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Procedure: Ultrasound

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Intra- and inter-observer reliability of quadriceps muscle thickness measured with bedside ultrasonography by critical care physicians
Conclusions: This study shows that ultrasound is a reliable tool for the measurement of quadriceps muscle thickness by critical care physicians with excellent inter- and intra-class reliability.
Source: Indian Journal of Critical Care Medicine - July 14, 2017 Category: Intensive Care Authors: Vijay Hadda Gopi C Khilnani Rohit Kumar Ashesh Dhunguna Saurabh Mittal Maroof Ahmad Khan Karan Madan Anant Mohan Randeep Guleria Source Type: research

Curriculum Development and Evaluation of a Hemodynamic Critical Care Ultrasound: A Systematic Review of the Literature
Conclusions: Assessment of cardiac function and volume assessment is becoming an essential skill in critical care medicine. Physicians can be taught bedside echocardiography in a time-effective manner with positive benefit to patients by applying a concise curriculum with limited content.
Source: Critical Care Medicine - July 19, 2016 Category: Emergency Medicine Tags: Online Review Articles Source Type: research

Use of Sonographic Elastography in Emergency Medicine and Critical Care
The goal of this talk is to review the clinical application of Sonographic Elastography in Emergency Medicine and Critical Care. Applications involving sonographic elastography initiated in areas outside of acute care medicine, but emerging research has shown novel clinical uses that benefit patients in the ED and ICU. We will cover topics ranging from limited abdominal applications to acute musculoskeletal injuries and soft tissue infections. From plantar fasciitis to skin abscesses. We will also review more experimental cardiac applications.
Source: Ultrasound in Medicine and Biology - February 17, 2015 Category: Radiology Authors: Romolo Gaspar Tags: New Applications of Ultrasound in Emergency and Critical Care Medicine Source Type: research

Impact of a 2-Day Critical Care Ultrasound Course during Fellowship Training: A Pilot Study.
Conclusions. Implementation of a 2-day critical care ultrasound course covering general CCUS and basic critical care echocardiography using a combination of didactics, live models, and ultrasound simulators is effective in improving critical care fellows' proficiency and confidence with ultrasound use in both the short- and long-term settings. PMID: 26346694 [PubMed]
Source: Critical Care Research and Practice - September 10, 2015 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research

Diagnosis of a missed central line guidewire using critical care ultrasound
Ali Al BshabsheIndian Journal of Critical Care Medicine 2016 20(11):677-679Central venous catheterization, though an imperative tool in the management of critically ill patient, is associated with a variety of complications and some of which can be life-threatening. Here, we report an index case in the field of critical care of detecting a missed guidewire primarily using a bedside critical care ultrasound.
Source: Indian Journal of Critical Care Medicine - November 14, 2016 Category: Intensive Care Authors: Ali Al Bshabshe Source Type: research

Bedside ultrasonography: Applications in critical care: Part I
Jose Chacko, Gagan BrarIndian Journal of Critical Care Medicine 2014 18(5):301-309There is increasing interest in the use of ultrasound to assess and guide the management of critically ill patients. The ability to carry out quick examinations by the bedside to answer specific clinical queries as well as repeatability are clear advantages in an acute care setting. In addition, delays associated with transfer of patients out of the Intensive Care Unit (ICU) and exposure to ionizing radiation may also be avoided. Ultrasonographic imaging looks set to evolve and complement clinical examination of acutely ill patients, offering...
Source: Indian Journal of Critical Care Medicine - May 14, 2014 Category: Intensive Care Authors: Jose ChackoGagan Brar Source Type: research

Bedside ultrasonography-Applications in critical care: Part II
Jose Chacko, Gagan BrarIndian Journal of Critical Care Medicine 2014 18(6):376-381Point of care ultrasonography, performed by acute care physicians, has developed into an invaluable bedside tool providing important clinical information with a major impact on patient care. In Part II of this narrative review, we describe ultrasound guided central venous cannulation, which has become standard of care with internal jugular vein cannulation. Besides improving success rates, real-time guidance also significantly reduces the incidence of complications. We also discuss compression ultrasonography - a quick and effective bedside s...
Source: Indian Journal of Critical Care Medicine - June 4, 2014 Category: Intensive Care Authors: Jose ChackoGagan Brar Source Type: research

SCCM Pod-323 Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography - Part II: Cardiac Ultrasonography
Todd Fraser, MD, speaks with Alexander B. Levitov, MD, FCCM, FCCP, RDCS. Dr. Levitov is a professor in the division of Pulmonary and Critical Care Medicine and Director of the Ultrasound Training Program at Eastern Virginia Medical School in Norfolk, Virginia.
Source: SCCM PodCast - iCritical Care - July 28, 2016 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Recommendations for Cardiac Point-of-Care Ultrasound in Children: A Report from the American Society of Echocardiography ∗∗Endorsed by the Society of Critical Care Medicine
Cardiac point-of-care ultrasound has the potential to improve patient care, but its application to children requires consideration of anatomic and physiologic differences from adult populations, and corresponding technical aspects of performance. This document is the product of an American Society of Echocardiography task force composed of representatives from pediatric cardiology, pediatric critical care medicine, pediatric emergency medicine, pediatric anesthesiology, and others, assembled to provide expert guidance.
Source: Journal of the American Society of Echocardiography - January 23, 2023 Category: Cardiology Authors: Jimmy C. Lu, Alan Riley, Thomas Conlon, Jami C. Levine, Charisse Kwan, Wanda C. Miller-Hance, Neha Soni-Patel, Timothy Slesnick Tags: Guidelines and Standards Source Type: research

Ultrasound Assessment of Quadriceps Femoris Muscle Thickness in Critically Ill Children*
OBJECTIVES: Evaluate the reliability of ultrasound to measure quadriceps femoris muscle thickness in critically ill children and to describe serial changes in quadriceps femoris muscle thickness in relation to fluid balance and nutritional intake. DESIGN: Prospective observational study. SETTING: Tertiary care children’s hospital. PATIENTS: Inpatients age 3 months to 18 years recently admitted to the ICU who were sedated and mechanically ventilated at the time of the first ultrasound scan. METHODS: Prospective observational study to examine the reliability of averaged ultrasound measuremen...
Source: Pediatric Critical Care Medicine - October 1, 2021 Category: Pediatrics Tags: Clinical Investigations Source Type: research

Routine Neuroimaging: Understanding Brain Injury in Pediatric Extracorporeal Membrane Oxygenation*
OBJECTIVES: This project aims to describe brain injuries on routine neuroimaging in a large single-center neonatal and pediatric cohort supported by extracorporeal membrane oxygenation. The study also aims to examine the association of these injuries with neurocognitive outcomes in survivors and identify laboratory findings associated with neurologic injury. DESIGN: Retrospective observational single-center cohort study. SETTING: Tertiary care PICU. PATIENTS: Pediatric patients with noncardiac indications for extracorporeal membrane oxygenation supported by venoarterial or venovenous extracorporeal...
Source: Critical Care Medicine - February 23, 2022 Category: Emergency Medicine Tags: Neurologic Critical Care Source Type: research

Bedside ultrasound and echocardiography by the pediatric intensivist: An evolving tool and a feasible option in a pediatric ICU
Praveen KhilnaniIndian Journal of Critical Care Medicine 2013 17(4):201-202
Source: Indian Journal of Critical Care Medicine - September 19, 2013 Category: Intensive Care Authors: Praveen Khilnani Source Type: research

Establishing Intensivist-Driven Ultrasound at the PICU Bedside—It’s About Time*
Conclusions: Intensivist-driven ultrasound improves procedure safety and reduces time to diagnosis in clinical ultrasound applications, as demonstrated primarily in adult patients. Translating these applications to the PICU requires thoughtful integration of the technology into practice and would best be informed by dedicated ultrasound research in critically ill children.
Source: Pediatric Critical Care Medicine - September 1, 2014 Category: Pediatrics Tags: PCCM Perspectives Source Type: research