Critical Ultrasound Journal最新文献

{"title":"Focused cardiopulmonary ultrasound for assessment of dyspnea in a resource-limited setting.","authors":"Sachita P Shah,&nbsp;Sachin P Shah,&nbsp;Reginald Fils-Aime,&nbsp;Walkens Desir,&nbsp;Joanel Joasil,&nbsp;David M Venesy,&nbsp;Krithika Meera Muruganandan","doi":"10.1186/s13089-016-0043-y","DOIUrl":"https://doi.org/10.1186/s13089-016-0043-y","url":null,"abstract":"<p><strong>Background: </strong>The diagnosis and management of acutely dyspneic patients in resource-limited developing world settings poses a particular challenge. Focused cardiopulmonary ultrasound (CPUS) may assist in the emergency diagnosis and management of patients with acute dyspnea by identifying left ventricular systolic dysfunction, pericardial effusion, interstitial pulmonary edema, and pleural effusion. We sought to assess the accuracy of emergency providers performing CPUS after a training intervention in a limited-resource setting; a secondary objective was to assess the ability of CPUS to affect change of clinician diagnostic assessment and acute management in patients presenting with undifferentiated dyspnea.</p><p><strong>Methods and results: </strong>After a training intervention for Haitian emergency providers, patients with dyspnea presenting urgently to a regional referral center in Haiti underwent a rapid CPUS examination by the treating physician. One hundred seventeen patients (median age of 36 years, 56 % female) were prospectively evaluated with a standardized CPUS exam. Blinded expert review of ultrasound images was performed by two board certified cardiologists and one ultrasound fellowship trained emergency physician. Inter-observer agreement was determined using an agreement coefficient (kappa). Sensitivity and Specificity with confidence intervals were calculated. Pre-test and post-test clinician impressions and management plans were compared to assess for a change. We enrolled 117 patients with undifferentiated dyspnea. Upon expert image review, prevalence of left ventricular systolic dysfunction was 40.2 %, and in those with systolic dysfunction, the average EF was 14 % (±9 %). The parasternal long axis (PLAX) single view was predictive of an overall abnormal echo with PPV of abnormal PLAX 95 % and NPV 93 % of normal PLAX. Weighted kappa for pericardial effusion between the Haitian physicians and two cardiology reviewers was 0.81 (95 % CI 0.75-0.87, p value <0.001) and for ejection fraction was 0.98 (95 % CI 0.98-0.99, p value <0.001). For lung ultrasound, a kappa statistic assessing agreement between the Haitian physician and the EP for pleural effusion was 0.73, and for interstitial syndrome was 0.49. Detailed test characteristics are detailed in Table 3. Overall, there was a change in treating clinician impression in 15.4 % (95 % CI 9-22 %) and change in management in 19.6 % (95 % CI 12-27 %) of patients following CPUS. A significant structural heart disease was common: 48 % of patients were noted to have abnormal right ventricular systolic function, 36 % had at least moderate mitral regurgitation, and 7.7 % had a moderate to large pericardial effusion.</p><p><strong>Conclusions: </strong>A focused training intervention in CPUS was sufficient for providers in a limited-resource setting to accurately identify left ventricular systolic dysfunction, pericardial effusion, evidence of interstitial syndrome, and ple","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-016-0043-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34448890","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":"Teaching the internist to see: effectiveness of a 1-day workshop in bedside ultrasound for internal medicine residents.","authors":"Ryan D Clay,&nbsp;Elizabeth C Lee,&nbsp;Marc F Kurtzman,&nbsp;Renee K Dversdal","doi":"10.1186/s13089-016-0047-7","DOIUrl":"https://doi.org/10.1186/s13089-016-0047-7","url":null,"abstract":"<p><strong>Background: </strong>A growing body of evidence supports the use of bedside ultrasound for core Internal Medicine procedures and increasingly as augmentation of the physical exam. The literature also supports that trainees, both medical students and residents, can acquire these skills. However, there is no consensus on training approach.</p><p><strong>Aim: </strong>To implement and study the effectiveness of a high-yield and expedited curriculum to train internal medicine interns to use bedside ultrasound for physical examination and procedures.</p><p><strong>Setting: </strong>The study was conducted at a metropolitan, academic medical center and included 33 Internal Medicine interns.</p><p><strong>Program description: </strong>This was a prospective cohort study of a new educational intervention consisting of a single-day intensive bedside ultrasound workshop followed by two optional hour-long workshops later in the year. The investigation was conducted at Oregon Health & Science University in Portland, Oregon. The intensive day consisted of alternating didactic sessions with small group hands-on ultrasound practice sessions and ultrasound simulations. A 30-question assessment was used to assess ultrasound interpretation knowledge prior to, immediately post, and 6 months post intervention.</p><p><strong>Results: </strong>Thirty-three interns served as their own historical controls. Assessment performance significantly increased after the intervention from a mean pre-test score of 18.3 (60.9 % correct) to a mean post-test score 25.5 (85.0 % correct), P value of <0.0001. This performance remained significantly better at 6 months with a mean score of 23.8 (79.3 % correct), P value <0.0001. There was significant knowledge attrition compared to the immediate post-assessment, P value 0.0099.</p><p><strong>Conclusions: </strong>A single-day ultrasound training session followed by two optional noon conference sessions yielded significantly improved ultrasound interpretation skills in internal medicine interns.</p>","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-016-0047-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34748906","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":"Estimating the accuracy of optic nerve sheath diameter measurement using a pocket-sized, handheld ultrasound on a simulation model","authors":"Garrett G. R. J. Johnson, F. Zeiler, B. Unger, Gregory Hansen, D. Karakitsos, L. Gillman","doi":"10.1186/s13089-016-0053-9","DOIUrl":"https://doi.org/10.1186/s13089-016-0053-9","url":null,"abstract":"","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-016-0053-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65812481","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":"Diagnostic accuracy of lung ultrasonography combined with procalcitonin for the diagnosis of pneumonia: a pilot study","authors":"P. Nazerian, G. Cerini, S. Vanni, C. Gigli, M. Zanobetti, M. Bartolucci, S. Grifoni, G. Volpicelli","doi":"10.1186/s13089-016-0054-8","DOIUrl":"https://doi.org/10.1186/s13089-016-0054-8","url":null,"abstract":"","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-016-0054-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65812492","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 Sierra Leone Ultrasound Rainbow4Africa Project (SLURP): an observational study of ultrasound effectiveness in developing countries","authors":"A. Lamorte, E. Boero, P. Crida, A. Conteh, Marco Foletti, P. Narcisi","doi":"10.1186/s13089-016-0051-y","DOIUrl":"https://doi.org/10.1186/s13089-016-0051-y","url":null,"abstract":"","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-016-0051-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65812439","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":"Common pitfalls in point-of-care ultrasound: a practical guide for emergency and critical care physicians","authors":"P. Blanco, G. Volpicelli","doi":"10.1186/s13089-016-0052-x","DOIUrl":"https://doi.org/10.1186/s13089-016-0052-x","url":null,"abstract":"","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-016-0052-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65812449","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":"12th WINFOCUS world congress on ultrasound in emergency and critical care.","authors":"Yahya Acar,&nbsp;Onur Tezel,&nbsp;Necati Salman,&nbsp;Erdem Cevik,&nbsp;Margarita Algaba-Montes,&nbsp;Alberto Oviedo-García,&nbsp;Mayra Patricio-Bordomás,&nbsp;Mustafa Z Mahmoud,&nbsp;Abdelmoneim Sulieman,&nbsp;Abbas Ali,&nbsp;Alrayah Mustafa,&nbsp;Ihab Abdelrahman,&nbsp;Mustafa Bahar,&nbsp;Osama Ali,&nbsp;H Lester Kirchner,&nbsp;Gregor Prosen,&nbsp;Ajda Anzic,&nbsp;Paul Leeson,&nbsp;Maryam Bahreini,&nbsp;Fatemeh Rasooli,&nbsp;Houman Hosseinnejad,&nbsp;Gabriel Blecher,&nbsp;Robert Meek,&nbsp;Diana Egerton-Warburton,&nbsp;Edina Ćatić Ćuti,&nbsp;Stanko Belina,&nbsp;Tihomir Vančina,&nbsp;Idriz Kovačević,&nbsp;Nadan Rustemović,&nbsp;Ikwan Chang,&nbsp;Jin Hee Lee,&nbsp;Young Ho Kwak,&nbsp;Do Kyun Kim,&nbsp;Chi-Yung Cheng,&nbsp;Hsiu-Yung Pan,&nbsp;Chia-Te Kung,&nbsp;Ela Ćurčić,&nbsp;Ena Pritišanac,&nbsp;Ivo Planinc,&nbsp;Marijana Grgić Medić,&nbsp;Radovan Radonić,&nbsp;Abiola Fasina,&nbsp;Anthony J Dean,&nbsp;Nova L Panebianco,&nbsp;Patricia S Henwood,&nbsp;Oliviero Fochi,&nbsp;Moreno Favarato,&nbsp;Ezio Bonanomi,&nbsp;Ivan Tomić,&nbsp;Youngrock Ha,&nbsp;Hongchuen Toh,&nbsp;Elizabeth Harmon,&nbsp;Wilma Chan,&nbsp;Cameron Baston,&nbsp;Gail Morrison,&nbsp;Frances Shofer,&nbsp;Angela Hua,&nbsp;Sharon Kim,&nbsp;James Tsung,&nbsp;Isa Gunaydin,&nbsp;Zeynep Kekec,&nbsp;Mehmet Oguzhan Ay,&nbsp;Jinjoo Kim,&nbsp;Jinhyun Kim,&nbsp;Gyoosung Choi,&nbsp;Dowon Shim,&nbsp;Ji-Han Lee,&nbsp;Jana Ambrozic,&nbsp;Katja Prokselj,&nbsp;Miha Lucovnik,&nbsp;Gabrijela Brzan Simenc,&nbsp;Asta Mačiulienė,&nbsp;Almantas Maleckas,&nbsp;Algimantas Kriščiukaitis,&nbsp;Vytautas Mačiulis,&nbsp;Andrius Macas,&nbsp;Sharad Mohite,&nbsp;Zoltan Narancsik,&nbsp;Hugon Možina,&nbsp;Sara Nikolić,&nbsp;Jan Hansel,&nbsp;Rok Petrovčič,&nbsp;Una Mršić,&nbsp;Simon Orlob,&nbsp;Markus Lerchbaumer,&nbsp;Niklas Schönegger,&nbsp;Reinhard Kaufmann,&nbsp;Chun-I Pan,&nbsp;Chien-Hung Wu,&nbsp;Sarah Pasquale,&nbsp;Stephanie J Doniger,&nbsp;Sharon Yellin,&nbsp;Gerardo Chiricolo,&nbsp;Maja Potisek,&nbsp;Borut Drnovšek,&nbsp;Boštjan Leskovar,&nbsp;Kristine Robinson,&nbsp;Clara Kraft,&nbsp;Benjamin Moser,&nbsp;Stephen Davis,&nbsp;Shelley Layman,&nbsp;Yusef Sayeed,&nbsp;Joseph Minardi,&nbsp;Irmina Sefic Pasic,&nbsp;Amra Dzananovic,&nbsp;Anes Pasic,&nbsp;Sandra Vegar Zubovic,&nbsp;Ana Godan Hauptman,&nbsp;Ana Vujaklija Brajkovic,&nbsp;Jaksa Babel,&nbsp;Marina Peklic,&nbsp;Vedran Radonic,&nbsp;Luka Bielen,&nbsp;Peh Wee Ming,&nbsp;Nur Hafiza Yezid,&nbsp;Fatahul Laham Mohammed,&nbsp;Zainal Abidin Huda,&nbsp;Wan Nasarudin Wan Ismail,&nbsp;W Yus Haniff W Isa,&nbsp;Hashairi Fauzi,&nbsp;Praveena Seeva,&nbsp;Mohd Zulfakar Mazlan","doi":"10.1186/s13089-016-0046-8","DOIUrl":"https://doi.org/10.1186/s13089-016-0046-8","url":null,"abstract":"<p><strong>Table of contents: </strong>A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization. A novel approach in emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA5 Clinical ultrasound in a septic and jaundice patient in the emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA6 Characterization of the eyes in preoperative cataract Saudi patients by using medical diagnostic ultrasoundMustafa Z. Mahmoud, Abdelmoneim SuliemanA7 High-frequency ultrasound in determining the causes of acute shoulder joint painMustafa Z. MahmoudA8 Teaching WINFOCUS Ultrasound Life Support Basic Level 1 for Providers in resource-limited countriesAbbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H. Lester Kirchner, Gregor ProsenA9 Changes of arterial stiffness and endothelial function during uncomplicated pregnancyAjda Anzic, Paul LeesonA10 Cardiovascular haemodynamic properties before, during and after pregnancyAjda Anzic, Paul LeesonA11 An old man with generalized weaknessMaryam Bahreini, Fatemeh RasooliA12 Ultrasonography for non-specific presentations of abdominal painMaryam Bahreini, Houman HosseinnejadA13 Introduction of a new imaging guideline for suspected renal colic in the emergency department: effect on CT Urogram utilisationGabriel Blecher, Robert Meek, Diana Egerton-WarburtonA14 Transabdominal ultrasound screening for pancreatic cancer in Croatian military veterans: a retrospective analysis from the first Croatian veteran's hospitalEdina Ćatić Ćuti, Stanko Belina, Tihomir Vančina, Idriz KovačevićA15 The challenge of AAA: unusual case of obstructive jaundiceEdina Ćatić Ćuti, Nadan RustemovićA16 Educational effectiveness of easy-made new simulator model for ultrasound-guided procedures in pediatric patients: vascular access and foreign body managementIkwan Chang, Jin Hee Lee, Young Ho Kwak, Do Kyun KimA17 Detection of uterine rupture by point-of-care ultrasound at emergency department: a case reportChi-Yung Cheng, Hsiu-Yung Pan, Chia-Te KungA18 Abdominal probe in the hands of interns as a relevant diagnostic tool in revealing the cause of heart failureEla Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana Grgić Medić, Radovan RadonićA19 Needs assessment of the potential utility of point-of-care ultrasound within the Zanzibar health systemAbiola Fasina, Anthony J. Dean, Nova L. Panebianco, Patricia S. HenwoodA20 Ultra","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-016-0046-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34371351","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":"Social media to supplement point-of-care ultrasound courses: the “sandwich e-learning” approach. A randomized trial","authors":"D. Hempel, Stephanie Haunhorst, Sivajini Sinnathurai, A. Seibel, F. Recker, F. Heringer, G. Michels, R. Breitkreutz","doi":"10.1186/s13089-016-0037-9","DOIUrl":"https://doi.org/10.1186/s13089-016-0037-9","url":null,"abstract":"","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-016-0037-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65812267","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":"Phantom model and scoring system to assess ability in ultrasound-guided chest drain positioning","authors":"L. Vetrugno, G. Volpicelli, F. Barbariol, Ilaria Toretti, L. Pompei, F. Forfori, G. Della Rocca","doi":"10.1186/s13089-016-0038-8","DOIUrl":"https://doi.org/10.1186/s13089-016-0038-8","url":null,"abstract":"","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-016-0038-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65812305","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":"Real-time images of tidal recruitment using lung ultrasound","authors":"G. Tusman, Cecilia M. Acosta, Marco Nicola, M. Esperatti, S. Bohm, F. Suarez-Sipmann","doi":"10.1186/s13089-015-0036-2","DOIUrl":"https://doi.org/10.1186/s13089-015-0036-2","url":null,"abstract":"","PeriodicalId":46598,"journal":{"name":"Critical Ultrasound Journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1186/s13089-015-0036-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"65812261","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}