Vertical displacement of pleura: a new method for bronchospasm evaluation?
ConclusionsPleural vertical displacement appears to be a sonographic alteration associated to bronchospasm and accessory muscle recruitment. It is easily identifiable and measurable on LUS, thus possibly representing a new method to evaluate bronchospasm and monitoring treatment response. Further research is needed to confirm or refute this finding. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - August 24, 2020 Category: Radiology Source Type: research
Transesophageal echocardiography (TEE) in cardiac arrest: results of a hands-on training for a simplified TEE protocol
ConclusionsEPs, after a course with clinical training in the cardiac surgery theatre, can successfully acquire and maintain the skills needed to perform resusTEE. However, among the six views learned in the course, EPs used only four of them (ME4CH, MEbicaval, MELAX and AOview). (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - August 17, 2020 Category: Radiology Source Type: research
Comparison of ultrasonographic versus infrared pupillary assessment
ConclusionsUltrasonographic pupillary assessment is strongly correlated with infrared pupillary assessment in critically ill patients, including neurocritically ill patients. Ultrasonographic pupillary assessment is a quick, feasible, non-invasive method that allows accurate pupillary assessment, particularly neurologic function, in patients in whom a more precise measurement of the pupil is required or eye opening is not possible (e.g., periorbital edema due to traumatic brain injury). (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - August 13, 2020 Category: Radiology Source Type: research
The “pandemic” increase in lung ultrasound use in response to Covid-19: can we complement computed tomography findings? A narrative review
AbstractCoronavirus disease of 2019 (COVID-19) is a highly infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has rapidly spread to a global pandemic in March 2020. This emergency condition has been putting a severe strain on healthcare systems worldwide, and a prompt, dynamic response is instrumental in its management. While a definite diagnosis is based on microbiological evidence, the relationship between lung ultrasound (LU) and high-resolution computed tomography (HRCT) in the diagnosis and management of COVID-19 is less clear. Lung ultrasound is a point-of-care imaging to...
Source: Critical Ultrasound Journal - August 13, 2020 Category: Radiology Source Type: research
Novel role of focused airway ultrasound in early airway assessment of suspected laryngeal trauma
ConclusionEarly recognition, appropriate triaging, accurate airway evaluation, and prompt management of such injuries are essential. In this case series, we introduce the potential role of focused airway ultrasound in suspected laryngeal trauma, and the correlation of these exam findings with that of computed tomography (CT) scanning, based on the Schaefer classification of laryngeal injury. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - August 11, 2020 Category: Radiology Source Type: research
Value of point-of-care ultrasonography compared with computed tomography scan in detecting potential life-threatening conditions in blunt chest trauma patients
ConclusionsPoint-of-care ultrasonography was highly sensitive to detect pneumothorax and can be beneficial for the disposition of stable patients and to detect PTX in unstable patients before transferring to the operating room. It is also moderately appropriate for the diagnosis of hemothorax and lung contusion compared to the gold standard, CT scan. It is essential to consider the false-negative and false-positive instances of lung ultrasound in various situations to enhance management and disposition of blunt thoracic injuries. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - August 3, 2020 Category: Radiology Source Type: research
POCUS and POCDUS: essential tools for the evaluation and management of carotid artery pseudoaneurysms after a gunshot wound
ConclusionsPenetrating trauma-related vascular injuries are complex cases to handle within an acute setting. POCUS and POCDUS are increasingly being used for the workup and decision-making process of gunshot-related vascular injuries to the neck and are a fundamental part of the follow-up after definitive therapy. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - July 21, 2020 Category: Radiology Source Type: research
Feasibility of postural lung recruitment maneuver in children: a randomized, controlled study
ConclusionLung aeration and compliance improved only in the group in which a posture change strategy was applied. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - July 13, 2020 Category: Radiology Source Type: research
Offshore telementored ultrasound: a quality assessment study
ConclusionA novice US user can be guided by a remote expert through focused US protocols within an acceptable time frame and with good diagnostic quality using existing communication and network systems found onboard offshore oil rigs. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - July 1, 2020 Category: Radiology Source Type: research
Stab wound of the superficial femoral artery early diagnosed by point-of-care Doppler ultrasound
ConclusionsBased on its several advantages, DUS should be considered as the first-line diagnostic tool in the diagnostic workup of patients with soft signs of arterial injury. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - June 15, 2020 Category: Radiology Source Type: research
Point-of-care ultrasound for the detection of hydronephrosis in emergency department patients with suspected renal colic
ConclusionsPoCUS for hydronephrosis in suspected renal colic has moderate accuracy when performed by providers with varied experience for the binary outcome of presence or absence of hydronephrosis. Hydronephrosis on PoCUS is associated with increased rates of complications. PoCUS for hydronephrosis is limited in its utility as a stand-alone test, however this inexpensive, readily available test may be useful in conjunction with clinical course to determine which patients would benefit from formal imaging or urologic consultation.ClinicalTrials.gov Identifier NCT01323842 (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - June 7, 2020 Category: Radiology Source Type: research
Role of point-of-care ultrasound during the COVID-19 pandemic: our recommendations in the management of dialytic patients
AbstractCOVID-19 is a viral disease due to the infection of the novel Corona virus SARS-CoV-2, that has rapidly spread in many countries until the World Health Organization declared the pandemic from March 11, 2020. Elderly patients and those affected by hypertension, diabetes mellitus, and chronic pulmonary and cardiovascular conditions are more susceptible to present more severe forms of COVID-19. These conditions are often represented in dialytic renal end-stage patients. Moreover, dialysis patients are more vulnerable to infection due to suppression of the immune system. Growing evidences, although still supported by f...
Source: Critical Ultrasound Journal - June 2, 2020 Category: Radiology Source Type: research
Point-of-care ultrasound to complete physical exam and to reach the diagnosis in a young man with syncope
ConclusionsEmergency physicians should be familiar with the vague presentations of cardiac tumors to improve patient outcomes. It is beneficial to take advantage of bedside ultrasound for prompt diagnosis and subsequent treatment. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - May 24, 2020 Category: Radiology Source Type: research
Feasibility of renal resistive index measurements performed by an intermediate and novice sonographer in a volunteer population
ConclusionsRRI measurements by both an intermediate and novice sonographer in a volunteer population were reliable, accurate and precise after a brief course. RRI is easy to learn and feasible within the scope of point-of-care ultrasound. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - May 19, 2020 Category: Radiology Source Type: research
Combined ultrasound –CT approach to monitor acute exacerbation of interstitial lung disease
ConclusionsThis case suggests lung ultrasound may be a useful monitoring tool for the response to immunosuppressive therapy in acute severe rheumatic interstitial lung disease, where chest X-ray is poorly informative, and transportation is at high risk. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - May 14, 2020 Category: Radiology Source Type: research
