A point-of-care ultrasound education curriculum for pediatric critical care medicine
We describe a single center ’s approach to POCUS education with improvement in knowledge, self-reported comfort, and attitudes towards procedural and diagnostic POCUS. The curricular resources for adaptation in a similar educational context are provided. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 31, 2022 Category: Radiology Source Type: research
The CLOSED protocol to assess optic nerve sheath diameter using color-Doppler: a comparison study in a cohort of idiopathic normal pressure hydrocephalus patients
ConclusionsIn this cohort of patients, magnetic resonance showed high intra-rater variability in optic nerve sheath diameter assessments. Optic nerve sheath diameter assessments using color-Doppler yielded lower and less scattered diameters compared to B-mode only. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 29, 2022 Category: Radiology Source Type: research
Native-valve endocarditis detected by point-of-care echocardiography
ConclusionsPoint-of-care echocardiogram has a pivotal role in diagnosis and decision-making of infective endocarditis. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 27, 2022 Category: Radiology Source Type: research
Effect of a point-of-care ultrasound (POCUS) curriculum on emergency department soft tissue management
ConclusionsImplementation of a soft tissue POCUS curriculum in a pediatric ED was associated with increased POCUS use, decreased LOS, and lower cost. These findings highlight the importance of POCUS education and implementation in the management of pediatric SSTI. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 21, 2022 Category: Radiology Source Type: research
Exploratory study to assess feasibility of intracerebral hemorrhage detection by point of care cranial ultrasound
ConclusionsOur exploratory analysis yielded preliminary data on use of point of care cranial ultrasound for ICH diagnosis to inform imaging techniques, cranial topography on B mode and sample size estimation for future studies to evaluate sensitivity and specificity of cranial POCUS in adult patients. This pilot study is limited by small sample size and over representation of ICH in the study. Cranial POCUS is feasible using POCUS machines and may have potential as a screening tool if validated in adequately powered studies. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - October 17, 2022 Category: Radiology Source Type: research
Medullary sponge kidney: unusual finding in kidney transplant recipient
ConclusionsDespite a long history of kidney transplantation, genetic disease should not be forgotten when symptoms and images recall to specific inherited alterations. Sonography has to be considered in diagnostic path of kidney cystic disease. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 29, 2022 Category: Radiology Source Type: research
Correction: An overview of internal medicine point-of-care ultrasound rotations in Canada
(Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 14, 2022 Category: Radiology Source Type: research
An overview of Internal Medicine Point-of-Care Ultrasound rotations in Canada
ConclusionsWe describe the different elements of the POCUS rotations currently offered in Canadian Internal Medicine training programs. We share some lessons learned around the elements necessary for a sustainable rotation that meets high educational standards. We also identify areas for future growth, which include the expansion of learner policies, as well as the evolution of trainee assessment in the era of competency-based medical education. Our results will help educators that are endeavoring setting up POCUS rotations achieve success. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - September 2, 2022 Category: Radiology Source Type: research
A simple algorithm for differential diagnosis in hemodynamic shock based on left ventricle outflow tract velocity –time integral measurement: a case series
AbstractEchocardiography has gained wide acceptance among intensive care physicians during the last 15 years. The lack of accredited formation, the long learning curve required and the excessive structural orientation of the present algorithms to evaluate hemodynamically unstable patients hampers its daily use in the intensive care unit. The aim of this article is to show 4 cases where the use of our simple algorithm based on VTI, was crucial. Subsequently, to explain the benefit of using the proposed algorithm with a more functional perspective, as a means for clinical decision-making. A simple algorithm based on left ven...
Source: Critical Ultrasound Journal - August 24, 2022 Category: Radiology Source Type: research
Retrospective analysis of the diagnostic accuracy of lung ultrasound for pulmonary embolism in patients with and without pleuritic chest pain
ConclusionsIn a population of patients suspected of PE, LUS showed better sensitivity for the diagnosis of PE when applied to the subgroup with pleuritic chest pain. In these patients, a diagnostic strategy based on Wells score and LUS performed better to exclude PE than the conventional strategy combining Wells score and d-dimer. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - August 12, 2022 Category: Radiology Source Type: research
Artificial intelligence enhanced ultrasound (AI-US) in a severe obese parturient: a case report
ConclusionsBenefits gained from AI-US implementation are multiple: immediate recognition of anatomical structures leads to increased first-attempt success rate, making easier the process of spinal anesthesia execution compared to traditional palpation methods, reducing needle placement time for spinal anesthesia and predicting best needle direction and target structure depth in peridural anesthesia. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - August 3, 2022 Category: Radiology Source Type: research
Short communication: ultrasound-guided percutaneous cryoanalgesia of intercostal nerves for uniportal video-assisted thoracic surgery
ConclusionsUltrasound images obtained with a high-frequency probe allow precise location of the cryoprobe tip close to the intercostal nerve for cold axonotmesis. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - July 30, 2022 Category: Radiology Source Type: research
Increasing illness severity is associated with global myocardial dysfunction in the first 24 hours of sepsis admission
ConclusionsIn the first study to capture patients prior to the initiation of resuscitation, we found a direct relationship between sepsis severity and global myocardial dysfunction. Future studies are needed to confirm these results, to identify myocardial depressants, and to investigate the link with adverse outcomes so that therapeutic interventions can be developed. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - July 28, 2022 Category: Radiology Source Type: research
International consensus conference recommendations on ultrasound education for undergraduate medical students
ConclusionsThe international consensus conference has provided the first comprehensive document of recommendations for a basic ultrasound curriculum. The document reflects the opinion of a diverse and representative group of international expert ultrasound practitioners, educators, and learners. These recommendations can standardize undergraduate medical student ultrasound education while serving as a basis for additional research in medical education and the application of ultrasound in clinical practice. (Source: Critical Ultrasound Journal)
Source: Critical Ultrasound Journal - July 27, 2022 Category: Radiology Source Type: research
The erector spinae block: a novel approach to pain management in acute appendicitis
AbstractBackgroundAcute abdominal pain is one of the most common complaints that patients present with in the emergency room and has long been a challenge to effectively manage without relying on opioid analgesia. The use of ultrasound-guided peripheral nerve blocks (UGRA) represents a new frontier in multimodal pain control regimens in the acute setting. An erector spinae plane (ESP) block is believed to mediate pain relief in multiple dermatomes through blockage of both visceral and somatic nerves. Analgesia provided by a single injection can help keep a patient comfortable for hours without breakthrough pain and the sub...
Source: Critical Ultrasound Journal - July 26, 2022 Category: Radiology Source Type: research
