The development of a provincial multidisciplinary framework of consensus-based standards for Point of Care Ultrasound at the University of Saskatchewan
ConclusionThe resulting framework will inform the utilization of POCUS within Saskatchewan. Both this process and its outcomes could inform the development of multidisciplinary POCUS standards within other jurisdictions. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 16, 2019 Category: Radiology Source Type: research
Ultrasound-guided peripheral venous cannulation in critically ill patients: a practical guideline
ConclusionKey concepts regarding ultrasound-guided peripheral vein cannulation should be well known for practitioners, aiding in improving cannulation success and catheter dwell time, and avoiding complications. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 16, 2019 Category: Radiology Source Type: research
The use of an external ultrasound fixator (Probefix) on intensive care patients: a feasibility study
ConclusionsIn this small feasibility study, the Probefix could be used in eight out of ten intensive care patients. The use of Probefix did not result in more or less accurate CO measurements compared to manually recorded TTE CO measurements. We suggest that larger studies on the use of Probefix in intensive care patients are needed. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 10, 2019 Category: Radiology Source Type: research
Renal resistive index: a new reversible tool for the early diagnosis and evaluation of organ perfusion in critically ill patients: a case report
ConclusionsRRI modification appears to be more precocious than any other hemodynamic, microcirculatory and metabolic parameter routinely used. RRI has been widely used to assess renal function in critically ill patients; now, we presume that RRI could represent a common and useful tool to manage target therapy in critical condition. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 9, 2019 Category: Radiology Source Type: research
Comparisons of two diaphragm ultrasound-teaching programs: a multicenter randomized controlled educational study
ConclusionsA combined approach consisting of a theoretical module followed by a practical training is more effective in managing acoustic windows and performing accurate measurements when compared to an exclusively theoretical course.Trial registration prospectively registered on clinicaltrials.gov (Identifier: NCT03704129; release date 17th October 2018). (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 2, 2019 Category: Radiology Source Type: research
Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy
ConclusionsThis case shows the use of bedside ultrasound to diagnose a subcapsular renal hematoma as a complication of extracorporeal shock wave lithotripsy. However, the sensitivity is low and other image methods can be necessary to make the diagnosis. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 29, 2019 Category: Radiology Source Type: research
Impact of an ultrasound-driven diagnostic protocol at early intensive-care stay: a randomized-controlled trial
ConclusionsSystematic application of POCUS may decrease utilization of conventional diagnostic imaging resources and time of mechanical ventilation, and facilitate meticulous intravenous fluid administration in critically ill patients during the first week of stay in the ICU.Trial registration ClinicalTrials.gov Identifier: NCT03608202. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 29, 2019 Category: Radiology Source Type: research
ACUTE ABDOMEN systemic sonographic approach to acute abdomen in emergency department: a case series
ConclusionACUTE ABDOMEN sonographic approach in acute abdomen can play an important role in ruling out critical diagnosis, and can guide emergency physician or any critical care physician in patient management. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 22, 2019 Category: Radiology Source Type: research
Routine lung ultrasound to detect postoperative pulmonary complications following major abdominal surgery: a prospective observational feasibility study
ConclusionsThis study shows that LUS is highly feasible and frequently detects postoperative pulmonary complications after major abdominal surgery. Discordant observations in atelectasis and pleural effusions for LUS and CXR can be explained by a superior diagnostic ability of LUS in detecting these conditions. The effects of LUS as primary imaging modality on patient outcome should be evaluated in future studies. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 15, 2019 Category: Radiology Source Type: research
Subcostal TAPSE: a retrospective analysis of a novel right ventricle function assessment method from the subcostal position in patients with sepsis
ConclusionsSubcostal TAPSE is a feasible and accurate alternative to conventional TAPSE from the apical view in critically ill patients. Further research is required to elucidate the relationship between RV dysfunction and outcomes in sepsis. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - August 26, 2019 Category: Radiology Source Type: research
Impact of ultrasound on management for dyspnea presentations in a Rwandan emergency department
ConclusionsIn dyspneic patients presenting to this Emergency Department, ultrasound frequently changed the leading diagnosis, significantly increased clinicians ’ confidence in the leading diagnoses, and improved diagnostic accuracy. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - August 19, 2019 Category: Radiology Source Type: research
A rare ultrasound case report: intramuscular tear of the sartorius muscle
We report a case of a 65-year-old male patient who presented with localized swelling and lump in the proximal third of the upper thigh. Most common upper thigh injuries involve the quadriceps muscle group associated with football injuries; however, in rare incidents certain forceful intrinsic injuries can cause intramuscular tear of the sartorius muscle. This is a rare case of spontaneous muscle rupture in an elderly patient with no history of recent sporting activity. Ultrasound provides a cost-effective, dynamic evaluation of the anterior upper thigh muscles to differentiate between chronic and acute phases of injury. (S...
Source: Critical Ultrasound Journal - July 25, 2019 Category: Radiology Source Type: research
Sonographic presentation of rice bodies in subacromial-subdeltoid chronic bursitis
ConclusionThe unique sonographic presentation of rice bodies in the chronic subacromial-subdeltoid bursitis makes it easy to be diagnosed confidently, but it is difficult to be recognized, due to its rare occurrence. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - July 21, 2019 Category: Radiology Source Type: research
Interscalene brachial plexus nerve block in the emergency department: an effective and practice-changing workshop
ConclusionsOur study suggests that EM residents can learn the ISNB, perform it safely in the emergency department, and that the ISNB may be an alternative to procedural sedation and opiate use for shoulder dislocation. Residents are adept at ISNB technical skills but demonstrate some deficits in knowledge retention. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - July 14, 2019 Category: Radiology Source Type: research
Giant rectus sheath hematoma
ConclusionsPOCUS has a good sensitivity for the diagnosis of RSH and it is also an excellent tool for patient follow-up. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - June 17, 2019 Category: Radiology Source Type: research
