Ultrasound Journal最新文献

{"title":"Clinical relevance of a multiorgan focused clinical ultrasound in internal medicine","authors":"Ximena Cid-Serra, A. Royse, D. Canty, C. Royse","doi":"10.1186/s13089-022-00269-3","DOIUrl":"https://doi.org/10.1186/s13089-022-00269-3","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42251618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality assessment of point-of-care ultrasound reports for patients at the emergency department treated by internists","authors":"Larissa van Essen, T. Olgers, Moritz van Heel, J. T. ter Maaten","doi":"10.1186/s13089-022-00267-5","DOIUrl":"https://doi.org/10.1186/s13089-022-00267-5","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44268748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of joints of meat as phantoms for ultrasound-guided needling skills: a prospective blinded study","authors":"Jasmine Samuel, E. Kerr, David Young, M. Watson, D. Raj","doi":"10.1186/s13089-022-00263-9","DOIUrl":"https://doi.org/10.1186/s13089-022-00263-9","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47010273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of ultrasound assessment of gallbladder wall thickness with dengue fever severity.","authors":"Mohd Anwar Ibrahim,&nbsp;Siti Suhaila Hamzah,&nbsp;Julina Md Noor,&nbsp;Mohamad Iqhbal Kunji Mohamad,&nbsp;Mohd Fazrul Mokhtar,&nbsp;Mohamad Rodi Isa,&nbsp;Mohammed Fauzi Abdul Rani","doi":"10.1186/s13089-022-00262-w","DOIUrl":"https://doi.org/10.1186/s13089-022-00262-w","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the association between ultrasound assessment of gallbladder wall thickness (GBWT) among severe dengue patients and dengue patients with warning signs to their clinical outcomes.</p><p><strong>Methods: </strong>A prospective, cross-sectional study involving adult dengue patients presented to our emergency department between March until September 2018. The patients were classified based on WHO classification. A gallbladder wall scan was performed on all patients.</p><p><strong>Results: </strong>A total of 44 patients were enrolled into the study; majority of the patients with GBWT had severe dengue, significantly more than the dengue patients with warning signs (90.5% sensitivity; 69.6% specificity). The sensitivity of GBWT in determining admission to critical care areas or general ward was 100% with a specificity of 62.1%. Our analysis showed that the two variables significant in determining the severity of dengue were age (p = 0.045) and GBWT (p < 0.001). Both factors together gave 81.0% sensitivity and 78.3% specificity in predicting patients for severe dengue. The receiver operator characteristic curve revealed that using variable GBWT status can discriminate 87.1% (95%CI 66.3, 93.7%) of having severe dengue or dengue with warning signs.</p><p><strong>Conclusion: </strong>The finding of GBWT when consolidated with other clinical parameters may assist clinicians to perform risk stratification in the emergency department and become another adjunct to the assessment of severe dengue.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":"13"},"PeriodicalIF":3.4,"publicationDate":"2022-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8948308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40320437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design and comparison of a hybrid to a traditional in-person point-of-care ultrasound course","authors":"M. Janjigian, A. Dembitzer, Caroline Srisarajivakul-Klein, Aron Mednick, Khemraj Hardower, Deborah Cooke, S. Zabar, H. Sauthoff","doi":"10.1186/s13089-022-00261-x","DOIUrl":"https://doi.org/10.1186/s13089-022-00261-x","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48455798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The correlation between point-of-care ultrasound and digital tomosynthesis when used with suspected COVID-19 pneumonia patients in primary care.","authors":"Pablo Fabuel Ortega, Noelia Almendros Lafuente, Sandra Cánovas García, Laura Martínez Gálvez, Aurora González-Vidal","doi":"10.1186/s13089-022-00257-7","DOIUrl":"10.1186/s13089-022-00257-7","url":null,"abstract":"<p><strong>Background: </strong>The use of lung ultrasound (LU) with COVID-19 pneumonia patients should be validated in the field of primary care (PC). Our study aims to evaluate the correlation between LU and radiographic imaging in PC patients with suspected COVID-19 pneumonia.</p><p><strong>Methods: </strong>This observational, prospective and multicentre study was carried out with patients from a PC health area whose tests for COVID-19 and suspected pneumonia had been positive and who then underwent LU and a digital tomosynthesis (DT). Four PC physicians obtained data regarding the patients' symptoms, examination, medical history and ultrasound data for 12 lung fields: the total amount of B lines (zero to four per field), the irregularity of the pleural line, subpleural consolidation, lung consolidation and pleural effusion. These data were subsequently correlated with the presence of pneumonia by means of DT, the need for hospital admission and a consultation in the hospital emergency department in the following 15 days.</p><p><strong>Results: </strong>The study was carried out between November 2020 and January 2021 with 70 patients (40 of whom had pneumonia, confirmed by means of DT). Those with pneumonia were older, had a higher proportion of arterial hypertension and lower oxygen saturation (sO₂). The number of B lines was higher in patients with pneumonia (16.53 vs. 4.3, p < 0.001). The area under the curve for LU was 0.87 (95% CI 0.78-0.96, p < 0.001), and when establishing a cut-off point of six B lines or more, the sensitivity was 0.875 (95% CI 0.77-0.98, p < 0.05), the specificity was 0.833 (95% CI 0.692-0.975, p < 0.05), the positive-likelihood ratio was 5.25 (95% CI 2.34-11.79, p < 0.05) and the negative-likelihood ratio was 0.15 (95% CI 0.07-0.34, p < 0.05). An age of ≥ 55 and a higher number of B lines were associated with admission. Patients who required admission (n = 7) met at least one of the following criteria: ≥ 55 years of age, sO₂ ≤ 95%, presence of at least one subpleural consolidation or ≥ 21 B lines.</p><p><strong>Conclusions: </strong>LU has great sensitivity and specificity for the diagnosis of COVID-19 pneumonia in PC. Clinical ultrasound findings, along with age and saturation, could, therefore, improve decision-making in this field.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":"11"},"PeriodicalIF":3.4,"publicationDate":"2022-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8861598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39943837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Design and implementation of a basic and global point of care ultrasound (POCUS) certification curriculum for emergency medicine faculty.","authors":"Frances M Russell,&nbsp;Sarah K Kennedy,&nbsp;Loren K Rood,&nbsp;Benjamin Nti,&nbsp;Audrey Herbert,&nbsp;Matt A Rutz,&nbsp;Megan Palmer,&nbsp;Robinson M Ferre","doi":"10.1186/s13089-022-00260-y","DOIUrl":"https://doi.org/10.1186/s13089-022-00260-y","url":null,"abstract":"<p><p>Point of care ultrasound (POCUS) use in the emergency department is associated with improved patient outcomes and increased patient satisfaction. When used for procedural guidance, it has been shown to increase first pass success and decrease complications. As of 2012, ultrasound has been identified as a core skill required for graduating emergency medicine (EM) residents. Despite this, only a minority of EM faculty who trained prior to 2008 are credentialed in POCUS. Half of all EM training programs in the United States have less than 50% of their faculty credentialed to perform and teach POCUS to learners. As the use of POCUS continues to grow in medicine, it is especially important to have a pathway for faculty to attain competence and become credentialed in POCUS. The goal of this paper was to outline an implementation process of a curriculum designed to credential EM faculty in POCUS.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":"10"},"PeriodicalIF":3.4,"publicationDate":"2022-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8858359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39936749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pericardiocentesis: ultrasound guidance is essential.","authors":"Pablo Blanco,&nbsp;Liliana Figueroa,&nbsp;María Fernanda Menéndez,&nbsp;Belén Berrueta","doi":"10.1186/s13089-022-00259-5","DOIUrl":"https://doi.org/10.1186/s13089-022-00259-5","url":null,"abstract":"<p><strong>Background: </strong>Pericardial effusion is a common entity which may have important implications in patient's prognosis. In several cases, pericardiocentesis is indicated for diagnostic and/or therapeutic purposes.</p><p><strong>Case presentation: </strong>A blind pericardiocentesis failed in a 95-year-old woman admitted to the emergency department with a large pericardial effusion incidentally diagnosed in the ambulatory setting. Ultrasound-guided pericardiocentesis aided in easily accessing to the pericardial cavity, without periprocedural complications.</p><p><strong>Conclusions: </strong>Ultrasound-guided pericardiocentesis is simple, safe and effective, and should replace the blind technique. This procedure should be part of the armamentarium of ultrasound-guided practices of emergency or critical care physicians.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":"9"},"PeriodicalIF":3.4,"publicationDate":"2022-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8844339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39917280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Focus clinical ultrasonography: again competency differs from the patient outcome.","authors":"Luigi Vetrugno,&nbsp;Marco Ventin,&nbsp;Salvatore Maurizio Maggiore","doi":"10.1186/s13089-022-00258-6","DOIUrl":"https://doi.org/10.1186/s13089-022-00258-6","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":"8"},"PeriodicalIF":3.4,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39902671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of point-of-care ultrasonography (POCUS) in the diagnosing of acute medial meniscus injury of knee joint.","authors":"Omid Ahmadi, Mehdi Motififard, Farhad Heydari, Keihan Golshani, Azita Azimi Meibody, Saeed Hatami","doi":"10.1186/s13089-021-00256-0","DOIUrl":"10.1186/s13089-021-00256-0","url":null,"abstract":"<p><strong>Background: </strong>In recent years, musculoskeletal ultrasound has increasingly become the common method for diagnosis for many medical specialties. Therefore, the present study was performed to evaluate the diagnostic value of point-of-care ultrasonography (POCUS) as a primary triage tool in the diagnosis of the acute medial meniscus injury of the knee.</p><p><strong>Materials and methods: </strong>The present cross-sectional study was performed on patients with a suspected medial meniscus injury of the knee in the emergency department (ED). After history taking and primary physical examination, radiographic imaging of the knee was done. If there was no fracture in the knee X-ray, the POCUS examination on the knee was carried out. All the patients were asked to refer to an orthopedic clinic 2 weeks after discharge from ED for the Magnetic Resonance Imaging (MRI) evaluation. Finally, the POCUS findings were compared with the MRI findings in diagnosing medial meniscus injury.</p><p><strong>Results: </strong>Fifty-five patients with a mean age of 35.48 ± 11.58 years were analyzed in the study (69.1% male). In comparison with MRI scan, the sensitivity and specificity of POCUS in the detection of medial meniscus injury were 85.0 [95% confidence interval (CI), 54.0 to 98.9] and 65.7% [95% CI 42.2 to 85.7], respectively. Its positive and negative predictive values were 58.6% [95% CI 33.8 to 81.5] and 88.5% [95% CI 62.1 to 99.3], respectively. (Area under the ROC curve = 0.726, P value = 0.003).</p><p><strong>Conclusion: </strong>The present study demonstrated that POCUS can reasonably be applied in comparison with MRI to evaluate medial meniscus injury. POCUS is an effective initial diagnostic modality in patients with suspected medial meniscus injuries.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":"7"},"PeriodicalIF":3.4,"publicationDate":"2022-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8825915/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39602986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}