{"title":"Point-of-Care Echocardiographic Evaluation of the Pericardium","authors":"Amy Butcher PA-C , Cesar Castillo MD","doi":"10.1053/j.sult.2023.12.009","DOIUrl":"10.1053/j.sult.2023.12.009","url":null,"abstract":"<div><p>Acute pericardial conditions, such as tamponade, are often rapidly progressive and can become life-threatening without timely diagnosis and intervention. In this review, we aim to describe bedside ultrasonographic evaluation of the pericardium<span><span> and diagnostic criteria for tamponade, identify confounders in the diagnosis of </span>pericardial tamponade<span>, and delineate procedural details of ultrasound-guided pericardiocentesis.</span></span></p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 1","pages":"Pages 84-90"},"PeriodicalIF":1.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alternative Cardiac Point-of-Care Ultrasound Views","authors":"Jan Kasal MD , Amjad Musleh MD , Shawn Hassani MD , Brandon Chaffay MD","doi":"10.1053/j.sult.2023.12.011","DOIUrl":"10.1053/j.sult.2023.12.011","url":null,"abstract":"<div><p>Point of care ultrasound<span><span> (POCUS) and critical care </span>echocardiography<span> (CCE) is increasingly being used in intensive care units<span> (ICUs). POCUS and CCE may be limited in some ICU patients because of inadequate information from standard echocardiographic windows. At the same time, data from POCUS and CCE in ICU may be critical to managing patients with cardiorespiratory failure. Alternative echocardiographic views done at the bedside by ICU practitioners may yield additional information or replace the missing data from the standard views. Information obtained from multiple echocardiographic views should be integrated and interpreted within the patient’s other clinical information.</span></span></span></p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 1","pages":"Pages 98-119"},"PeriodicalIF":1.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Saul Flores MD, FACC, FCCM , Erik Su MD , Justin M. Moher MD, MPH , Adam C. Adler MS, MD , Alan F. Riley MD
{"title":"Point-of-Care-Ultrasound in Pediatrics: A Review and Update","authors":"Saul Flores MD, FACC, FCCM , Erik Su MD , Justin M. Moher MD, MPH , Adam C. Adler MS, MD , Alan F. Riley MD","doi":"10.1053/j.sult.2023.12.002","DOIUrl":"10.1053/j.sult.2023.12.002","url":null,"abstract":"<div><p>Point-of-Care-Ultrasound (POCUS) has encountered a tremendous expansion in patient care. POCUS has taken a central role during invasive procedures. POCUS has expanded to most subspecialties from adult to pediatric and neonatal health care. POCUS in pediatrics has also become part of specific critical situations such as myocardial function assessment during cardiac arrest, extracorporeal membrane oxygenation deployment and neurological evaluation. In this review we will go over the most important historical aspects of POCUS. We will also review important aspects of POCUS in the intensive care unit, cardiologist evaluation and in the emergency department among others.</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 1","pages":"Pages 3-10"},"PeriodicalIF":1.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pedro Salinas MD, FASE, FCCM, FCCP, Vladyslav Dieiev MD
{"title":"Critical Care Echocardiography: Assessing Left and Right Ventricular Function in the Intensive Care Unit","authors":"Pedro Salinas MD, FASE, FCCM, FCCP, Vladyslav Dieiev MD","doi":"10.1053/j.sult.2023.12.007","DOIUrl":"10.1053/j.sult.2023.12.007","url":null,"abstract":"<div><p>In this review we explore Left Ventricular and Right Ventricular parameters that intensivists can use to evaluate, manage, and monitor the critically ill. Understanding these parameters, their clinical relevance, and potential pitfalls, is crucial for thorough and accurate patient assessment and management. Critical Care Echocardiography encompasses all the advanced cardiac and non-cardiac skillset needed to integrate the findings of Left Ventricular and Right Ventricular size and function. We advocate for a physiologic approach to the critically ill patient, tailoring therapy to reverse the etiology while simultaneously supporting circulation based on a sound understanding of left and right ventricular pressures, volumes, and flow.</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 1","pages":"Pages 58-73"},"PeriodicalIF":1.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138679733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Or Bruck DO , Aamer Naofal MD , Mourad H. Senussi MD, MS
{"title":"Lung, Pleura, and Diaphragm Point-of-Care Ultrasound","authors":"Or Bruck DO , Aamer Naofal MD , Mourad H. Senussi MD, MS","doi":"10.1053/j.sult.2024.01.001","DOIUrl":"10.1053/j.sult.2024.01.001","url":null,"abstract":"<div><p>Thoracic Ultrasonography involves the ultrasonographic examination of the lungs, pleura, and diaphragm. This provides a plethora of clinical information during the point of care assessment of patients. The air filled lungs create consistent artifacts and careful examination and understanding of these artefactual signs can provide useful information on underlying clinicopathologic states. This review aims to provide a review of the ultrasound signs and features that can be seen in horacic ultrasonography and summarize the clinical evidence to support its use.</p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 1","pages":"Pages 120-131"},"PeriodicalIF":1.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139501362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jia J. Li, Zachary Boivin, Sonali Bhalodkar, Rachel Liu
{"title":"Point of Care Abdominal Ultrasound","authors":"Jia J. Li, Zachary Boivin, Sonali Bhalodkar, Rachel Liu","doi":"10.1053/j.sult.2023.12.003","DOIUrl":"10.1053/j.sult.2023.12.003","url":null,"abstract":"<div><p><span><span>Abdominal pain is a common emergency department complaint, and point-of-care ultrasound (POCUS) of the abdomen is increasingly being utilized to evaluate clinical manifestations. It aids in accurate diagnoses and assists in procedures, particularly in emergency and </span>critical care<span> settings. Imaging is often required to confirm the etiology of abdominal pain. POCUS provides the benefit of avoiding radiation exposure and enables quicker diagnosis compared to computed tomography scans. There is growing evidence of the diagnostic accuracy for numerous abdominal POCUS applications, including </span></span>appendicitis<span><span>, intussusception, </span>diverticulitis, gastric ultrasound and contrast-enhanced ultrasound.</span></p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 1","pages":"Pages 11-21"},"PeriodicalIF":1.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Chronic Pelvic Pain: Role of Imaging in the Diagnosis and Management","authors":"Raj Mohan Paspulati MD, FSAR","doi":"10.1053/j.sult.2023.10.006","DOIUrl":"10.1053/j.sult.2023.10.006","url":null,"abstract":"<div><p><span>Chronic pelvic pain (CPP) in women is not uncommon, and it may be difficult to identify the exact cause difficult to manage. It is major </span>health problem<span> for women that affects the quality of their daily lives. The etiology of chronic pelvic pain may be of gynecological or non-gynecological origin and associated with several predisposing and precipitating factors. Psychological and social factors also contribute to the syndrome of CPP and must be evaluated before managing these patients. Due to multifactorial etiology, CPP needs a multidisciplinary approach for diagnosis and management. A detailed history and physical examination supported by appropriate laboratory tests and imaging are the keys to diagnosis. In this paper, the role of imaging in diagnosis and management of CPP is reviewed. Imaging findings should be correlated with detailed clinical examination findings as there are imaging findings that may be unrelated and not the cause of CPP in a particular patient, imaging findings should be correlated with the clinical circumstances.</span></p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 6","pages":"Pages 501-510"},"PeriodicalIF":1.1,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter From the Guest Editor","authors":"Mahesh Shetty MD, FRCR, FACR, FAIUM","doi":"10.1053/j.sult.2023.10.007","DOIUrl":"10.1053/j.sult.2023.10.007","url":null,"abstract":"","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 6","pages":"Page 489"},"PeriodicalIF":1.1,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Imaging of a Pelvic Mass: Uterine","authors":"Mahesh Shetty MD, FRCR, FACR, FAIUM","doi":"10.1053/j.sult.2023.10.005","DOIUrl":"10.1053/j.sult.2023.10.005","url":null,"abstract":"<div><p><span>The most common origin of a non-uterine pelvic mass is from the ovary. Ultrasound is the initial imaging modality of choice, additional imaging with computed tomography<span> (CT) and/or magnetic resonance imaging<span> (MRI) is performed in selected cases. Adnexal masses are also encountered as </span></span></span>incidental findings<span><span><span><span> during ultrasound, CT or MRI. Many of the adnexal masses that are surgically removed are benign. For optimal outcome and cost effective management, noninvasive risk stratification of such adnexal masses is necessary when discovered incidentally or when identified in a patient with a clinically detected pelvic mass. The American College of </span>Radiology<span><span><span> Ovarian-Adnexal Reporting Data System is a pattern-based scoring system for adnexal masses imaged with ultrasound and MRI, which assists clinicians to guide in the appropriate management based on evidence-based risk categories. Non-ovarian and non-uterine pelvic masses include fallopian tube abnormalities, </span>paraovarian cysts, peritoneal inclusion cysts, and rare causes include masses that arise from the </span>gastrointestinal tract<span> or the sacrum. To distinguish non-ovarian masses from an </span></span></span>ovarian tumor, a critical step is to identify a normal appearing ovary separate from the pelvic mass. This may be challenging in the post-menopausal woman with an atrophic ovary. MRI is a useful adjunctive modality in such cases. Extraovarian masses typically displace pelvic side wall </span>vasculature<span> medially, compress, encase or medially displace the ureters.</span></span></p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 6","pages":"Pages 528-540"},"PeriodicalIF":1.1,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute Pelvic Pain: Role of Imaging in the Diagnosis and Management","authors":"Mahesh Shetty MD, FRCR, FACR, FAIUM","doi":"10.1053/j.sult.2023.10.004","DOIUrl":"10.1053/j.sult.2023.10.004","url":null,"abstract":"<div><p><span>Acute pelvic pain is defined as a new symptom that has been present for less than 3 months. It is a common symptom seen in 15%-24% of women and is the indication for 20% of </span>laparoscopies<span><span><span> and 2%-10% of outpatient gynecologic visits. The pregnancy status and correlation of the physical symptoms with clinical findings are important. Ultrasound is the imaging modality of choice, not only to diagnose gynecological causes, but also bowel or urinary tract<span> related causes of pelvic pain. When an ultrasound scan is inconclusive, a computed tomography scan<span> is the preferred means of additional imaging and is particularly useful in gastrointestinal and urogenital causes of pelvic pain. Gynecological causes of acute pelvic pain include uterine, tubal, or ovarian pathology; non-gynecological causes include bowel diseases, such as </span></span></span>appendicitis<span><span><span><span> and diverticulitis; urogenital causes such as ureteral, </span>bladder stones, and </span>urinary tract infection as well as vascular causes. </span>Ultrasound imaging<span> alone may provide a definitive diagnosis in underlying conditions that require prompt medical or surgical intervention in gynecological conditions, such as ovarian torsion<span>, ectopic pregnancy, and non-gynecological condition, such as in </span></span></span></span>acute appendicitis.</span></p></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"44 6","pages":"Pages 491-500"},"PeriodicalIF":1.1,"publicationDate":"2023-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41217803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}