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Procedure: Ultrasound

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Total 92605 results found since Jan 2013.

Detection of a Urethral Foreign Body in a Pediatric Patient: Another Useful Application of Point-of-Care Ultrasound
We report a pediatric case of a UFB detected by POCUS.
Source: The Journal of Emergency Medicine - June 3, 2021 Category: Emergency Medicine Authors: Takaaki Mori, Takateru Ihara, Osamu Nomura Tags: Ultrasound in Emergency Medicine Source Type: research

A New Global Definition of Acute Respiratory Distress Syndrome
CONCLUSIONS: We propose a New Global Definition of ARDS that builds on the Berlin Definition. The recommendations also identify areas for future research, including the need for prospective assessments of feasibility, reliability, and prognostic validity of the proposed Global Definition. This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License 4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/).PMID:37487152 | DOI:10.1164/rccm.202303-0558WS
Source: American Journal of Respiratory and Critical Care Medicine - July 24, 2023 Category: Respiratory Medicine Authors: Michael A Matthay Yaseen Arabi Alejandro C Arroliga Gordon Bernard Andrew D Bersten Laurent J Brochard Carolyn S Calfee Alain Combes Brian M Daniel Niall D Ferguson Michelle N Gong Jeffrey E Gotts Margaret S Herridge John G Laffey Kathleen D Liu Flavia R Source Type: research

Ultrasound Guidance for all Vascular Access—The New Standard of Care?*
No abstract available
Source: Pediatric Critical Care Medicine - December 1, 2016 Category: Pediatrics Tags: Editorials Source Type: research

Ultrasound-Guided Subclavian Vein Cannulation in Low Birth Weight Neonates
Objectives: Central venous access in critically ill, small infants remains technically challenging even in experienced hands. Several vascular accesses exist, but the subclavian vein is often preferred for central venous catheter insertion in infants where abdominal malformation and/or closure of the vein preclude the use of umbilical venous catheters, as catheterization of the subclavian vein is easier in very short necks than the internal jugular vein for age-related anatomical reasons. The subclavian vein approach is yet relatively undescribed in low birth weight infants (i.e.,
Source: Pediatric Critical Care Medicine - February 1, 2017 Category: Pediatrics Tags: Neonatal Intensive Care Source Type: research

Precision Medicine With Point-of-Care Ultrasound: The Future of Personalized Pediatric Emergency Care
Abstract: The Precision Medicine Initiative spearheaded by the National Institute of Health has pioneered a new model of health care focused on health care delivery that is tailored to an individual. Medical advances have already provided clinicians with the tools to better predict treatment outcomes based on the individual needs of each patient's disease process. Three-dimensional printing allows medical devices and implants to be custom made-to-order. Technological advances in preoperative imaging have augmented the ability for surgeons to plan a specific surgical approach for each patient. In a similar vein, point-of-ca...
Source: Pediatric Emergency Care - March 1, 2017 Category: Emergency Medicine Tags: Special Feature Source Type: research

Elevated cranial ultrasound resistive indices are associated with improved neurodevelopmental outcomes one year after pediatric cardiac surgery: A single center pilot study
Conclusions A higher resistive index in the major cerebral blood vessels following cardiac surgery in the neonatal period is associated with improved neurological outcomes one year after surgery. Obtaining an ultrasound with resistive indices of the major cerebral vessels prior to and after surgery may yield information that is predictive of neurodevelopmental outcomes.
Source: Heart and Lung: The Journal of Acute and Critical Care - May 13, 2017 Category: Respiratory Medicine Source Type: research

Prevalence, Evolution, and Extent of Impaired Cerebral Autoregulation in Children Hospitalized With Complex Mild Traumatic Brain Injury*
Objectives: To examine cerebral autoregulation in children with complex mild traumatic brain injury. Design: Prospective observational convenience sample. Setting: PICU at a level I trauma center. Patients: Children with complex mild traumatic brain injury (trauma, admission Glasgow Coma Scale score 13–15 with either abnormal head CT, or history of loss of consciousness). Interventions: Cerebral autoregulation was tested using transcranial Doppler ultrasound between admission day 1 and 8. Measurements and Main Results: The primary outcome was prevalence of impaired cerebral autoregulation (autoregulation index
Source: Pediatric Critical Care Medicine - April 1, 2019 Category: Pediatrics Tags: Neurocritical Care Source Type: research

Modified Lung Ultrasound Examinations in Assessment and Monitoring of Positive End-Expiratory Pressure-Induced Lung Reaeration in Young Children With Congenital Heart Disease Under General Anesthesia*
Objectives: Lung ultrasound can reliably diagnose pulmonary atelectasis. The object of this study is to determine the most efficient region to assess changes in atelectasis in children with congenital heart disease under general anesthesia. Design: Randomized controlled trial. Setting: Operating room at university-affiliated children’s hospital. Patients: Children between 3 months and 3 years old, scheduled for elective congenital heart disease surgery under general anesthesia. Interventions: Forty children with congenital heart disease were randomly allocated to either a 5 cm H2O positive end-expiratory ...
Source: Pediatric Critical Care Medicine - May 1, 2019 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Ultrasound-Guided Femoral Arterial Cannulation in Neonates Undergoing Cardiac Surgery or Catheterization: Comparison of 0.014-Inch Floppy Versus 0.019-Inch Straight Guidewire
Objectives: Percutaneous femoral artery cannulation can be technically challenging in small infants. Design: We designed a prospective randomized trial to compare the use of two different guidewires for femoral arterial cannulation in neonates undergoing cardiac surgery or catheterization. Settings: Cardiac ICU in a university hospital. Patients: One-hundred twenty-four children were enrolled in this prospective study, with 64 being randomized to the 0.019-inch straight guidewire group and 60 to the 0.014-inch floppy guidewire group. Interventions: Femoral artery cannulation. Measurements and Main Results: ...
Source: Pediatric Critical Care Medicine - July 1, 2019 Category: Pediatrics Tags: Cardiac Intensive Care Source Type: research

Risk of Severe Intraventricular Hemorrhage in the First Week of Life in Preterm Infants Transported Before 72 Hours of Age*
Objectives: Evaluate the risk of severe intraventricular hemorrhage, in the first week of life, in preterm infants undergoing early interhospital transport. Design: Retrospective cohort study. Setting: Tertiary neonatal centers of the Trent Perinatal Network in the United Kingdom. Patients: Preterm infants less than 32 weeks gestation, who were either born within and remained at the tertiary neonatal center (inborn), or were transferred (transported) between centers in the first 72 hours of life. Interventions: None. Measurements and Main Results: Multivariable logistic regression models adjusting for key ...
Source: Pediatric Critical Care Medicine - July 1, 2019 Category: Pediatrics Tags: Neonatal Intensive Care Source Type: research

Inferior Vena Cava Ultrasound in Children: Comparing Two Common Assessment Methods*
Conclusions: There is a significant difference between measurements of the minimum inferior vena cava diameter observed in M- and B-mode ultrasound during the respiratory cycle in children under controlled ventilation. This results in imprecise respiratory variation of inferior vena cava diameter indices. Displacements of the inferior vena cava during the respiratory cycle may influence the reliability of ultrasonographic measurements, particularly in M-mode.
Source: Pediatric Critical Care Medicine - April 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Point-of-Care Ultrasound to Confirm the Depth of Endotracheal Tube in Children: Potential to Replace Chest Radiograph
No abstract available
Source: Pediatric Critical Care Medicine - November 1, 2020 Category: Pediatrics Tags: Letters to the Editor Source Type: research

Developing Competency in Cardiac Point-of-Care Ultrasound—Means Are As Important As the End*
No abstract available
Source: Pediatric Critical Care Medicine - December 1, 2020 Category: Pediatrics Tags: Editorials Source Type: research

Accuracy of Bedside Ultrasound Femoral Vein Diameter Measurement by PICU Providers*
Conclusions: PICU provider measurement of femoral vein diameter by bedside ultrasound is inaccurate when compared with expert reference measurement. Central venous catheter size selection based on age or PICU provider femoral vein diameter measurement can lead to a catheter-to-vein ratio greater than 0.5 and potentially increase the risk of catheter-associated venous thromboembolism. Structured bedside ultrasound training with assessment of accuracy is necessary prior to implementation of venous thromboembolism reduction efforts based on catheter-to-vein ratio recommendations.
Source: Pediatric Critical Care Medicine - December 1, 2020 Category: Pediatrics Tags: Online Brief Reports Source Type: research

Ultrasound Technology: Providing “More” for Research and Clinical Care in Low-Resource Settings*
No abstract available
Source: Pediatric Critical Care Medicine - July 1, 2022 Category: Pediatrics Tags: Editorials Source Type: research