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Procedure: Ultrasound

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Central Venous Pressure Estimation by Ultrasound Measurement of Inferior Vena Cava and Aorta Diameters in Pediatric Critical Patients: An Observational Study
Conclusions: Inferior vena cava collapsibility index and ratio of maximal diameter of inferior vena cava/maximum diameter of the abdominal aorta correlate well with central venous pressure measurements in this PICU population, and specific inferior vena cava collapsibility index or ratio of maximal diameter of inferior vena cava/maximum diameter of the abdominal aorta thresholds appear to be able to differentiate children with high or low central venous pressure. However, the actual clinical application of these statistically significant results remains limited, especially by the intrinsic flaws of the procedure.
Source: Pediatric Critical Care Medicine - January 1, 2021 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Current Clinical Practice in Point-of-Care Ultrasound Use in the PICUs Across Europe
Conclusions: Point-of-care ultrasound is being used extensively across heterogeneously organized PICU settings in Europe. However, there remains a significant variation in the clinical practice across the units. Clear needs for improved point-of-care ultrasound training programs and clinical governance structure were identified. Evidence-based point-of-care ultrasound guidelines, structured training programs dedicated to neonatal and pediatric intensive care settings, and educational research in point-of-care ultrasound use may help in strengthening clinical governance, making clinical practice uniform and enhancing quality assurance.
Source: Pediatric Critical Care Medicine - September 1, 2020 Category: Pediatrics Tags: Online Clinical Investigations Source Type: research

Pediatric Critical Care Ultrasound Education: The Importance of a Common Denominator*
No abstract available
Source: Pediatric Critical Care Medicine - March 1, 2015 Category: Pediatrics Tags: Editorials Source Type: research

Hertz So Good: Bedside Ultrasound Implementation by Pediatric Critical Care Training Programs*
No abstract available
Source: Pediatric Critical Care Medicine - November 1, 2018 Category: Pediatrics Tags: Editorials Source Type: research

Early Detection of Preterm Intraventricular Hemorrhage From Clinical Electroencephalography
Objectives: Intraventricular hemorrhage is a common neurologic complication of extremely preterm birth and leads to lifelong neurodevelopmental disabilities. Early bedside detection of intraventricular hemorrhage is crucial to enabling timely interventions. We sought to detect early markers of brain activity that preempt the occurrence of intraventricular hemorrhage in extremely preterm infants during the first postnatal days. Design: Cross-sectional study. Setting: Level III neonatal ICU. Patients: Twenty-five extremely preterm infants (22–28 wk gestational age). Measurements and Main Results: We quantitatively assessed...
Source: Critical Care Medicine - September 18, 2015 Category: Emergency Medicine Tags: Pediatric Critical Care Source Type: research

Evolution in Critical Care Medicine: Technology, Humanity, and a Global Pandemic
The evolution of critical care medicine is often marked and even led by technological advances in the diagnosis, monitoring, and treatment of life-threatening illness. This special issue of Clinics in Chest Medicine highlights major and recent technological advances in critical care —from bedside evaluation with ultrasound and capnography to novel diagnostic technology for common infections in the intensive care unit (ICU) to extracorporeal life support. Technological advances have changed not only bedside care but also the organization of critical care delivery—highlighted in a provocative account of the importance of...
Source: Clinics in Chest Medicine - September 1, 2022 Category: Respiratory Medicine Authors: Jacqueline M. Kruser, Gregory A. Schmidt Tags: Preface Source Type: research

Critical Care Ultrasound: A Systematic Review of International Training Competencies and Program
Conclusions: Despite widespread and increasing use of ultrasound in ICUs, the majority of countries lacked a formal training program and clearly defined competencies. Even among the countries where these are available, there remains variability. There is a need to better define the competencies required in core critical care ultrasonography and standardize the assessment process.
Source: Critical Care Medicine - February 16, 2019 Category: Emergency Medicine Tags: Online Review Article Source Type: research

New directions in point-of-care ultrasound at the crossroads of paediatric emergency and critical care
Purpose of review The diagnostic capability, efficiency and versatility of point-of-care ultrasound (POCUS) have enabled its use in paediatric emergency medicine (PEM) and paediatric critical care (PICU). This review highlights the current applications of POCUS for the critically ill child across PEM and PICU to identify areas of progress and standardized practice and to elucidate areas for future research. Recent findings POCUS technology continues to evolve and advance bedside clinical care for critically ill children, with ongoing research extending its use for an array of clinical scenarios, including respiratory ...
Source: Current Opinion in Pediatrics - May 10, 2018 Category: Pediatrics Tags: EMERGENCY AND CRITICAL CARE MEDICINE: Edited by Jean Klig and Clifford W. Bogue Source Type: research

Impact of Critical Care Point-of-Care Ultrasound Short-Courses on Trainee Competence
Conclusions: In this survey of doctors attending point-of-care ultrasound short-courses in Australasia, the majority of doctors did not attain competence. However, the practice of unsupervised point-of-care ultrasound use by noncredentialled doctors was common. Further research into effective strategies to improve point-of-care ultrasound competence is required.
Source: Critical Care Medicine - August 16, 2019 Category: Emergency Medicine Tags: Online Brief Report Source Type: research

Point-of-care ultrasound to evaluate thickness of rectus femoris, vastus intermedius muscle, and fat as an indicator of muscle and fat wasting in critically ill patients in a multidisciplinary intensive care unit
Conclusions: There is potential utility of ultrasound for early detection and probable corrective measures to prevent ICUAW. The rectus femoris thickness, skin to bone, and bone to muscle thickness show statistically significant difference on day 3, day 7 compared to day 1. Fat layer did not show statistically significant decrease.
Source: Indian Journal of Critical Care Medicine - November 19, 2018 Category: Intensive Care Authors: Yeshaswini Katari Rangalakshmi Srinivasan Priyadarshini Arvind Sahajananda Hiremathada Source Type: research

SCCM Pod-488: Getting to the Heart of the National Board of Echocardiography Examination
The National Board of Echocardiography has developed an examination to assess echocardiography and ultrasound skills, which are required by many medical programs. Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, was joined by Sara Nikravan, MD, FASE, FCCM, at the 2023 Critical Care Congress to discuss advanced echocardiography and the National Board of Echocardiography examination. Sara Nikravan, MD, FASE, FCCM, is director of point-of-care ultrasound and associate program director of residency at the University of Washington in Seattle, Washington, USA. This podcast is sponsored by Echonous.
Source: SCCM PodCast - iCritical Care - August 23, 2023 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

SCCM Pod-255 44th Critical Care Congress: Ultrasound Credentialing
Michael Weinstein, MD, FACS, FCCP, discusses Ultrasound Credentialing with Michael Blaivas, MD, FAIUM, FACEP.
Source: SCCM PodCast - iCritical Care - January 29, 2015 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts

Sonographic and clinical features of upper extremity deep venous thrombosis in critical care patients.
Conclusion. Presence of CVC was a strong predictor for the development of UEDVT in a cohort of critical care patients; however, the rate of subsequent PE and related mortality was low. PMID: 22655181 [PubMed]
Source: Critical Care Research and Practice - December 1, 2014 Category: Intensive Care Tags: Crit Care Res Pract Source Type: research