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Lung ultrasound score predicts outcomes in patients with acute respiratory failure secondary to COVID-19 treated with non-invasive respiratory support: a prospective cohort study Ultrasound J. Pub Date : 2024-03-08 Mauro Castro-Sayat, Nicolás Colaianni-Alfonso, Luigi Vetrugno, Gustavo Olaizola, Cristian Benay, Federico Herrera, Yasmine Saá, Guillermo Montiel, Santiago Haedo, Ignacio Previgliano, Ada Toledo, Catalina Siroti
Lung ultrasound has demonstrated its usefulness in several respiratory diseases management. One derived score, the Lung Ultrasound (LUS) score, is considered a good outcome predictor in patients with Acute Respiratory Failure (ARF). Nevertheless, it has not been tested in patients undergoing non-invasive respiratory support (NIRS). Taking this into account, the aim of this study is to evaluate LUS
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Integrating a self-directed ultrasound curriculum for the internal medicine clerkship Ultrasound J. Pub Date : 2024-03-05 Emily Signor, John Gerstenberger, Jennifer Cotton, Jorie Colbert-Getz, Katie Lappé
Incorporating ultrasound into the clinical curriculum of undergraduate medical education has been limited by a need for faculty support. Without integration into the clinical learning environment, ultrasound skills become a stand-alone skill and may decline by the time of matriculation into residency. A less time intensive ultrasound curriculum is needed to preserve skills acquired in preclinical years
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Point-of-care ultrasound to inform antiviral treatment initiation in chronic hepatitis B virus infection in low-resource settings – the PUSH protocol Ultrasound J. Pub Date : 2024-03-04 Tom Heller, Veronica Phiri, Tapiwa Kumwenda, Wongani Mzumara, Michael Jeffrey Vinikoor, Ethel Rambiki, Claudia Wallrauch
Chronic Hepatitis B (CHB) is prevalent worldwide and most related deaths occur in low-resource settings. Antiviral treatment of CHB is indicated in those with significant liver disease and markers of viral replication. However, recommended diagnostics such as elastography (a non-invasive imaging measure of fibrosis/cirrhosis) or HBV viral load are often lacking in these settings, which creates barriers
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Right ventricular free wall longitudinal strain during weaning from mechanical ventilation using high-flow or conventional oxygen treatment: a pilot study Ultrasound J. Pub Date : 2024-02-27 Eleni Xourgia, Apostolos Koronaios, Anastasia Kotanidou, Ilias I. Siempos, Christina Routsi
To the Editor, Previous studies on cardiovascular system alterations due to transition from positive to negative intrathoracic pressure because of withdrawal of mechanical ventilation (MV) and resumption of spontaneous breathing focused on left ventricular function [1,2,3]. Relevant studies on right ventricular (RV) function are scarce [4,5,6]. Advancements in echocardiography, namely two-dimensional
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Medico-legal risks of point-of-care ultrasound: a closed-case analysis of Canadian Medical Protective Association medico-legal cases Ultrasound J. Pub Date : 2024-02-23 Ross Prager, Derek Wu, Gary Garber, P. J. Finestone, Cathy Zang, Rana Aslanova, Robert Arntfield
Point-of-care ultrasound (POCUS) has become a core diagnostic tool for many physicians due to its portability, excellent safety profile, and diagnostic utility. Despite its growing use, the potential risks of POCUS use should be considered by providers. We analyzed the Canadian Medical Protective Association (CMPA) repository to identify medico-legal cases arising from the use of POCUS. We retrospectively
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Test characteristics of point-of-care ultrasonography in patients with acute kidney injury Ultrasound J. Pub Date : 2024-02-22 Mathilde Gaudreau-Simard, Tana Saiyin, Matthew D. F. Mcinnes, Sydney Ruller, Edward G. Clark, Krista Wooller, Elaine Kilabuk, Alan J. Forster, Michael Y. Woo
Acute kidney injury is a common disorder that is associated with significant morbidity and mortality. Point-of-care ultrasonography (PoCUS) is an imaging modality performed at the bedside and is used to assess for obstructive causes of acute kidney injury. Little is known about the test characteristics of PoCUS in patients with acute kidney injury. Our primary objective was to describe the test characteristics
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Ultrasound contrast agent assisted ultrasonography guidance percutaneous nephrostomy for non-hydronephrotic kidney Ultrasound J. Pub Date : 2024-02-22 Weijie Jiao, Xue Gong, Yuanyuan Sun, Lin Sang, Xiaoying Ding, Ming Yu
Given the limited success rate and considerable challenges associated with conventional ultrasonography (US) guidance for percutaneous nephrostomy (PCN) in non-hydronephrotic kidneys, this study proposed a solution with ultrasound contrast agent to enhance the success rate and mitigate the difficulties. From January 2017 to August 2023, a total of thirteen patients diagnosed with non-hydronephrotic
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The usefulness of point-of-care ultrasound in dehydrated patients in a pediatric emergency department Ultrasound J. Pub Date : 2024-02-21 Tommaso Bellini, Benedetta Chianucci, Matteo D’Alessandro, Margherita Ricci, Maria Grazia Calevo, Silvia Misley, Emanuela Piccotti, Andrea Moscatelli
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. We conducted a prospective, monocentric, observational study at Giannina Gaslini Hospital, a tertiary care pediatric hospital. Our study aimed to compare inferior vena
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Evaluation of point-of-care ultrasound training among healthcare providers: a pilot study Ultrasound J. Pub Date : 2024-02-21 Dima Tareq Al-Absi, Mecit Can Emre Simsekler, Mohammed Atif Omar, Hatem Soliman-Aboumarie, Noha Abou Khater, Tahir Mehmood, Siddiq Anwar, Deanne Tomie Kashiwagi
The use of Point-of-Care Ultrasound (POCUS) has become prevalent across a variety of clinical settings. Many healthcare professionals have started getting hands-on training. To evaluate the effectiveness of such training programs, this study aimed to assess a 4 day POCUS training course on healthcare providers’ skills and knowledge acquisition. A secondary objective of this study is to gain valuable
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Thoracic ultrasound use in hospitalized and ambulatory adult patients: a quantitative picture Ultrasound J. Pub Date : 2024-02-21 N. Xirouchaki, M. Bolaki, C. Psarologakis, E. Pediaditis, A. Proklou, E. Papadakis, E. Kondili, D. Georgopoulos
Thoracic ultrasound (TUS) has been established as a powerful diagnostic and monitoring tool in the Intensive Care Unit (ICU). However, studies outside the critical care setting are scarce. The aim of this study was to investigate the value of TUS for hospitalized or ambulatory community patients. This was a retrospective study conducted from 2016 to 2020 in the TUS clinic at Heraklion University Hospital
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Can absence of cardiac activity on point-of-care echocardiography predict death in out-of-hospital cardiac arrest? A systematic review and meta-analysis Ultrasound J. Pub Date : 2024-02-20 Omar Albaroudi, Bilal Albaroudi, Mahmoud Haddad, Manar E. Abdle-Rahman, Thirumoothy Samy Suresh Kumar, Robert David Jarman, Tim Harris
The purpose of this systematic review and meta-analysis was to evaluate the accuracy of the absence of cardiac motion on point-of-care echocardiography (PCE) in predicting termination of resuscitation (TOR), short-term death (STD), and long-term death (LTD), in adult patients with cardiac arrest of all etiologies in out-of-hospital and emergency department setting. A systematic review and meta-analysis
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Point-of-Care Ultrasound training in undergraduate education in the European Union: current situation and perspectives Ultrasound J. Pub Date : 2024-02-13 Florence Dupriez, Audrey Hall, Toumane Diop, Alix Collard, Bastian Rodrigues de Castro, Françoise Smets, Andrea Penaloza, Dominique Vanpee
Given the widespread use of Point-of-Care UltraSound (PoCUS) in clinical practice, with ultrasound machines becoming more portable and affordable, recommendations and position statements from ultrasound societies now promote teaching PoCUS in the undergraduate curriculum. Nevertheless, surveys about PoCUS teaching in European medical schools are lacking. This survey aims to overview the current and
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Assessment of quadriceps muscle mass by ultrasound in the postoperative period of cardiac surgery Ultrasound J. Pub Date : 2024-02-12 Nestor David Caicedo Buitrago, Diana Trejos Gallego, Maria Cristina Florián Pérez, Carlos Andrés Quintero Cardona, Cristian Chaparro Botero
Patients undergoing cardiac surgery are exposed to many factors that activate catabolic and inflammatory pathways, which affect skeletal muscle and are, therefore, related to unfavorable hospital outcomes. Given the limited information on the behavior of muscle mass in critically ill patients, the objective of this study was to evaluate the impact on quantitative and qualitative measurements of quadriceps
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Lung ultrasound and supine chest X-ray use in modern adult intensive care: mapping 30 years of advancement (1993–2023) Ultrasound J. Pub Date : 2024-02-12 Luigi Vetrugno, Daniele Guerino Biasucci, Cristian Deana, Savino Spadaro, Fiorella Anna Lombardi, Federico Longhini, Luigi Pisani, Enrico Boero, Lorenzo Cereser, Gianmaria Cammarota, Salvatore Maurizio Maggiore
In critically ill patients with acute respiratory failure, thoracic images are essential for evaluating the nature, extent and progression of the disease, and for clinical management decisions. For this purpose, computed tomography (CT) is the gold standard. However, transporting patients to the radiology suite and exposure to ionized radiation limit its use. Furthermore, a CT scan is a static diagnostic
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Comparing contamination rates of sterile-covered and uncovered transducers for ultrasound-guided peripheral intravenous lines Ultrasound J. Pub Date : 2024-02-07 Yonathan Estrella, Nathan Panzlau, Kevin Vinokur, Samuel Ayala, Maya Lin, Theodore Gaeta, Lawrence Melniker, Gerardo Chiricolo, Nazey Gulec
Physicians frequently use point-of-care ultrasound for intravenous access and bloodwork in the ED. Recently, AIUM and ACEP released recommendations on ultrasound-guided peripheral intravenous lines (USPIVs), but there are no agreed upon standardized policies. We sought to determine whether the use of sterile-covered transducers (SCT) decreases the rate of contamination when compared to uncovered transducers
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Change in economy of ultrasound probe motion among general medicine trainees Ultrasound J. Pub Date : 2024-01-30 Gerard Salame, Matthew Holden, Brian P. Lucas, Albert Portillo
To observe change in economy of 9 ultrasound probe movement metrics among internal medicine trainees during a 5-day training course in cardiac point of care ultrasound (POCUS). We used a novel probe tracking device to record nine features of ultrasound probe movement, while trainees and experts optimized ultrasound clips on the same volunteer patients. These features included translational movements
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The role of point-of-care ultrasound (POCUS) imaging in clinical outcomes during cardiac arrest: a systematic review Ultrasound J. Pub Date : 2024-01-24 Hany A. Zaki, Haris Iftikhar, Eman E. Shaban, Mavia Najam, Baha Hamdi Alkahlout, Nabil Shallik, Wael Elnabawy, Kaleem Basharat, Aftab Mohammad Azad
Cardiac arrest in hospital and out-of-hospital settings is associated with high mortality rates. Therefore, a bedside test that can predict resuscitation outcomes of cardiac arrest patients is of great value. Point-of-care ultrasound (POCUS) has the potential to be used as an effective diagnostic and prognostic tool during cardiac arrest, particularly in observing the presence or absence of cardiac
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Advancement in pleura effusion diagnosis: a systematic review and meta-analysis of point-of-care ultrasound versus radiographic thoracic imaging Ultrasound J. Pub Date : 2024-01-23 Hany A. Zaki, Bilal Albaroudi, Eman E. Shaban, Ahmed Shaban, Mohamed Elgassim, Nood Dhafi Almarri, Kaleem Basharat, Aftab Mohammad Azad
Pleural effusion is a fluid buildup in the pleural space that mostly result from congestive heart failure, bacterial pneumonia, malignancy, and pulmonary embolism. The diagnosis of this condition can be challenging as it presents symptoms that may overlap with other conditions; therefore, imaging diagnostic tools such as chest x-ray/radiograph (CXR), point-of-care ultrasound (POCUS), and computed tomography
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Correction: Utility of ultrasound in managing acute medical conditions in space: a scoping review Ultrasound J. Pub Date : 2024-01-11 Parsa Asachi, Ghadi Ghanem, Jason Burton, Haig Aintablian, Alan Chiem
Correction: The Ultrasound Journal (2023) 15:47 https://doi.org/10.1186/s13089-023-00349-y After publication of this article [1], the authors reported that the given and family names of all authors were interchanged. The original article [1] has been corrected. Asachi P, Ghanem G, Burton J, Aintablian H, Chiem A (2023) Utility of ultrasound in managing acute medical conditions in space: a scoping review
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Replacement of fluoroscopy by ultrasonography in the evaluation of hemidiaphragm function, an exploratory prospective study Ultrasound J. Pub Date : 2024-01-08 Søren Helbo Skaarup, Peter Juhl-Olsen, Anne Sofie Grundahl, Brian Bridal Løgstrup
Dysfunction of the diaphragm may ultimately lead to respiratory insufficiency and compromise patient outcome. Evaluation of diaphragm function is cumbersome. Fluoroscopy has been the gold standard to measure diaphragmatic excursion. Ultrasonography can visualize diaphragm excursion and holds many advantages such as no radiation exposure, increased portability and accessibility. However, correlation
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Utility of ultrasound in managing acute medical conditions in space: a scoping review Ultrasound J. Pub Date : 2023-12-12 Asachi Parsa, Ghanem Ghadi, Burton Jason, Aintablian Haig, Chiem Alan
In long-distance spaceflight, the challenges of communication delays and the impracticality of rapid evacuation necessitate the management of medical emergencies by onboard physicians. Consequently, these physicians must be proficient in tools, such as ultrasound, which has proven itself a strong diagnostic imaging tool in space. Yet, there remains a notable gap in the discourse surrounding its efficacy
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Additional predictive value of optic nerve sheath diameter for neurological prognosis after cardiac arrest: a prospective cohort study Ultrasound J. Pub Date : 2023-12-08 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
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
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Optic nerve sheath diameter measurement for the paediatric patient with an acute deterioration in consciousness Ultrasound J. Pub Date : 2023-12-04 Ahmed Ali, David J. McCreary
Ocular Point of Care Ultrasound (PoCUS) is emerging as a valuable utility within emergency medicine. Optic nerve sheath diameter (ONSD) has been demonstrated to correlate closely with intracranial pressure (ICP) and an elevated measurement can detect raised ICP readily, where fundoscopy may not, owing to both technical challenges and insufficient clinical skills. A previously fit and well 10-year-old
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Correction: Feasibility of using a handheld ultrasound device to detect and characterize shunt and deep vein thrombosis in patients with COVID-19: an observational study Ultrasound J. Pub Date : 2023-11-23 Rajkumar Rajendram, Arif Hussain, Naveed Mahmood, Mubashar Kharal
Correction: Ultrasound J (2020) 12:49 https://doi.org/10.1186/s13089-020-00197-0 After publication of this article [1], the authors reported that in this article the affiliation details of affiliations 1 and 3 were incorrectly given as 'King Abdulaziz International Medical Research Center' but should have been 'King Abdullah International Medical Research Center'. The original article [1] has been
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Correction: A survey demonstrating that the procedural experience of residents in internal medicine, critical care and emergency medicine is poor: training in ultrasound is required to rectify this Ultrasound J. Pub Date : 2023-11-23 Mamdouh Souleymane, Rajkumar Rajendram, Naveed Mahmood, Amro M. T. Ghazi, Yousuf M. S. Kharal, Arif Hussain
Correction: Ultrasound J (2021) 13:20 https://doi.org/10.1186/s13089-021-00221-x After publication of this article [1], the authors reported that in this article the affiliation details of affiliations 1, 3 and 5 were incorrectly given as 'King Abdulaziz International Medical Research Center' but should have been 'King Abdullah International Medical Research Center'. The original article [1] has been
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Internal jugular access using pocket ultrasound in a simulated model: comparison between biplane and monoplane visualization techniques Ultrasound J. Pub Date : 2023-10-10 Jair Antonio Ruiz Garzón, Gloria Catalina Zuluaga López, Laura B. Piñeros-Hernandez, Yury Forlan Bustos Martínez
Ultrasound is the current standard for central venous access due to its advantages in efficiency and safety. In-plane and out-of-plane visualization techniques are commonly used, but there is no clear evidence showing an advantage of one technique over the other. The objective of this study was to compare the success and time required for biplane visualization vs. in-plane and out-of-plane techniques
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Abscess pulsatility: a sonographic sign of osteomyelitis Ultrasound J. Pub Date : 2023-10-03 Hope Werenski, Kristy Ford, Dillon Casey, Casey Glass, Jacob Schoeneck
Early diagnosis and aggressive treatment of acute osteomyelitis may improve prognosis and prevent further complications. Sonography is useful in the evaluation of osteomyelitis. It can demonstrate early signs of inflammation, such as soft tissue changes near the affected bone, periosteal thickening, periosteal elevation, and subperiosteal abscess. A 68-year-old female presented to the emergency department
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The diagnostic accuracy of lung ultrasound to determine PiCCO-derived extravascular lung water in invasively ventilated patients with COVID-19 ARDS Ultrasound J. Pub Date : 2023-10-02 Leila N. Atmowihardjo, Job R. Schippers, Mark E. Haaksma, Marry R. Smit, Harm J. Bogaard, Leo Heunks, Nicole P. Juffermans, Marcus J. Schultz, Henrik Endeman, Patricia van Velzen, Pieter R. Tuinman, Jurjan Aman, Lieuwe D. J. Bos
Lung ultrasound (LUS) can detect pulmonary edema and it is under consideration to be added to updated acute respiratory distress syndrome (ARDS) criteria. However, it remains uncertain whether different LUS scores can be used to quantify pulmonary edema in patient with ARDS. This study examined the diagnostic accuracy of four LUS scores with the extravascular lung water index (EVLWi) assessed by transpulmonary
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Development of a novel observed structured clinical exam to assess clinical ultrasound proficiency in undergraduate medical education Ultrasound J. Pub Date : 2023-09-25 Andrew Kamilaris, Jeffrey A. Kramer, Gwen Baraniecki-Zwil, Frances Shofer, Christy Moore, Nova Panebianco, Wilma Chan
A pilot study was performed to develop and test an observed structured clinical exam (OSCE) for clinical ultrasound in second-year medical students. The goal was to assess a longitudinal clinical ultrasound curriculum for medical students and to help determine readiness to perform ultrasound during clinical clerkships. The OSCE contained 40 tasks over 30 min in a one-to-one examiner to examinee environment
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Echocardiographic parameters in COVID-19 patients and their association with ICU mortality: a prospective multicenter observational study Ultrasound J. Pub Date : 2023-09-13 Amarja Ashok Havaldar, Merugu Vinay Kumar, Raman Kumar, Surya Prakash Yarramalle, Mohammad Saif Khan, Krushna Chandra Misra, Shubhangi Kamble, Atul Sangale, Jay Prakash, Munta Kartik, Sumithra Selvam
Echocardiography has become an integral part of the management of critically ill patients. It helps to diagnose and treat various conditions. COVID-19 patients can develop cardiac dysfunction. We planned to study the echocardiographic parameters in COVID-19 patients. We conducted a prospective observational multicenter study after institutional ethical committee approval. COVID-19 pneumonia patients
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The correlation between epicardial fat thickness and longitudinal left atrial reservoir strain in patients with type 2 diabetes mellitus and controls Ultrasound J. Pub Date : 2023-09-12 Maryam Nabati, Farideh Moradgholi, Mahmood Moosazadeh, Homa Parsaee
Diabetes mellitus (DM) has been documented among the strongest risk factors for developing heart failure with preserved ejection fraction (HFpEF). The earliest imaging changes in patients with DM are the left atrial (LA) functional and volumetric changes. The aim of this study was to determine the correlation between epicardial fat thickness (EFT) and longitudinal LA reservoir strain (LARS) in patients
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The association of attentional foci and image interpretation accuracy in novices interpreting lung ultrasound images: an eye-tracking study Ultrasound J. Pub Date : 2023-09-11 Matthew Lee, Janeve Desy, Ana Claudia Tonelli, Michael H. Walsh, Irene W. Y. Ma
It is unclear, where learners focus their attention when interpreting point-of-care ultrasound (POCUS) images. This study seeks to determine the relationship between attentional foci metrics with lung ultrasound (LUS) interpretation accuracy in novice medical learners. A convenience sample of 14 medical residents with minimal LUS training viewed 8 LUS cineloops, with their eye-tracking patterns recorded
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Transesophageal echocardiography (TEE)-guided transvenous pacing (TVP) in emergency department Ultrasound J. Pub Date : 2023-08-21 Osman Adi, Chan Pei Fong, Madeleine Kho Huei Tze, Azma Haryaty Ahmad, Nova Panebianco, Asri Ranga
Placement of a temporary pacemaker is a vital skill in the emergency setting in patients that present with life-threatening bradycardia. Transvenous pacing is the definitive method of stabilizing the arrhythmia compared to transcutaneous pacing, as it provides more comfort and better control of heart rate, until the insertion of a permanent pacemaker. In this case report, we describe the steps using
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Feasibility of chest ultrasound up to 42 m underwater Ultrasound J. Pub Date : 2023-08-21 Matteo Paganini, Giuseppe Cantarella, Danilo Cialoni, Ezio Giuffrè, Gerardo Bosco
After recent advancements, ultrasound has extended its applications from bedside clinical practice to wilderness medicine. Performing ultrasound scans in extreme environments can allow direct visualization of unique pathophysiological adaptations but can be technically challenging. This paper summarizes how a portable ultrasound apparatus was marinized to let scientific divers and sonographers perform
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Evaluation of commercially available point-of-care ultrasound for automated optic nerve sheath measurement Ultrasound J. Pub Date : 2023-08-02 Brad T. Moore, Tom Osika, Steven Satterly, Shreyansh Shah, Tim Thirion, Spencer Hampton, Stephen Aylward, Sean Montgomery
Measurement of the optic nerve sheath diameter (ONSD) via ultrasonography has been proposed as a non-invasive metric of intracranial pressure that may be employed during in-field patient triage. However, first responders are not typically trained to conduct sonographic exams and/or do not have access to an expensive ultrasound device. Therefore, for successful deployment of ONSD measurement in-field
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Simultaneous venous–arterial Doppler during preload augmentation: illustrating the Doppler Starling curve Ultrasound J. Pub Date : 2023-07-28 Jon-Émile S. Kenny, Stanley O. Gibbs, Joseph K. Eibl, Andrew M. Eibl, Zhen Yang, Delaney Johnston, Chelsea E. Munding, Mai Elfarnawany, Vivian C. Lau, Benjamin O. Kemp, Bhanu Nalla, Rony Atoui
Providing intravenous (IV) fluids to a patient with signs or symptoms of hypoperfusion is common. However, evaluating the IV fluid ‘dose–response’ curve of the heart is elusive. Two patients were studied in the emergency department with a wireless, wearable Doppler ultrasound system. Change in the common carotid arterial and internal jugular Doppler spectrograms were simultaneously obtained as surrogates
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Learning curves for point-of-care ultrasound image acquisition for novice learners in a longitudinal curriculum Ultrasound J. Pub Date : 2023-07-05 Mike Breunig, Andrew Hanson, Michael Huckabee
A learning curve is graphical representation of the relationship between effort, such as repetitive practice or time spent, and the resultant learning based on specific outcomes. Group learning curves provide information for designing educational interventions or assessments. Little is known regarding the learning curves for Point-of-Care Ultrasound (POCUS) psychomotor skill acquisition of novice learners
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Point-of-Care-ultrasound in undergraduate medical education: a scoping review of assessment methods Ultrasound J. Pub Date : 2023-06-11 Celina DeBiasio, Paul Pageau, Allan Shefrin, Michael Y. Woo, Warren J. Cheung
Point-of-Care-Ultrasound (POCUS) curricula have rapidly expanded in undergraduate medical education (UME). However, the assessments used in UME remain variable without national standards. This scoping review characterizes and categorizes current assessment methods using Miller’s pyramid for skills, performance, and competence of POCUS in UME. A structured protocol was developed using the Preferred
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Doppler flow morphology characteristics of epiaortic arteries in aortic valve pathologies: a retrospective study on a cohort of patients with ischemic stroke Ultrasound J. Pub Date : 2023-06-07 Stefanie Meyer, Lara Wilde, Frieder Wolf, Jan Liman, Mathias Bähr, Ilko L. Maier
Neurovascular ultrasound (nvUS) of the epiaortic arteries is an integral part of the etiologic workup in patients with ischemic stroke. Aortic valve disease shares similar vascular risk profiles and therefore not only presents a common comorbidity, but also an etiologic entity. The aim of this study is to investigate the predictive value of specific Doppler curve flow characteristics in epiaortic arteries
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Real-time Remote Expert-guided Echocardiography by Medical Students Ultrasound J. Pub Date : 2023-06-02 Håvard Solvin, Matthias Lippert, Henrik Holmstrøm, Ole Jakob Elle, Henrik Brun
Echocardiography is a highly specialised examination performed by experienced healthcare professionals. These experienced healthcare professionals may not be available to patients during all hours in rural healthcare facilities. Remote-guided echocardiography could improve the availability of specialised care for patients living in rural areas. This study examined the feasibility of real-time remote
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Ultrasound findings in Kaposi sarcoma patients: overlapping sonographic features with disseminated tuberculosis Ultrasound J. Pub Date : 2023-06-01 Michaela Aurelia Maria Huson, Tapiwa Kumwenda, Joe Gumulira, Ethel Rambiki, Claudia Wallrauch, Tom Heller
Focused Assessment with Sonography for HIV-associated TB (FASH) is a diagnostic tool for extra-pulmonary tuberculosis (TB) in symptomatic patients with advanced HIV. As Kaposi’s sarcoma (KS) is also prevalent in this patient population, changes due to KS may mimic TB findings and clinical interpretation of target FASH findings can be challenging. We aimed to describe sonographic findings in patients
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Ultrasound detected increase in optic disk height to identify elevated intracranial pressure: a systematic review Ultrasound J. Pub Date : 2023-05-25 Ghadi Ghanem, David Haase, Agatha Brzezinski, Rikke Ogawa, Parsa Asachi, Alan Chiem
Elevated intracranial pressure (eICP) is a serious medical emergency that requires prompt identification and monitoring. The current gold standards of eICP detection require patient transportation, radiation, and can be invasive. Ocular ultrasound has emerged as a rapid, non-invasive, bedside tool to measure correlates of eICP. This systematic review seeks to explore the utility of ultrasound detected
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Determinants of point-of-care ultrasound lung sliding amplitude in mechanically ventilated patients Ultrasound J. Pub Date : 2023-05-23 David N. Briganti, Christine E. Choi, Julien Nguyen, Charles W. Lanks
Although lung sliding seen by point-of-care ultrasound (POCUS) is known to be affected to varying degrees by different physiologic and pathologic processes, it is typically only reported qualitatively in the critical care setting. Lung sliding amplitude quantitatively expresses the amount of pleural movement seen by POCUS but its determinants in mechanically ventilated patients are largely unknown
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Femoral vein pulsatility: a simple tool for venous congestion assessment Ultrasound J. Pub Date : 2023-05-10 V. Bhardwaj, P. Rola, A. Denault, G. Vikneswaran, R. Spiegel
Femoral vein Doppler (FVD) is simpler than the VExUS score which is a multimodal scoring system based on combination of IVC diameter, hepatic venous Doppler, portal vein pulsatility and renal vein Doppler, may be useful in assessing right ventricular overload and signs of venous congestion. There is limited data on the relationship between FVD and VExUS score. Adult post-cardiac surgery patients were
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Airway ultrasound to detect subglottic secretion above endotracheal tube cuff Ultrasound J. Pub Date : 2023-05-06 Osman Adi, Chan Pei Fong, Roslanuddin Mohd Sallehuddin, Azma Haryaty Ahmad, Kok Meng Sum, Zulrushdi Md Yusof, Gabriele Via, Guido Tavazzi
Subglottic secretion had been proven as one of the causes of microaspiration and increased risk of ventilator-associated pneumonia (VAP). The role of ultrasound to detect subglottic secretion has not yet been established. The purpose of this study is to determine the sensitivity and specificity of upper airway ultrasound (US) in the detection of subglottic secretions as compared to computed tomography
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Intra-and inter-observer variability of point of care ultrasound measurements to evaluate hemodynamic parameters in healthy volunteers Ultrasound J. Pub Date : 2023-05-05 Deborah Blanca, Esther C. Schwarz, Tycho Joan Olgers, Ewoud ter Avest, Nasim Azizi, Hjalmar R. Bouma, Jan Cornelis Ter Maaten
Point-of-care ultrasound (POCUS) is a valuable tool for assessing the hemodynamic status of acute patients. Even though POCUS often uses a qualitative approach, quantitative measurements have potential advantages in evaluating hemodynamic status. Several quantitative ultrasound parameters can be used to assess the hemodynamic status and cardiac function. However, only limited data on the feasibility
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Correction: Empowering the willing: the feasibility of tele-mentored self-performed pleural ultrasound assessment for the surveillance of lung health Ultrasound J. Pub Date : 2023-05-04 Andrew W. Kirkpatrick, Jessica L. McKee, Chad G. Ball, Irene W. Y. Ma, Lawrence A. Melniker
Correction: The Ultrasound Journal (2021) 14:2 https://doi.org/10.1186/s13089-021-00250-6 After publication of the original article [1], concerns have been raised that the trial described in this article does not match the Trial Registration record (ISRCTN77929274) provided in the article. Authors explained how their research evolved over time and have provided evidence of ethics approval that matches
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Detecting cervical esophagus with ultrasound on healthy voluntaries: learning curve Ultrasound J. Pub Date : 2023-05-01 Paul-Georges Reuter, Chris Ballouz, Thomas Loeb, Tomislav Petrovic, Frédéric Lapostolle
The objective of this study was to determine the learning curve of tracheal−esophageal ultrasound by prehospital medical and paramedical staff. A single-center prospective study was carried out at a French EMS (SAMU 92). Volunteer participants first received a short theoretical training through e-learning, followed by two separate hands-on workshops on healthy volunteers, spaced one to two months apart
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Unravelling the skillset of point-of-care ultrasound: a systematic review Ultrasound J. Pub Date : 2023-04-19 Tessa A. Mulder, Tim van de Velde, Eveline Dokter, Bas Boekestijn, Tycho J. Olgers, Martijn P. Bauer, Beerend P. Hierck
The increasing number of physicians that are trained in point-of-care ultrasound (POCUS) warrants critical evaluation and improvement of current training methods. Performing POCUS is a complex task and it is unknown which (neuro)cognitive mechanisms are most important in competence development of this skill. This systematic review was conducted to identify determinants of POCUS competence development
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Is gallbladder PoCUS diagnostic accuracy accessible to medical students after PoCUS training exclusively on healthy volunteers? A pilot randomized control trial Ultrasound J. Pub Date : 2023-04-10 Florence Dupriez, Bastian Rodrigues de Castro, Félix Gendebien, Antoine Fasseaux, Matthieu Gensburger, Laurent Marissiaux, Andrea Penaloza, Xavier Bobbia, Robert Jarman
Point-of-care ultrasound (PoCUS) is increasingly used in clinical practice and is now included in many undergraduate curricula. Here, we aimed to determine whether medical students who participated in a PoCUS teaching program with several practical training sessions involving healthy volunteers could achieve a good level of diagnostic accuracy in identifying gallbladder pathologies. The intervention
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Lung ultrasound: are we diagnosing too much? Ultrasound J. Pub Date : 2023-03-29 Giovanni Volpicelli, Thomas Fraccalini, Luciano Cardinale
The clinical use of lung ultrasound (LUS) has made more efficient many diagnostic processes at bedside. The great power of LUS is a superior diagnostic sensitivity in many applications, when compared to chest radiography (CXR). The implementation of LUS in emergency is contributing to reveal a growing number of radio-occult pulmonary conditions. In some diseases, the superior sensitivity of LUS is
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Geographic variation in point of care ultrasound provision: results from a national audit Ultrasound J. Pub Date : 2023-03-21 Sunil Aggarwal, Reshma Shanmugam, Thomas Knight, Catherine Atkin, Sarbjit Clare, Nicholas Smallwood, Daniel Lasserson
There is an emerging consensus that point-of-care ultrasound is an essential skill in acute care. This is reflected in recent changes to the Acute Internal Medicine curriculum in the UK. The need to develop and maintain specific ultrasound competencies is now a mandatory component of training. There is a degree of uncertainty as to how existing training infrastructure can best accommodate these changes
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A proposed framework for point of care musculoskeletal ultrasound and ultrasound image-guided interventions by physiotherapists: scope of practice, education and governance Ultrasound J. Pub Date : 2023-03-20 Mike Smith, Sue Innes, Stuart Wildman, David Baker
The use of point of care ultrasound (PoCUS) in the management of musculoskeletal (MSK) disorders is a diverse area of PoCUS practice. Its use by clinicians, such as physiotherapists, can occur across a wide range of roles and care pathway configurations; however, professional, educational and regulatory uncertainties can leave clinicians, managers and patients at risk. A PoCUS framework approach (previously
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Inter-observer and intra-observer variability in ultrasound assessment of gastric content and volume in critically ill patients receiving enteral nutrition Ultrasound J. Pub Date : 2023-03-19 Héctor Andrés Ruiz Ávila, Carmelo José Espinosa Almanza, Cindy Yohana Fuentes Barreiro
The assessment of gastric content and volume using bedside ultrasound (US) has become a useful tool in emergency departments, anesthesiology departments and inpatient wards, as it provides a rapid and dynamic assessment of the gastric content of patients, which, allows making decisions regarding the risk of regurgitation or the need to adjust the strategy used to induce general anesthesia in patients
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Start spreading the news: a deliberate approach to POCUS program development and implementation Ultrasound J. Pub Date : 2023-03-09 Mathilde Gaudreau-Simard, Elaine Kilabuk, Samantha Halman, Krista Wooller, Michael Y. Woo, Robert Arntfield, Irene Ma, Alan J. Forster
While there is an expanding body of literature on Point-of-Care Ultrasound (POCUS) pedagogy, administrative elements that are necessary for the widespread adoption of POCUS in the clinical environment have received little attention. In this short communication, we seek to address this gap by sharing our institutional experience with POCUS program development and implementation. The five pillars of
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Utility of hand-held ultrasound for image acquisition and interpretation by trained Kenyan providers Ultrasound J. Pub Date : 2023-03-08 Grace Wanjiku, Lindsay Dreizler, Shirley Wu, Janette Baird, Benjamin Wachira
Point-of-care ultrasound (POCUS) plays a prominent role in the timely recognition and management of multiple medical, surgical, and obstetric conditions. A POCUS training program for primary healthcare providers in rural Kenya was developed in 2013. A significant challenge to this program is the acquisition of reasonably priced ultrasound machines with adequate image quality and the ability to transmit
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Monitoring of pulmonary involvement in critically ill COVID-19 patients - should lung ultrasound be preferred over CT? Ultrasound J. Pub Date : 2023-02-26 Arthur W. E. Lieveld, Micah L. A. Heldeweg, Jasper Schouwenburg, Lars Veldhuis, Mark E. Haaksma, Rutger M. van Haaften, Berend P. Teunissen, Jasper M. Smit, Jos Twisk, Leo Heunks, Prabath W. B. Nanayakkara, Pieter Roel Tuinman
It is unclear if relevant changes in pulmonary involvement in critically ill COVID-19 patients can be reliably detected by the CT severity score (CTSS) and lung ultrasound score (LUSS), or if these changes have prognostic implications. In addition, it has been argued that adding pleural abnormalities to the LUSS could improve its prognostic value. The objective of this study was to compare LUSS and
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Alveolar capillary dysplasia with misalignment of pulmonary veins in a premature newborn: the role of lung ultrasound Ultrasound J. Pub Date : 2023-02-11 Macarena L. Atun, Silvia A. Fernandez Jonusas, Cecilia M. Acosta
Alveolar capillary dysplasia with misalignment of pulmonary veins (ACD/MPV) is a lethal neonatal lung disorder characterized by the decrease of the alveolar units, abnormalities in the air–blood barrier of the lung, and impaired gas exchange. Typically, it affects a full-term newborn; the symptoms usually start within a few hours after birth, resulting in severe respiratory distress and pulmonary hypertension
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Accuracy of linear-probe ultrasonography in diagnosis of infraorbital rim fractures Ultrasound J. Pub Date : 2023-02-10 Chatchai Pruksapong, Nuttadon Wongprakob, Minth Panphichet
Maxillofacial fractures are a common cause of visits to emergency department, accounting for more than 400,000 annual visits in the United States. Gold standard diagnostic tool is conventional computerized tomography (CT) or 3DCT reconstruction. However, the disadvantages of CT are radiation exposure, unavailable in some hospital and expensiveness. Whereas the bony structures overlap is a problem in
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Feasibility of tele-guided patient-administered lung ultrasound in heart failure Ultrasound J. Pub Date : 2023-02-09 Ariella Pratzer, Eugene Yuriditsky, Tajinderpal Saraon, Michael Janjigian, Ali Hafiz, Jun-Chieh J. Tsay, Pamela Boodram, Nikita Jejurikar, Harald Sauthoff
Readmission rates for heart failure remain high, and affordable technology for early detection of heart failure decompensation in the home environment is needed. Lung ultrasound has been shown to be a sensitive tool to detect pulmonary congestion due to heart failure, and monitoring patients in their home environment with lung ultrasound could help to prevent hospital admissions. The aim of this project