE) is an emerging POCUS modality that can be used to guide trauma resuscitation. METHODS: Trauma patients who underwent TEE within 24 h of admission from 2013 to 2022 were prospectively identified. We retrospectively analyzed resuscitative TEE reports and patient charts in duplicate. RESULTS: 29 providers performed TEE for 54 acute trauma patients. 28 (52%) died in hospital; 33 (61%) required operative intervention (<24 h)...
February 2024: Journal of Critical Care
https://read.qxmd.com/read/37734202/evaluation-of-esophageal-injuries-after-defibrillation-with-transesophageal-ultrasound-probe-in-the-mid-esophagus-in-pigs
#40
JOURNAL ARTICLE
Neil Krulewitz, Nicholas M Levin, Scott Youngquist, Christopher Kelly, Guillaume Hoareau, Michael Austin Johnson, Patrick Ockerse
OBJECTIVE: Transesophageal echocardiography (TEE) is becoming increasingly utilized by emergency medicine providers during cardiac arrest. Intra-arrest, TEE confers several benefits including shorter pauses in chest compressions and direct visualization of cardiac compressions. Many ultrasound probe manufacturers recommend against performing defibrillation with the TEE probe in the mid-esophagus for fear of causing esophageal injury or damage to the probe, however no literature exists that has investigated this concern...
September 12, 2023: American Journal of Emergency Medicine
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