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Procedure: Ultrasound

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Outcomes from extensive training in critical care echocardiography: Identifying the optimal number of practice studies required to achieve competency
Conclusions Supporting earlier results, the RACE scale provided a straightforward means to assess learner performance with minimal requirements for evaluator training. The results of the present study suggest that novices experience the greatest gains in competency during their first twenty practice studies, a threshold which should serve to guide training initiatives.
Source: Journal of Critical Care - March 31, 2017 Category: Gastroenterology Source Type: research

Ultrasound in trauma resuscitation and critical care with hemodynamic transesophageal echocardiography guidance
CONCLUSION Hemodynamic transesophageal echocardiography is an excellent hemodynamic monitoring modality for the intensivist and has many practical applications in the management of the critical ill or injured patients. Hemodynamic transesophageal echocardiography has demonstrated that patient's resuscitation needs are often underestimated and that a more tailored approach to volume delivery is achievable, a particular benefit in the older and more comorbid patient. Future applications of hTEE include CRRT volume management, organ donor hemodynamic optimization, and postresuscitation monitoring in trauma patient requiring...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - July 1, 2019 Category: Orthopaedics Tags: 2019 EAST SURGICAL VIDEOS Source Type: research

Thoracic ultrasound influences physiotherapists clinical decision-making in respiratory management of critical care patients: a multicentre cohort study
Conclusion Thoracic ultrasound has a high impact on the clinical decision-making process by physiotherapists for critical care patients. Trial registration number NCT02881814; https://clinicaltrials.gov.
Source: Thorax - January 12, 2023 Category: Respiratory Medicine Authors: Le Neindre, A., Hansell, L., Wormser, J., Gomes Lopes, A., Diaz Lopez, C., Romanet, C., Choukroun, G., Nguyen, M., Philippart, F., Guinot, P.-G., Buscher, H., Bouhemad, B., Ntoumenopoulos, G. Tags: Thorax Critical care Source Type: research

A practical approach to goal-directed echocardiography in the critical care setting
Urgent cardiac ultrasound examination in the critical care setting is clinically useful. Application of goal-directed echocardiography in this setting is quite distinct from typical exploratory diagnostic comprehensive echocardiography, because the urgent critical care setting mandates a goal-directed approach. Goal-directed echocardiography most frequently aims to rapidly identify and differentiate the cause(s) of hemodynamic instability and/or the cause(s) of acute respiratory failure. Accordingly, this paper highlights 1) indications, 2) an easily memorized differential diagnostic framework for goal-directed echocardiog...
Source: Critical Care - December 1, 2014 Category: Intensive Care Authors: Patricia WalleyKeith WalleyBen GoodgameVivek PunjabiDemetrios Sirounis Source Type: research

Real-time, ultrasound-guided infraclavicular axillary vein cannulation for renal replacement therapy in the critical care unit – a prospective intervention study.
The cannulation of the axillary vein for renal replacement therapy is a rarely performed procedure in the critical care unit. We defined the venipuncture and catheterization success rates and early mechanical complication rates of this technique in acute kidney injury critical care patients.
Source: Journal of Critical Care - January 7, 2015 Category: Intensive Care Authors: Tomasz Czarnik, Ryszard Gawda, Jakub Nowotarski Source Type: research

Outcomes from extensive training in critical care echocardiography: Identifying the optimal number of practice studies required to achieve competency
In this study, a previously published tool was used to monitor the development of critical care echocardiography (CCE) competencies, the attainment of performance plateaus, and the extent to which previous experience influenced learning.
Source: Journal of Critical Care - March 27, 2017 Category: Intensive Care Authors: Scott J. Millington, Michael Hewak, Robert T. Arntfield, Yanick Beaulieu, Benjamin Hibbert, Seth Koenig, Pierre Kory, Paul Mayo, Jordan R. Schoenherr Source Type: research

Year in review 2012: Critical Care - cardiology
In this review I discuss key research papers in cardiology and intensive care published in Critical Care during 2012 with related studies published in other journals quoted whenever appropriate. These studies are grouped into the following categories: cardiovascular therapies, mechanical therapies, pathophysiologic mechanisms, hemodynamic monitoring, ultrasound in respiratory failure, microcirculation, and miscellaneous.
Source: Critical Care - November 22, 2013 Category: Intensive Care Authors: Daniel De Backer Source Type: research

The Utility of Remote Supervision with Feedback as a Method to Deliver High Volume Critical Care Ultrasound Training
Despite international agreement that critical care ultrasound (CCUS) is an essential skill for intensive care providers, CCUS training and dissemination is complicated by a shortage of educators. Newer technology now permits remote, offline supervision as a method of overseeing trainees undergoing CCUS instruction.
Source: Journal of Critical Care - December 11, 2014 Category: Intensive Care Authors: Robert T. Arntfield Source Type: research

The utility of remote supervision with feedback as a method to deliver high-volume critical care ultrasound training
Despite international agreement that critical care ultrasound (CCUS) is an essential skill for intensive care providers, CCUS training and dissemination is complicated by a shortage of educators. Newer technology now permits remote, offline supervision as a method of overseeing trainees undergoing CCUS instruction.
Source: Journal of Critical Care - December 11, 2014 Category: Intensive Care Authors: Robert T. Arntfield Source Type: research

Ultrasound and Pulse Ox vs CXR and ABGs for ARDS DiagnosisUltrasound and Pulse Ox vs CXR and ABGs for ARDS Diagnosis
Which tools are most useful to detect lung abnormalities consistent with ARDS in under-resourced settings? Critical Care
Source: Medscape Critical Care Headlines - October 23, 2015 Category: Intensive Care Tags: Critical Care Journal Article Source Type: news

Corrigendum ‘Development of a fluid resuscitation protocol using inferior vena cava and lung ultrasound’ Journal of Critical Care 31(2016) 96–100
Publication date: Available online 8 March 2016 Source:Journal of Critical Care Author(s): Christopher W.C. Lee, Pierre D. Kory, Robert T. Arntfield
Source: Journal of Critical Care - March 9, 2016 Category: Gastroenterology Source Type: research

Five-year Retrospective Review of Physician and Non-physician Performed Ultrasound in a Canadian Critical Care Helicopter Emergency Medical Service.
CONCLUSIONS: The use of PHUS by both physicians and non-physicians was found to support interventions in select trauma and medical patients. KEY WORDS: emergency medical services; aircraft; helicopter; air ambulance; ultrasonography; emergency care, prehospital; prehospital emergency care. PMID: 27436374 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - July 22, 2016 Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research

Ultrasound to Assess Volume Status--Why Bother? Ultrasound to Assess Volume Status--Why Bother?
Why use an expensive test to find out whether the patient will respond to a fluid bolus, when a passive leg raise is just as helpful?Medscape Critical Care
Source: Medscape Critical Care Headlines - November 14, 2016 Category: Intensive Care Tags: Critical Care Expert Column Source Type: news

EXpert consensus On Diaphragm UltraSonography in the critically ill (EXODUS): a Delphi consensus statement on the measurement of diaphragm ultrasound-derived parameters in a critical care setting
Diaphragm ultrasonography is rapidly evolving in both critical care and research. Nevertheless, methodologically robust guidelines on its methodology and acquiring expertise do not, or only partially, exist. T...
Source: Critical Care - April 8, 2022 Category: Intensive Care Authors: Mark E. Haaksma, Jasper M. Smit, Alain Boussuges, Alexandre Demoule, Martin Dres, Giovanni Ferrari, Paolo Formenti, Ewan C. Goligher, Leo Heunks, Endry H. T. Lim, Lidwine B. Mokkink, Eleni Soilemezi, Zhonghua Shi, Michele Umbrello, Luigi Vetrugno, Emmanue Tags: Research Source Type: research

Perioperative Point-of-Care Ultrasound--Do You Know Best Practices? Perioperative Point-of-Care Ultrasound--Do You Know Best Practices?
Drs Elaine Yang and Stephen Haskins discuss point-of-care ultrasound, with demonstrations of airway, lung, cardiac, and gastric ultrasound imaging.Hospital for Special Surgery
Source: Medscape Critical Care Headlines - December 17, 2019 Category: Intensive Care Tags: Critical Care Commentary Source Type: news