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SonoGeeks WEEKLY

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18 papers 0 to 25 followers
https://www.readbyqxmd.com/read/25010242/training-peer-instructors-for-a-combined-ultrasound-physical-exam-curriculum
#1
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/24998503/abdominal-pregnancy-after-hysterectomy-a-rare-cause-of-hemoperitoneum
#2
Hüseyin Yeşilyurt, Şebnem Özyer, Özlem Uzunlar, Leyla Mollamahmutoğlu
BACKGROUND: Pregnancy after hysterectomy is an extremely rare event. However, if not diagnosed and managed properly, it may result in life-threatening consequences. CASE REPORT: We report the case of a 28-year-old woman with a history of cesarean hysterectomy 3 years prior who was referred to our institution for evaluation of abdominal pain. Transvaginal ultrasonography revealed a 15-week live fetus in the left pelvic region and normal-appearing bilateral ovaries...
October 2014: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24998674/point-of-care-ultrasonography-in-patients-admitted-with-respiratory-symptoms-a-single-blind-randomised-controlled-trial
#3
RANDOMIZED CONTROLLED TRIAL
Christian B Laursen, Erik Sloth, Annmarie Touborg Lassen, René dePont Christensen, Jess Lambrechtsen, Poul Henning Madsen, Daniel Pilsgaard Henriksen, Jesper Rømhild Davidsen, Finn Rasmussen
BACKGROUND: When used with standard diagnostic testing, point-of-care ultrasonography might improve the proportion of patients admitted with respiratory symptoms who are correctly diagnosed 4 h after admission to the emergency department. We therefore assessed point-of-care ultrasonography of the heart, lungs, and deep veins in addition to the usual initial diagnostic testing in this patient population. METHODS: In a prospective, parallel-group trial in the emergency department at Odense University Hospital, Odense, Denmark, patients (≥18 years) with a respiratory rate of more than 20 per min, oxygen saturation of less than 95%, oxygen therapy, dyspnoea, cough, or chest pain were randomly assigned in a 1:1 ratio with a computer-generated list to a standard diagnostic strategy (control group) or to standard diagnostic tests supplemented with point-of-care ultrasonography of the heart, lungs, and deep veins (point-of-care ultrasonography group)...
August 2014: Lancet Respiratory Medicine
https://www.readbyqxmd.com/read/24940478/immediate-versus-delayed-integrated-point-of-care-ultrasonography-to-manage-acute-dyspnea-in-the-emergency-department
#4
Concetta Pirozzi, Fabio G Numis, Antonio Pagano, Paolo Melillo, Roberto Copetti, Fernando Schiraldi
BACKGROUND: Dyspnea is one of the most frequent complaints in the Emergency Department. Thoracic ultrasound should help to differentiate cardiogenic from non-cardiogenic causes of dyspnea. We evaluated whether the diagnostic accuracy can be improved by adding a point-of-care-ultrasonography (POC-US) to routine exams and if an early use of this technique produces any advantage. METHODS: One hundred sixty-eight patients were enrolled and randomized in two groups: Group 1 received an immediate POC-US in addition to routine laboratory and instrumental tests; group 2 received an ultrasound scan within 1 h from the admission to the Emergency Department...
2014: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/24958409/estimation-of-spleen-size-with-hand-carried-ultrasound
#5
Mitchell Lee, J Mark Roberts, Luke Chen, Silvia Chang, Rose Hatala, Kevin W Eva, Graydon S Meneilly
OBJECTIVES: Physical examination can identify palpable splenomegaly easily, but evaluating lesser degrees of splenomegaly is problematic. Hand-carried ultrasound allows rapid bedside assessment of patients. We conducted this study to determine whether hand-carried ultrasound can reliably assess spleen size. METHODS: Patients with varying degrees of splenomegaly were studied. Two sonographers blindly measured spleen size in each patient using either a hand-carried or conventional ultrasound device in random order...
July 2014: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/24930363/correlation-of-corrected-flow-time-in-the-carotid-artery-with-changes-in-intravascular-volume-status
#6
David J Blehar, Scott Glazier, Romolo J Gaspari
PURPOSE: Assessment of volume status remains a challenge in critical care. Our purpose was to determine if Doppler waveform analysis of carotid artery blood flow correlates with changes in volume status. MATERIALS AND METHODS: Dehydrated patients receiving an intravenous fluid bolus were enrolled with exclusions including age less than 18 years, pregnancy, vasopressor administration, or atrial fibrillation. Ultrasound examination with Doppler analysis of the carotid artery was performed with measurements taken to calculate corrected flow time (FTc)...
August 2014: Journal of Critical Care
https://www.readbyqxmd.com/read/24606773/diagnostic-ultrasonography-for-peripheral-vascular-emergencies
#7
REVIEW
Thomas Cook, Laura Nolting, Caleb Barr, Patrick Hunt
Over the past decade, emergency and critical care physicians have been empowered with the ability to use bedside ultrasonography to assist in the evaluation and management of a variety of emergent conditions. Today a single health care provider at the bedside with Duplex ultrasound technology can evaluate peripheral vascular calamities that once required significant time and a variety of health care personnel for the diagnosis. This article highlights peripheral thromboembolic disease, aneurysm, pseudoaneurysm, and arterial occlusion in the acute care setting...
April 2014: Critical Care Clinics
https://www.readbyqxmd.com/read/24606776/bedside-musculoskeletal-ultrasonography
#8
REVIEW
Mary J Connell, Teresa S Wu
Bedside sonography for the evaluation of soft tissue and musculoskeletal conditions has become indispensible for physicians caring for patients in critical, emergency, and urgent care settings. This article reviews indications, techniques, and imaging appearances of common conditions encountered in clinical practice.
April 2014: Critical Care Clinics
https://www.readbyqxmd.com/read/24949191/lung-ultrasound-imaging-in-avian-influenza-a-h7n9-respiratory-failure
#9
Nga Wing Tsai, Chun Wai Ngai, Ka Leung Mok, James W Tsung
BACKGROUND: Lung ultrasound has been shown to identify in real-time, various pathologies of the lung such as pneumonia, viral pneumonia, and acute respiratory distress syndrome (ARDS). Lung ultrasound maybe a first-line alternative to chest X-ray and CT scan in critically ill patients with respiratory failure. We describe the use of lung ultrasound imaging and findings in two cases of severe respiratory failure from avian influenza A (H7N9) infection. METHODS: Serial lung ultrasound images and video from two cases of H7N9 respiratory failure requiring mechanical ventilation and extracorporeal membrane oxygenation in a tertiary care intensive care unit were analyzed for characteristic lung ultrasound findings described previously for respiratory failure and infection...
2014: Critical Ultrasound Journal
https://www.readbyqxmd.com/read/24993976/how-i-do-it-lung-ultrasound
#10
Luna Gargani, Giovanni Volpicelli
In the last 15 years, a new imaging application of sonography has emerged in the clinical arena: lung ultrasound (LUS). From its traditional assessment of pleural effusions and masses, LUS has moved towards the revolutionary approach of imaging the pulmonary parenchyma, mainly as a point-of-care technique. Although limited by the presence of air, LUS has proved to be useful in the evaluation of many different acute and chronic conditions, from cardiogenic pulmonary edema to acute lung injury, from pneumothorax to pneumonia, from interstitial lung disease to pulmonary infarctions and contusions...
July 4, 2014: Cardiovascular Ultrasound
https://www.readbyqxmd.com/read/24992993/-incidental-findings-in-abdominal-ultrasound-characteristics-and-clinical-interpretation
#11
C Görg, S Kunsch, A Neesse
Abdominal ultrasound is a common diagnostic procedure in internal medicine. The correct interpretation of incidental findings can be difficult at times and often results in expensive and sometimes invasive follow-up examinations. Therefore, detailed knowledge of incidental findings on abdominal ultrasound is of utmost clinical and economical importance. Incidental findings are often benign, however, an accurate evaluation and correct diagnosis is crucial for the subsequent clinical management. To this end B-mode ultrasonography is complemented by color flow Doppler sonography and contrast-enhanced ultrasonography to add dynamic information on blood flow and vessel formation...
September 2014: Der Internist
https://www.readbyqxmd.com/read/24979496/bedside-ultrasound-to-evaluate-a-severe-sore-throat
#12
Alexander C Lee, Hamid Shokoohi, Kyla Newman
No abstract text is available yet for this article.
July 2014: JAAPA: Official Journal of the American Academy of Physician Assistants
https://www.readbyqxmd.com/read/24680547/the-diagnostic-accuracy-of-bedside-ocular-ultrasonography-for-the-diagnosis-of-retinal-detachment-a-systematic-review-and-meta-analysis
#13
REVIEW
Michael E Vrablik, Gregory R Snead, Hal J Minnigan, Jonathan M Kirschner, Thomas W Emmett, Rawle A Seupaul
The diagnostic accuracy of emergency department (ED) ocular ultrasonography may be sufficient for diagnosing retinal detachment. We systematically reviewed the literature to determine the diagnostic accuracy of ED ocular ultrasonography for the diagnosis of retinal detachment. This review conformed to the recommendations from the Meta-analysis of Observational Studies in Epidemiology statement. An experienced medical librarian searched the following databases from their inception, without language restrictions: Ovid MEDLINE, PubMed, EMBASE, the Cochrane Library, Emergency Medical Abstracts, and Google Scholar...
February 2015: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/24720406/complications-of-native-arteriovenous-fistula-the-role-of-color-doppler-ultrasonography
#14
Bianca Visciano, Eleonora Riccio, Vincenzo De Falco, Antonino Musumeci, Ivana Capuano, Andrea Memoli, Antonella Di Nuzzi, Antonio Pisani
Color Doppler ultrasonography (CDUS) is a readily available, inexpensive and noninvasive method, which has improved the survival of native arteriovenous fistula (AVF) by increasing the early diagnosis of complications. Although angiography has been currently considered as the gold standard for imaging of vascular access abnormalities, CDUS may be superior in some aspects, since it provides information both on the morphology and on the function of vascular access and it is the only tool directly available to the nephrologist...
April 2014: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/24735177/development-and-preliminary-assessment-of-a-critical-care-ultrasound-course-in-an-adult-pulmonary-and-critical-care-fellowship-program
#15
Cidney S Hulett, Vikas Pathak, Jason N Katz, Sean P Montgomery, Lydia H Chang
BACKGROUND: The focused ultrasound examination has become increasingly recognized as a safe and valuable diagnostic tool for the bedside assessment of the critically ill patient. We implemented a dedicated on-site critical care ultrasonography curriculum with the goal of developing a model for teaching ultrasound skills to pulmonary and critical care medicine fellows. METHODS: The program was comprised of blended didactic and bedside sessions in the following topic domains: fundamentals; vascular access and diagnosis; and abdominal, thoracic, and cardiac ultrasonography...
June 2014: Annals of the American Thoracic Society
https://www.readbyqxmd.com/read/24987237/bedside-ultrasonography-applications-in-critical-care-part-ii
#16
REVIEW
Jose Chacko, Gagan Brar
Point of care ultrasonography, performed by acute care physicians, has developed into an invaluable bedside tool providing important clinical information with a major impact on patient care. In Part II of this narrative review, we describe ultrasound guided central venous cannulation, which has become standard of care with internal jugular vein cannulation. Besides improving success rates, real-time guidance also significantly reduces the incidence of complications. We also discuss compression ultrasonography - a quick and effective bedside screening tool for deep vein thrombosis of the lower extremity...
June 2014: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/24914259/bedside-ultrasonography-applications-in-critical-care-part-i
#17
REVIEW
Jose Chacko, Gagan Brar
There is increasing interest in the use of ultrasound to assess and guide the management of critically ill patients. The ability to carry out quick examinations by the bedside to answer specific clinical queries as well as repeatability are clear advantages in an acute care setting. In addition, delays associated with transfer of patients out of the Intensive Care Unit (ICU) and exposure to ionizing radiation may also be avoided. Ultrasonographic imaging looks set to evolve and complement clinical examination of acutely ill patients, offering quick answers by the bedside...
May 2014: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/24742689/inflating-the-endotracheal-tube-cuff-with-saline-to-confirm-correct-depth-using-bedside-ultrasonography
#18
Mark O Tessaro, Alexander C Arroyo, Lawrence E Haines, Eitan Dickman
ABSTRACTAlthough bedside ultrasonography can accurately distinguish esophageal from tracheal intubation, it is not used to establish the correct depth of endotracheal tube insertion. As indirect sonographic markers of endotracheal tube insertion depth have proven unreliable, a method for visual verification of correct tube depth would be ideal. We describe the use of saline to inflate the endotracheal cuff to confirm correct endotracheal tube depth (at the level of the suprasternal notch) by bedside ultrasonography during resuscitation...
April 1, 2014: CJEM
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