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Procedure: Ultrasound

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Total 92605 results found since Jan 2013.

Critical Care Education and Skills Validation Course for Internal Medicine Physicians in the Military
CONCLUSIONS: Broad implementation of this program at military hospitals would improve pre-deployment critical care procedural readiness in military IM physicians.PMID:34164682 | DOI:10.1093/milmed/usab210
Source: Military Medicine - June 24, 2021 Category: International Medicine & Public Health Authors: Lauren A Sattler John C Hunninghake Tyson J Sjulin Michal J Sobieszczyk Maria M Molina Ana Elizabeth Markelz Robert J Walter Source Type: research

Prevalence of Cardiac Dysfunction in Malawian Children With Severe Febrile Illness*
CONCLUSIONS: Cardiac dysfunction may be present in one in four Malawian children with severe febrile illness, and mortality in these patients is especially high. Larger studies are needed to further clarify the role cardiac dysfunction plays in mortality and integrate practical bedside assessments for decision support around individualized resuscitation strategies.
Source: Pediatric Critical Care Medicine - July 1, 2022 Category: Pediatrics Tags: Feature Articles Source Type: research

Real-Time Ultrasound Guidance for Umbilical Venous Cannulation in Neonates With Congenital Heart Disease
CONCLUSIONS: Ultrasound guidance has become standard of care for percutaneous central venous access but is a new and emerging technique for umbilical vessel catheterization. In this early experience, we report that point-of-care ultrasound, together with liver pressure, can be used to markedly improve success of placement. This represents a significant advance in this core neonatal procedure.
Source: Pediatric Critical Care Medicine - May 1, 2022 Category: Pediatrics Tags: Online Technical Note Source Type: research

Intensivist-Driven Ultrasound in the PICU: Can Pediatric Intensivists Decipher the Heart’s Mysteries?*
No abstract available
Source: Pediatric Critical Care Medicine - July 1, 2016 Category: Pediatrics Tags: Editorials Source Type: research

How to Train and Maintain Pediatric Intensivists Updated in Focused Cardiac Ultrasound?
No abstract available
Source: Pediatric Critical Care Medicine - October 1, 2016 Category: Pediatrics Tags: Letters to the Editor Source Type: research

Thigh Ultrasound Monitoring Identifies Decreases in Quadriceps Femoris Thickness as a Frequent Observation in Critically Ill Children*
Objectives: Significant muscle wasting develops in critically ill adults, with subsequent worse outcomes. In the pediatric setting, occurrence and effects of muscle wasting are undescribed; this is in part due to a lack of validated, objective methods for assessing muscle wasting. A single measurement of quadriceps femoris thickness has failed to show consistent reproducibility. We hypothesized that averaging repeated measurements could afford good reproducibility to allow for quadriceps femoris thickness decline detection and monitoring. Design: A prospective bedside observational study. Setting: Two PICUs. Patients: M...
Source: Pediatric Critical Care Medicine - August 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Basic Hemodynamic Monitoring Using Ultrasound or Electrical Cardiometry During Transportation of Neonates and Infants*
Objectives: Electrical cardiometry and heart ultrasound might allow hemodynamic evaluation during transportation of critically ill patients. Our aims were 1) to test feasibility of stroke volume monitoring using electrical cardiometry or ultrasound during transportation and 2) to investigate if transportation impacts on electrical cardiometry and ultrasound reliability. Design: Prospective, pragmatic, feasibility cohort study. Setting: Mobile ICUs specialized for neonatal and pediatric transportation. Patients: Thirty hemodynamically stable neonates and infants. Interventions: Patients enrolled underwent pair...
Source: Pediatric Critical Care Medicine - November 1, 2017 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Critical care ultrasound: A national survey across specialties
ConclusionStudy respondents utilize POCUS in a variety of clinical applications. However, a disparity in utilization still exists among clinicians who care for critically ill patients. Overcoming barriers, such as a lack of formalized training, competency, or credentialing, may lead to increased utilization.
Source: Journal of Clinical Ultrasound - November 13, 2017 Category: Radiology Authors: Jeffrey R. Stowell, Ross Kessler, Resa E. Lewiss, Igor Barjaktarevic, Bikash Bhattarai, Napatkamon Ayutyanont, John L. Kendall Tags: RESEARCH ARTICLE Source Type: research

Progressive Diaphragm Atrophy in Pediatric Acute Respiratory Failure*
Conclusions: Diaphragm atrophy is present in children on mechanical ventilation for acute respiratory failure. Diaphragm contractility, measured as thickening fraction, is strongly correlated with spontaneous breathing fraction. The combination of exposure to neuromuscular blockade infusion with low overall spontaneous breathing fraction is associated with a greater degree of atrophy.
Source: Pediatric Critical Care Medicine - May 1, 2018 Category: Pediatrics Tags: Feature Articles Source Type: research

Bedside Ultrasound in the Pediatric Intensive Care Unit: Newer Uses
AbstractPurpose of ReviewTo explore recent advancements in the use of point-of-care ultrasound in the pediatric intensive care unit or during the perioperative period.Recent FindingsUltrasound is useful for selecting an appropriate endotracheal tube size, predicting postextubation stridor, assessing vocal cord paralysis, performing ultrasound-guided lung recruitment, assessing circulatory volume status, performing transcranial Doppler for assessment of cerebral perfusion, assessing intracranial hypertension, assessing central venous catheter tip position, and performing arterial line cannulation.SummaryThere has been rapid...
Source: Current Pediatrics Reports - November 9, 2019 Category: Pediatrics Source Type: research

Pediatric Case of Successful Point-of-Care Ultrasound-Guided Nasogastric Tube Placement
We report a case of successful POCUS-guided NGT placement in a pediatric ED.
Source: The Journal of Emergency Medicine - May 22, 2020 Category: Emergency Medicine Authors: Takaaki Mori, Hirokazu Takei, Osamu Nomura, Takateru Ihara, Yusuke Hagiwara Tags: Ultrasound in Emergency Medicine Source Type: research

Integrating Focused Cardiac Ultrasound Into Pediatric Septic Shock Assessment*
Conclusions: Incorporation of focused cardiac ultrasound in the evaluation of patients with suspected septic shock frequently changed a clinician’s characterization of hemodynamics. An expert-developed algorithm had substantial concordance with a clinician’s post-focused cardiac ultrasound hemodynamic characterization. Management aligned with algorithm characterization may improve outcomes in children with suspected septic shock.
Source: Pediatric Critical Care Medicine - March 1, 2021 Category: Pediatrics Tags: Feature Articles Source Type: research

A survey demonstrating that the procedural experience of residents in internal medicine, critical care and emergency medicine is poor: training in ultrasound is required to rectify this
DiscussionResidents in IM, CC and EM perceive that ultrasound-guided procedures are relevant to their practice. However, the IM residents performed fewer procedures than CC residents and EM residents at least partly because internists also lack skills in ultrasound. Training in ultrasound-guided procedures may reduce the use of landmark techniques and improve patient safety. Residents in IM, CC and EM therefore require training in ultrasound-guided procedures.
Source: Critical Ultrasound Journal - April 13, 2021 Category: Radiology Source Type: research

Ultrasound-Guided Postpyloric Feeding Tube Placement in Critically Ill Pediatric Patients*
The objective of this study was to evaluate the effect of ultrasound-guided postpyloric feeding tube placement in critically ill children. DESIGN: Single-center retrospective observational study. SETTING: PICU of tertiary children’s hospital. PATIENTS: Children under the age of 16 who underwent postpyloric feeding tube placement in our PICU between September 2017 and August 2019. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A total of 115 patients were included in this study: 30 patients underwent ultrasound-guided postpyloric feeding tube placement and 85 patients underwent blin...
Source: Pediatric Critical Care Medicine - May 1, 2021 Category: Pediatrics Tags: Online Brief Report Source Type: research