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SonoKids WEEKLY

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18 papers 0 to 25 followers
https://www.readbyqxmd.com/read/25092944/an-innovative-nonanimal-simulation-trainer-for-chest-tube-insertion-in-neonates
#1
Ashish O Gupta, Jayashree Ramasethu
BACKGROUND AND OBJECTIVE: Competence in the chest tube insertion procedure is vital for practitioners who take care of critically ill infants. The use of animals for training is discouraged, and there are no realistic simulation models available for the neonatal chest tube insertion procedure. The objective of this study was to assess the effectiveness of teaching the chest tube insertion procedure by using an easily constructed, nonanimal simulation model. METHODS: An inexpensive infant chest tube insertion model was developed by using simple hardware...
September 2014: Pediatrics
https://www.readbyqxmd.com/read/25104121/fetal-small-bowel-volvulus-without-malrotation-the-whirlpool-coffee-bean-signs
#2
S G Jakhere, S A Saifi, A A Ranwaka
Intestinal volvulus is a common condition seen in infancy and adulthood, but small bowel volvulus is a rare condition affecting the fetus in utero. Very few cases have been reported describing the ultrasound findings of the same. We present a case report of a case of intestinal volvulus which was diagnosed prenatally based on the ultrasound features of whirlpool sign and coffee bean sign. An emergency caesarian section was performed, small bowel volvulus was confirmed on post-natal ultrasound, and the neonate was subsequently operated...
January 1, 2014: Journal of Neonatal-perinatal Medicine
https://www.readbyqxmd.com/read/25105983/development-of-an-ultrasound-phantom-for-spinal-injections-with-3-dimensional-printing
#3
Simeon J West, Jean-Martial Mari, Azalea Khan, Jordan H Y Wan, Wenjie Zhu, Ioannis G Koutsakos, Matthew Rowe, Damon Kamming, Adrien E Desjardins
BACKGROUND AND OBJECTIVES: This report describes a method for producing anatomically detailed, low-cost ultrasound phantoms of the spine with 3-dimensional printing. An implementation that involves representing a portion of the lumbar spine and the ligamentum flavum with 2 different printing materials and the surrounding soft tissues with agar gel is presented. METHODS: A computed tomography image volume of a patient with normal spinal anatomy was segmented to isolate the spine...
September 2014: Regional Anesthesia and Pain Medicine
https://www.readbyqxmd.com/read/25110044/metric-mrenterography-or-ultrasound-in-crohn-s-disease-a-study-protocol-for-a-multicentre-non-randomised-single-arm-prospective-comparison-study-of-magnetic-resonance-enterography-and-small-bowel-ultrasound-compared-to-a-reference-standard-in-those-aged-16
#4
MULTICENTER STUDY
Stuart Taylor, Susan Mallett, Gauraang Bhatnagar, Stuart Bloom, Arun Gupta, Steve Halligan, John Hamlin, Ailsa Hart, Antony Higginson, Ilan Jacobs, Sara McCartney, Steve Morris, Nicola Muirhead, Charles Murray, Shonit Punwani, Manuel Rodriguez-Justo, Andrew Slater, Simon Travis, Damian Tolan, Alastair Windsor, Peter Wylie, Ian Zealley
BACKGROUND: Crohn's disease (CD) is a lifelong, relapsing and remitting inflammatory condition of the intestine. Medical imaging is crucial for diagnosis, phenotyping, activity assessment and detecting complications. Diverse small bowel imaging tests are available but a standard algorithm for deployment is lacking. Many hospitals employ tests that impart ionising radiation, of particular concern to this young patient population. Magnetic resonance enterography (MRE) and small bowel ultrasound (USS) are attractive options, as they do not use ionising radiation...
August 11, 2014: BMC Gastroenterology
https://www.readbyqxmd.com/read/25110990/a-normal-ovary-in-an-abnormal-location-a-case-of-torsion
#5
Jeffrey P Otjen, Luana Stanescu, Adam Goldin, Marguerite T Parisi
The clinical and radiologic diagnosis of adnexal torsion is challenging. The patient's history, physical examination, and laboratory evaluation may overlap significantly with other causes of abdominal pain. Ultrasound is the most common radiologic tool to assess for torsion, and the imaging findings can be equally equivocal. We present a case of adnexal torsion in an 18-year-old emergency room patient with abdominal pain, diagnosed by ultrasound based solely on an abnormal medial position of the ovary-a finding that has been only rarely mentioned in the literature, and never in isolation...
November 2015: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/25097745/point-of-care-ultrasound-detection-of-tracheal-wall-thickening-caused-by-smoke-inhalation
#6
Toru Kameda, Masato Fujita
Smoke inhalation is the leading cause of death due to fires. When a patient presents with smoke inhalation, prompt assessment of the airway and breathing is necessary. Point-of-care ultrasonography (US) is used for the rapid assessment of critically ill or injured patients. We herein present a case report of a 54-year-old male who was transferred to the emergency department with shortness of breath, coughing, carbonaceous sputa, and rhinorrhea after inhaling smoke caused by a fire in his locked bedroom. He had no surface burns on the face and no edema or erosion in the oral cavity...
2014: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/25105398/basic-ultrasound-training-can-replace-chest-radiography-for-safe-tube-thoracostomy-removal
#7
Kedar S Lavingia, Michael C Soult, Jay N Collins, Timothy J Novosel, Leonard J Weireter, L D Britt
An ultrasound (US) examination can be easily and rapidly performed at the bedside to aide in clinical decisions. Previously we demonstrated that US was safe and as effective as a chest x-ray (CXR) for removal of tube thoracostomy (TT) when performed by experienced sonographers. This study sought to examine if US was as safe and accurate for the evaluation of pneumothorax (PTX) associated with TT removal after basic US training. Patients included had TT managed by the surgical team between October 2012 and May 2013...
August 2014: American Surgeon
https://www.readbyqxmd.com/read/25091662/active-surveillance-for-intussusception-in-a-phase-iii-efficacy-trial-of-an-oral-monovalent-rotavirus-vaccine-in-india
#8
RANDOMIZED CONTROLLED TRIAL
Jacob John, Anand Kawade, Temsunaro Rongsen-Chandola, Ashish Bavdekar, Nita Bhandari, Sunita Taneja, Kalpana Antony, Veereshwar Bhatnagar, Arun Gupta, Madhulika Kabra, Gagandeep Kang
BACKGROUND: Post licensure studies have identified an increased risk of intussusception following vaccination with currently licensed rotavirus vaccines, raising safety concerns generic to all rotavirus vaccines. We describe the surveillance for intussusception in a phase III clinical trial with an oral monovalent rotavirus vaccine developed from the neonatal 116E strain. METHODS: Using broad screening criteria and active surveillance, the incidence of intussusception between 6 weeks and 2 years of age was measured in 4532 children who received three doses of vaccine and 2267 children who received a placebo in the clinical trial...
August 11, 2014: Vaccine
https://www.readbyqxmd.com/read/25091689/intussusception-in-southern-india-comparison-of-retrospective-analysis-and-active-surveillance
#9
RANDOMIZED CONTROLLED TRIAL
Susan Jehangir, Jacob John, Sangeeth Rajkumar, Betty Mani, Rajan Srinivasan, Gagandeep Kang
Surveillance for intussusception is a post marketing requirement for rotavirus vaccines following observation of a small increased risk of intussusception after rotavirus vaccination in some global settings. This study presents the clinical presentation and outcomes of children who presented with intussusception at a large tertiary care facility directly (non-surveillance) as retrospective analysis of a period where rotavirus vaccine was not in routine use, or as part of active surveillance in a phase III oral rotavirus vaccine trial...
August 11, 2014: Vaccine
https://www.readbyqxmd.com/read/25058251/thoracic-ultrasound-can-predict-safe-removal-of-thoracostomy-tubes
#10
Michael C Soult, Jay N Collins, Timothy J Novosel, Leonard J Weireter, L D Britt
BACKGROUND: Chest x-rays (CXRs) have been the mainstay for the management of thoracostomy tubes (TTs), but reports that ultrasound (US) may be more sensitive for detection of pneumothorax (PTX) continue to increase. The objective of this study was to determine if US is safe and effective for the detection of PTX following TT removal. METHODS: This was a retrospectively reviewed, prospective process improvement project involving patients who had a TT managed by the surgical team...
August 2014: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/25061495/idiopathic-scrotal-hematoma-simulating-a-testicular-torsion-in-association-with-cryptorchidism-us-findings
#11
Vincenzina Crisci, Ciro Esposito, Ida Giurin, Valerio Vitale, Gianfranco Vallone
BACKGROUND: An acute scrotum concerns endoscrotal organs (testicles, spermatic cord, tunica vaginalis) and is characterized by pain, swelling and hyperemia of the hemi-scrotum. It represents one of the most common surgical emergencies in children often caused by testicular torsion; the diagnosis is mostly clinical but must be supported by ultrasonographic examination of the scrotal region in association with a colour Doppler study of the spermatic cord vessels and glandular parenchyma...
2014: Polish Journal of Radiology
https://www.readbyqxmd.com/read/25061585/acalculous-diffuse-gallbladder-wall-thickening-in-children
#12
Ji Haeng Lee, Young Eun No, Yeoun Joo Lee, Jae Yeon Hwang, Joon Woo Lee, Jae Hong Park
PURPOSE: Gallbladder (GB) wall thickening can be found in various conditions unrelated to intrinsic GB disease. We investigated the predisposing etiologies and the outcome of acalculous GB wall thickening in children. METHODS: We retrospectively analyzed 67 children with acalculous GB wall thickening who had visited our institute from June 2010 to June 2013. GB wall thickening was defined as a GB wall diameter >3.5 mm on abdominal ultrasound examination or computed tomography...
June 2014: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/24871612/paediatric-contrast-enhanced-ultrasound-ceus-a-technique-that-requires-co-operation-for-rapid-implementation-into-clinical-practice
#13
EDITORIAL
M E Sellars, A Deganello, P S Sidhu
No abstract text is available yet for this article.
June 2014: Ultraschall in der Medizin
https://www.readbyqxmd.com/read/25014479/bedside-ultrasound-of-the-neck-confirms-endotracheal-tube-position-in-emergency-intubations
#14
B Hoffmann, J P Gullett, H F Hill, D Fuller, M C Westergaard, W T Hosek, J A Smith
PURPOSE: In controlled environments such as the operating room, bedside ultrasound (BUS) of the neck has shown high accuracy for distinguishing endotracheal (ETI) from esophageal intubations. We sought to determine the accuracy of BUS for endotracheal tube (ETT) position in the emergency department (ED) setting. MATERIALS AND METHODS: We assessed the utility of BUS in a single-center observational study in an ED setting. BUS was performed either simultaneously with ED intubation (S/ED), within < 3 minutes of ED intubation (A/ED), or in < 3 minutes of patient's ED arrival after pre-hospital intubation (A/EMS)...
October 2014: Ultraschall in der Medizin
https://www.readbyqxmd.com/read/25013733/necrotizing-myositis-in-a-neutropenic-patient-the-use-of-ultrasound-in-the-diagnosis-of-atypical-presentations
#15
Maria Del Carmen Torrejón, Edgardo Celi, David Cancho, Ailie Knox, Cesar Henriquez-Camacho
We report a case of fatal necrotizing soft tissue infection (NSTI) due to Clostridium perfringens (CP) in a neutropenic patient with diabetes mellitus. As in many cases, by the time a diagnosis was made, the condition had rapidly progressed to its late stages, resulting in a fatal outcome. The emergency physician should be aware of NSTI as a complication when patients present with pain out of proportion to physical findings and/or signs of soft tissue compromise. Negative prognostic factors for survival are diabetes mellitus, immunosuppression, age, and toxic shock syndrome...
2014: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/25010242/training-peer-instructors-for-a-combined-ultrasound-physical-exam-curriculum
#16
Justin S Ahn, Andrew J French, Molly E W Thiessen, John L Kendall
BACKGROUND: The integration of bedside ultrasound into medical school curricula is limited by the availability of skilled faculty instructors. Peer mentors have been utilized successfully to teach clinical and procedural skills and may serve as a valuable resource for potential ultrasound instructors. We describe a method to train senior medical students as peer instructors for a combined ultrasound/physical exam curriculum and assessed junior medical students' perceptions of peer instruction relative to faculty...
2014: Teaching and Learning in Medicine
https://www.readbyqxmd.com/read/24892687/botfly-larva-masquerading-as-periorbital-cellulitis-identification-by-point-of-care-ultrasonography
#17
Elena Minakova, Stephanie J Doniger
Myiasis, or the infiltration of the botfly larvae, is a relatively frequent problem encountered by travelers to parts of Latin America. This is a novel case report that documents a Dermatobia hominis infestation of the left facial region with secondary periorbital cellulitis diagnosed by point-of-care ultrasonography.
June 2014: Pediatric Emergency Care
https://www.readbyqxmd.com/read/24951462/diagnostic-accuracy-of-ultrasonography-for-hand-bony-fractures-in-paediatric-patients
#18
Elena Neri, Egidio Barbi, Ingrid Rabach, Chiara Zanchi, Stefania Norbedo, Luca Ronfani, Veronica Guastalla, Alessandro Ventura, Pierpaolo Guastalla
OBJECTIVE: Hand fractures are common in childhood, and radiography is the standard diagnostic procedure. US has been used to evaluate bone injuries, mainly in adults for long-bone trauma; there are only a few studies about hand fractures in children. The purpose of this study was to evaluate and confirm the safety and applicability of the US diagnostic procedure in comparison to X-ray diagnosis. STUDY DESIGN: This cross-sectional study involved a convenience sample of young patients (between 2 and 17 years old) who were taken to the emergency department due to hand trauma...
December 2014: Archives of Disease in Childhood
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