Ultrasound Journal最新文献

{"title":"Time course of lung ultrasound findings in patients with COVID-19 pneumonia and cardiac dysfunction.","authors":"Joao Leote,&nbsp;Tiago Judas,&nbsp;Ana Luísa Broa,&nbsp;Miguel Lopes,&nbsp;Francisca Abecasis,&nbsp;Inês Pintassilgo,&nbsp;Afonso Gonçalves,&nbsp;Filipe Gonzalez","doi":"10.1186/s13089-022-00278-2","DOIUrl":"https://doi.org/10.1186/s13089-022-00278-2","url":null,"abstract":"<p><strong>Background: </strong>Lung ultrasound (LUS) is a valuable tool to predict and monitor the COVID-19 pneumonia course. However, the influence of cardiac dysfunction (CD) on LUS findings remains to be studied. Our objective was to determine the effect of CD on LUS in hospitalized patients with COVID-19 pneumonia.</p><p><strong>Material and methods: </strong>Fifty-one patients with COVID-19 pneumonia participated in the study. Focused echocardiography (FoCUS) was carried out on day 1 to separate patients into two groups depending on whether they had FoCUS signs of CD (CD+ vs CD-). LUS scores, based on the thickness of the pleural line, the B-line characteristics, and the presence or not of consolidations, were obtained three times along the patient's admission (D1, D5, D10) and compared between CD+ and CD- patients. A correlation analysis was carried out between LUS scores and the ratio of the arterial partial pressure of oxygen to the fraction of the inspired oxygen (P/F ratio).</p><p><strong>Results: </strong>Twenty-two patients were CD+ and 29 patients were CD-. Among the CD+ patients, 19 were admitted to the intensive care unit (ICU), seven received invasive mechanical ventilation (IMV), and one did not survive. Among the CD- patients, 11 were admitted to the ICU, one received IMV and seven did not survive. CD+ patients showed a significantly lower P/F ratio than CD- patients. However, LUS scores showed no between-group differences, except for fewer subpleural consolidations in the upper quadrants of CD+ than on CD- patients.</p><p><strong>Conclusion: </strong>In patients with COVID-19, CD contributed to a worse clinical course, but it did not induce significant changes in LUS. Our findings suggest that pathophysiological factors other than those reflected by LUS may be responsible for the differences in clinical condition between CD+ and CD- patients.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":"28"},"PeriodicalIF":3.4,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9261145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40488782","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":"Comparison of four handheld point-of-care ultrasound devices by expert users.","authors":"Minh-Phuong T Le,&nbsp;Lara Voigt,&nbsp;Robert Nathanson,&nbsp;Anna M Maw,&nbsp;Gordon Johnson,&nbsp;Ria Dancel,&nbsp;Benji Mathews,&nbsp;Alvaro Moreira,&nbsp;Harald Sauthoff,&nbsp;Christopher Gelabert,&nbsp;Linda M Kurian,&nbsp;Jenna Dumovich,&nbsp;Kevin C Proud,&nbsp;Jessica Solis-McCarthy,&nbsp;Carolina Candotti,&nbsp;Christopher Dayton,&nbsp;Alexander Arena,&nbsp;Brandon Boesch,&nbsp;Saul Flores,&nbsp;Mark T Foster,&nbsp;Nicholas Villalobos,&nbsp;Tanping Wong,&nbsp;Gabriel Ortiz-Jaimes,&nbsp;Michael Mader,&nbsp;Craig Sisson,&nbsp;Nilam J Soni","doi":"10.1186/s13089-022-00274-6","DOIUrl":"https://doi.org/10.1186/s13089-022-00274-6","url":null,"abstract":"<p><strong>Background: </strong>Point-of-care ultrasound (POCUS) is rapidly becoming ubiquitous across healthcare specialties. This is due to several factors including its portability, immediacy of results to guide clinical decision-making, and lack of radiation exposure to patients. The recent growth of handheld ultrasound devices has improved access to ultrasound for many clinicians. Few studies have directly compared different handheld ultrasound devices among themselves or to cart-based ultrasound machines. We conducted a prospective observational study comparing four common handheld ultrasound devices for ease of use, image quality, and overall satisfaction. Twenty-four POCUS experts utilized four handheld devices (Butterfly iQ+™ by Butterfly Network Inc., Kosmos™ by EchoNous, Vscan Air™ by General Electric, and Lumify™ by Philips Healthcare) to obtain three ultrasound views on the same standardized patients using high- and low-frequency probes.</p><p><strong>Results: </strong>Data were collected from 24 POCUS experts using all 4 handheld devices. No single ultrasound device was superior in all categories. For overall ease of use, the Vscan Air™ was rated highest, followed by the Lumify™. For overall image quality, Lumify™ was rated highest, followed by Kosmos™. The Lumify™ device was rated highest for overall satisfaction, while the Vscan Air™ was rated as the most likely to be purchased personally and carried in one's coat pocket. The top 5 characteristics of handheld ultrasound devices rated as being \"very important\" were image quality, ease of use, portability, total costs, and availability of different probes.</p><p><strong>Conclusions: </strong>In a comparison of four common handheld ultrasound devices in the United States, no single handheld ultrasound device was perceived to have all desired characteristics. POCUS experts rated the Lumify™ highest for image quality and Vscan Air™ highest for ease of use. Overall satisfaction was highest with the Lumify™ device, while the most likely to be purchased as a pocket device was the Vscan Air™. Image quality was felt to be the most important characteristic in evaluating handheld ultrasound devices.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":"27"},"PeriodicalIF":3.4,"publicationDate":"2022-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9263020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40591156","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":"Pulmonary artery acceleration time accuracy for systolic pulmonary artery pressure estimation in critically ill patients.","authors":"Valentino Dammassa,&nbsp;Francesco Corradi,&nbsp;Costanza Natalia Julia Colombo,&nbsp;Francesco Mojoli,&nbsp;Susanna Price,&nbsp;Guido Tavazzi","doi":"10.1186/s13089-022-00276-4","DOIUrl":"https://doi.org/10.1186/s13089-022-00276-4","url":null,"abstract":"<p><strong>Background: </strong>Estimation of pulmonary pressures is of key importance in acute cardiovascular and respiratory failure. Pulmonary artery acceleration time (PAAT) has emerged as reliable parameter for the estimation of systolic pulmonary artery pressure (sPAP) in cardiological population with preserved right ventricular function. We sought to find whether PAAT correlates with sPAP in critically ill patients with and without right ventricular (RV) systolic dysfunction.</p><p><strong>Methods: </strong>Observational study. We measured sPAP using continuous-wave Doppler analysis of tricuspid regurgitation velocity peak method and we assessed the validity of PAAT in estimating sPAP in patients admitted to adult intensive care unit (ICU) for acute cardiovascular and respiratory failure.</p><p><strong>Results: </strong>We enrolled 236 patients admitted to cardiothoracic ICU for cardiovascular and respiratory failure (respectively: 129, 54.7% and 107, 45.3%). 114 (48.3%) had preserved RV systolic function (defined as TAPSE ≥ 17 mm), whilst 122 (51.7%) had RV systolic impairment (defined as TAPSE < 17 mm). A weak inverse correlation between PAAT and sPAP (ρ-0.189, p 0.0035) was observed in overall population, which was confirmed in those with preserved RV systolic PAAT and sPAP (ρ-0.361, p 0.0001). In patients with impaired RV systolic function no statistically significant correlation between PAAT and sPAP was demonstrated (p 0.2737). Adjusting PAAT values for log₁₀, heart rate and RV ejection time did not modify the abovementioned correlations.</p><p><strong>Conclusions: </strong>PAAT measurement to derive sPAP is not reliable in cardiothoracic critically ill patients, particularly in the coexistence of RV systolic impairment.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":"26"},"PeriodicalIF":3.4,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40071291","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":"Value of ultrasound fusion imaging in detecting vascular cerebral white matter pathology","authors":"C. Brunner, S. Schreiber, M. Bokemeyer, G. Ransmayr, W. Struhal, E. Olbert, Naela Alhani, M. Vosko","doi":"10.1186/s13089-022-00275-5","DOIUrl":"https://doi.org/10.1186/s13089-022-00275-5","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45482241","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":"A proposed framework for point of care lung ultrasound by respiratory physiotherapists: scope of practice, education and governance","authors":"Mike Smith, S. Hayward, S. Innes","doi":"10.1186/s13089-022-00266-6","DOIUrl":"https://doi.org/10.1186/s13089-022-00266-6","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46614936","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":"Prehospital portable ultrasound for safe and accurate prehospital needle thoracostomy: a pilot educational study","authors":"Z. Dewar, Stephanie Ko, Cameron Rogers, Alexis Oropallo, Andy Augustine, Ankitha Pamula, Christopher L. Berry","doi":"10.1186/s13089-022-00270-w","DOIUrl":"https://doi.org/10.1186/s13089-022-00270-w","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43842007","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":"Interobserver agreement on the sonographic severity grading of shoulder impingement syndrome.","authors":"Raham Bacha,&nbsp;Syed Amir Gilani,&nbsp;Asif Hanif,&nbsp;Iqra Manzoor","doi":"10.1186/s13089-022-00272-8","DOIUrl":"10.1186/s13089-022-00272-8","url":null,"abstract":"<p><strong>Background: </strong>Shoulder impingement syndrome is the painful entrapment of the soft tissues between the acromion and the humeral head. The severity of shoulder impingement could be graded according to the limitation of shoulder joint moment. The reliability of sonographic findings in the grading of shoulder impingement severity grading is required to be evaluated by the consistency of findings between the observers.</p><p><strong>Purpose: </strong>To assess the interobserver agreement in the sonographic severity grading of shoulder impingement syndrome with the help of a ratio between acromion-to-greater tuberosity distance in the abduction and neutral arm position.</p><p><strong>Material and methods: </strong>Patients were examined by two independent observers in the coronal approach with neutral arm position. Acromion-to-greater tuberosity distance was measured in abduction and neutral shoulder position. The ratios of the distances in the abduction and neutral position were calculated to grade the severity of shoulder impingement syndrome.</p><p><strong>Results: </strong>A total of 78 shoulders were included in this study. A strong agreement was found for the grading of shoulder impingement severity grading between the two independent observers with Kappa value of 0.94. And correlation between the results of the two observers for the severity grading of shoulder impingement syndrome was significant at 0.01 level.</p><p><strong>Conclusion: </strong>Severity grading of the shoulder impingement syndrome was performed based on the ratio of acromion-to-greater tuberosity distance in abduction and neutral arm position. However, the sonographic findings were consistent and a strong interobserver agreement was seen in this sonographic severity grading.</p>","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":"22"},"PeriodicalIF":3.4,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9160167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48334396","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":"Integrated lung ultrasound score for early clinical decision-making in patients with COVID-19: results and implications","authors":"P. Dell'aquila, P. Raimondo, V. Racanelli, P. De Luca, S. De Matteis, A. Pistone, Rosa Melodia, L. Crudele, Daniela Lomazzo, Antonio Giovanni Solimando, A. Moschetta, A. Vacca, S. Grasso, V. Procacci, D. Orso, L. Vetrugno","doi":"10.1186/s13089-022-00264-8","DOIUrl":"https://doi.org/10.1186/s13089-022-00264-8","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45753330","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":"A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach","authors":"Adi Osman, A. H. Ahmad, N. S. Shamsudin, M. F. Baherin, Chan Pei Fong","doi":"10.1186/s13089-022-00271-9","DOIUrl":"https://doi.org/10.1186/s13089-022-00271-9","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46159255","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":"Paradoxical venous air embolism detected with point-of-care ultrasound: a case report","authors":"Héctor Andrés Ruiz Ávila, Hans Fred García-Araque, Estivalis Acosta-Gutiérrez","doi":"10.1186/s13089-022-00265-7","DOIUrl":"https://doi.org/10.1186/s13089-022-00265-7","url":null,"abstract":"","PeriodicalId":36911,"journal":{"name":"Ultrasound Journal","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43433786","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}