Thoracic ultrasound evaluation and B-type natriuretic peptide value in elective cesarean section under spinal anesthesia
ConclusionsThoracic ultrasound is a non-invasive and easy-to-use tool for detecting fluid intolerance in pregnant women undergoing cesarean section. BNP levels were slow to rise following the cesarean section and did not show any clear correlation with fluid volumes administered. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - March 5, 2020 Category: Radiology Source Type: research

Billing I-AIM: a novel framework for ultrasound billing
ConclusionsPOCUS billing using the Billing I-AIM technique allows administrative oversight, quality assurance, and educational functions as well. A discussion of the framework and respective application is provided. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - February 27, 2020 Category: Radiology Source Type: research

Relationship of spontaneous microembolic signals to risk stratification, recurrence, severity, and mortality of ischemic stroke: a prospective study
In conclusion, MES demonstrated a significant correlation with symptomatic carotid disease and a shorter DELAY until monitoring, and could be a predictor for the early recurrence of stroke in the long term. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - February 10, 2020 Category: Radiology Source Type: research

Cardiac point-of-care ultrasound reveals unexpected, life-threatening findings in two children
ConclusionsThough underutilized, cardiac POCUS in children can be immediately life-saving and drastically change the clinical management at the patient ’s bedside. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - February 3, 2020 Category: Radiology Source Type: research

Evaluation of short training session for venous limited compression ultrasonography: prospective multicenter study
ConclusionThe principal objective, NPV 96% [95% CI 89 –99%], was achieved. However, this short training session was inadequate to allow ruling-out a DVT with sufficient security. Thus, the experiential phase seems to be essential. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - February 2, 2020 Category: Radiology Source Type: research

The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections
ConclusionsThis case shows the utility of bedside ultrasound for the decision-making process in a disease where an early diagnosis is important. This information should always be used together with the clinical judgement, as it has a relative low sensitivity. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - January 22, 2020 Category: Radiology Source Type: research

How POCUS picks up a rare mimickers of acute appendicitis in the emergency department
ConclusionThe importance of POCUS in scanning right iliac fossa for patients present with signs and symptoms that are mimicking acute appendicitis for diagnosing a rare pathology and avoiding the risk of ionizing radiation hazards and unnecessary surgical intervention. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - January 14, 2020 Category: Radiology Source Type: research

Feasibility of cardiac output measurements in critically ill patients by medical students
ConclusionsMedical students seem capable of obtaining sufficient quality CCUS images for CO measurement in the majority of critically ill patients. Measurements of CO by medical students, however, had poor agreement with expert measurements. Experts remain indispensable for reliable CO measurements.Trial registration Clinicaltrials.gov;http://www.clinicaltrials.gov; registration number NCT02912624 (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - January 7, 2020 Category: Radiology Source Type: research

Bedside ultrasound in cardiac standstill: a clinical review
This article reviews the current literature on cardiac standstill and the application of bedside ultrasound in cardiac arrests. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - December 29, 2019 Category: Radiology Source Type: research

Cardiac ultrasound in resource-limited settings (CURLS): towards a wider use of basic echo applications in Africa
ConclusionsThe “Cardiac ultrasound for resource-limited settings (CURLS)” protocol is a context-specific algorithm designed to aid the clinician in diagnosing the five most clinically relevant etiologies of heart failure and cardiomegaly in SSA. The protocol has the potential to influence treatment decisions i n patients who present with clinical signs of heart failure in resource-limited settings outside of the traditional referral institutions. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - December 26, 2019 Category: Radiology Source Type: research

Factors affecting perception of the normal pediatric appendix on sonography
ConclusionSonography to rule out appendicitis in the pediatric patient is in general most successful when performed by experienced sonographers with adequate time to perform the scan. Triaging patients to those sonographers who have displayed optimal perceptual ability of the normal appendix may help optimize patient care and hospital resources. Having experienced sonographers available after hours would allow for optimal care in the setting of ‘query’ appendicitis. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - December 20, 2019 Category: Radiology Source Type: research

Sonographic features of carotid artery dissection due to extension of aortic dissection: a case report
ConclusionsBedside carotid ultrasound enables rapid, sensitive and safe hemodynamic assessment, especially in critically ill patients. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - December 1, 2019 Category: Radiology Source Type: research

Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations
ConclusionOur review shows that generalists can, given a certain level of pre-test probability, safely use PoCUS in a wide range of clinical settings to aid diagnosis and better the care of their patients. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - November 18, 2019 Category: Radiology Source Type: research

Hepatic and portal vein Dopplers in the clinical management of patients with right-sided heart failure: two case reports
ConclusionHepatic and portal vein Doppler ultrasounds are venous hypertension assessment tools that can be readily used at the bedside by clinicians trained in POCUS that may contribute holistically to the hemodynamic profiling for patients with right heart failure and direct therapeutic interventions. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - November 11, 2019 Category: Radiology Source Type: research

Diagnostic value of transcranial ultrasonography for selecting subjects with large vessel occlusion: a systematic review
ConclusionsTranscranial ultrasonography might potentially be used for the selection of subjects with acute LVO, to help streamline patient care and allow direct transfer to specialised endovascular centres. It can also assist in detecting haemorrhagic lesions in some cases, however, its applicability here is largely restricted. Additional research should optimize the scanning technique. Further work is required to demonstrate whether this diagnostic approach, possibly combined with clinical assessment, could be used at the pre-hospital stage to justify direct transfer to a regional thrombectomy centre in suitable cases. (S...
Source: Critical Ultrasound Journal - October 21, 2019 Category: Radiology Source Type: research