POCUS journal最新文献_第3页

A Pilot Study of Preoperative Submandibular POCUS to Predict Difficult Mask Ventilation. 术前下颌下POCUS预测面罩通气困难的初步研究。

POCUS journal Pub Date : 2026-04-22 eCollection Date: 2026-04-01 DOI: 10.24908/pocusj.v11i01.19821

Jevaughn Davis, Erica Chemtob, Dora Lin, Esther Lee, Marianne David, Ryan Keneally, Anita Vincent, Eric Heinz

{"title":"A Pilot Study of Preoperative Submandibular POCUS to Predict Difficult Mask Ventilation.","authors":"Jevaughn Davis, Erica Chemtob, Dora Lin, Esther Lee, Marianne David, Ryan Keneally, Anita Vincent, Eric Heinz","doi":"10.24908/pocusj.v11i01.19821","DOIUrl":"10.24908/pocusj.v11i01.19821","url":null,"abstract":"Background: Multiple assessment tools are available to evaluate for difficult mask ventilation. Obstructive sleep apnea (OSA) is a known risk factor. In this observational study, patients were screened using the STOP-BANG questionnaire. Submandibular point of care ultrasound (POCUS) was performed to determine the correlation between ultrasound findings and difficult mask ventilation.Methods: POCUS was performed to measure tongue thickness (TT), geniohyoid muscle thickness (GMT), distance between lingual arteries (DLA), lateral pharyngeal wall thickness (LPW), hyomental distance (HMD), and oral cavity height (OCH). The results were analyzed to determine the correlation with difficult mask ventilation scores.Results: TT, GMT, DLA, and HMD were larger in those with STOP-BANG scores ≥ 3. OCH was larger for those with STOP-BANG score ≥ 5. TT was greater when mask ventilation required oral airway adjunct (p = 0.044) or management by two anesthesia practitioners (p = 0.006). The DLA was higher when mask ventilation required management by two anesthesia practitioners (p < 0.001) and higher when an oral airway adjunct was required (p = 0.056). Increased TT was associated with a higher mask ventilation score (odds ratio [OR] 1.152, 95% confidence interval [95%CI] 1.011-1.314, p = 0.034). A larger DLA was associated with increased odds of difficult mask ventilation (OR 1.207, 95% CI 1.1-1.324, p < 0.001).Conclusions: Submandibular POCUS could potentially be used to identify difficult mask ventilation in patients suspected of having OSA based on the STOP-BANG questionnaire.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"11 1","pages":"77-81"},"PeriodicalIF":0.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13161780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936210","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}

引用次数: 0

POCUS to Evaluate for Achilles Tendon Involvement in Ankle Lacerations. POCUS评估踝关节撕裂伤累及跟腱。

POCUS journal Pub Date : 2026-04-22 eCollection Date: 2026-04-01 DOI: 10.24908/pocusj.v11i01.20121

Ana Ruiz Castaneda, Gretel Rodriguez, Olivia Peña, Paul Khalil

引用次数: 0

POCUS in the Management of Complications with Barbed Polydioxanone (PDO) Threads in Aesthetic Medicine: Case Report. POCUS在美容医学中处理有刺聚二氧环酮（PDO）线并发症的病例报告。

POCUS journal Pub Date : 2026-04-22 eCollection Date: 2026-04-01 DOI: 10.24908/pocusj.v11i01.19968

Rhaina Alves Setúbal, Rachel Brazuna Solidonio, Luiz Filipe Barbosa Martins, Daniel Almeida Ferreira Barbosa, Thâmara Manoela Marinho Bezerra, Delane Viana Gondim, Luane Macêdo de Sousa

{"title":"POCUS in the Management of Complications with Barbed Polydioxanone (PDO) Threads in Aesthetic Medicine: Case Report.","authors":"Rhaina Alves Setúbal, Rachel Brazuna Solidonio, Luiz Filipe Barbosa Martins, Daniel Almeida Ferreira Barbosa, Thâmara Manoela Marinho Bezerra, Delane Viana Gondim, Luane Macêdo de Sousa","doi":"10.24908/pocusj.v11i01.19968","DOIUrl":"10.24908/pocusj.v11i01.19968","url":null,"abstract":"Point of care ultrasound (POCUS) is becoming an essential tool in aesthetic medicine, allowing clinicians to evaluate tissues in real time and respond promptly to complications. We present the case of a 42-year-old woman with diabetes who developed swelling, pain, and purulent drainage shortly after undergoing nonsurgical rhinoplasty with hyaluronic acid and polydioxanone (PDO) threads. POCUS quickly revealed an abscess surrounding a thread knot as well as additional fluid collections along the nasal dorsum. These findings guided the surgical plan and enabled real-time visualization during thread removal, improving safety and ensuring complete extraction. Histology later confirmed granulomatous inflammation. The patient recovered without further issues. This case illustrates how POCUS can assist in diagnosing and guiding the treatment of aesthetic complications, reinforcing its value as a simple, non-invasive tool that enhances patient safety and outcomes in everyday clinical practice.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"11 1","pages":"82-85"},"PeriodicalIF":0.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13161767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936037","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}

引用次数: 0

POCUS in Differentiating Etiology of Acute Scrotum. POCUS在鉴别急性阴囊病因中的应用。

POCUS journal Pub Date : 2026-04-22 eCollection Date: 2026-04-01 DOI: 10.24908/pocusj.v11i01.19770

Matthew Starr, Jamie Baydoun

引用次数: 0

The SHARP Exam: A Standardized POCUS Approach to Undifferentiated Acute Right Lower Quadrant Abdominal Pain in Young Women. SHARP检查：年轻女性未分化急性右下腹腹痛的标准化POCUS方法。

POCUS journal Pub Date : 2025-11-17 eCollection Date: 2025-11-01 DOI: 10.24908/pocusj.v10i02.18493

Michael Halperin, Maia Winkel, Ashley Aiken, Nora McNulty, Michelle Montenegro, Nicole Leonard Shiu, Trevor Dixon, Alyssia McEwan, William Murk, Ariella Gartenberg

引用次数: 0

POCUS Examination of the Mediastinum in Children: A Simplified and Standardized Protocol for Pulmonary Tuberculosis. 儿童纵隔POCUS检查：肺结核的简化和标准化方案。

POCUS journal Pub Date : 2025-11-17 eCollection Date: 2025-11-01 DOI: 10.24908/pocusj.v10i02.19176

Isabelle Munyangaju, Lucia Carratala-Castro, Sozinho Acacio, José Miguel Escudero Fernández, Antoni Soriano-Arandes, Maria Espiau, Begoña Santiago Garcia, Alicia Hernanz-Lobo, Ángel M Lancharro Zapata, Aleix Soler-Garcia, Enrique Ladera, Antoni Noguera-Julian, Angela Manzanares, Daniel Blazquez, Elisa Aguirre Pascual, José Massingue, Jessica Dalsuco, Justina Bramugy, Isabelle Thierry-Chef, Quique Bassat, Danilo Buonsenso, Elisa Lopez-Varela, Xavier Serres-Créixams

{"title":"POCUS Examination of the Mediastinum in Children: A Simplified and Standardized Protocol for Pulmonary Tuberculosis.","authors":"Isabelle Munyangaju, Lucia Carratala-Castro, Sozinho Acacio, José Miguel Escudero Fernández, Antoni Soriano-Arandes, Maria Espiau, Begoña Santiago Garcia, Alicia Hernanz-Lobo, Ángel M Lancharro Zapata, Aleix Soler-Garcia, Enrique Ladera, Antoni Noguera-Julian, Angela Manzanares, Daniel Blazquez, Elisa Aguirre Pascual, José Massingue, Jessica Dalsuco, Justina Bramugy, Isabelle Thierry-Chef, Quique Bassat, Danilo Buonsenso, Elisa Lopez-Varela, Xavier Serres-Créixams","doi":"10.24908/pocusj.v10i02.19176","DOIUrl":"10.24908/pocusj.v10i02.19176","url":null,"abstract":"Background: Point of care ultrasound (POCUS) is increasingly recognized as a valuable tool for mediastinal assessment in children, particularly in resource-limited settings where advanced radiological options such as computed tomography (CT) scans are often unavailable. In high-income countries, POCUS is gaining traction as a complementary imaging method, offering a safer, radiation-free alternative.Methods: To overcome the operator-dependent nature of mediastinal POCUS, a standardized protocol was developed. The protocol includes clear techniques and detailed descriptions of normal and pathological findings, aiming to enhance consistency and diagnostic accuracy.Results: The standardized protocol improved reliability in mediastinal POCUS assessments, especially in the context of paediatric pulmonary tuberculosis, a condition often marked by lymph node involvement. Given the challenges of obtaining respiratory samples in children and their typically low diagnostic yield, POCUS emerged as a particularly suitable diagnostic modality.Conclusions: Mediastinal POCUS, guided by a standardized protocol, represents a safe, affordable, point-of-care, and non-ionizing option for identifying mediastinal lymphadenopathy. Its application holds promise for improving the diagnosis of paediatric tuberculosis, especially in settings with limited access to advanced radiological imaging.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"10 2","pages":"123-134"},"PeriodicalIF":0.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650341","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}

引用次数: 0

SpacED POCUS: A Randomized Controlled Trial of an Adaptive Spaced Education POCUS Curriculum for Medical Students. 间隔POCUS：医学生自适应间隔教育POCUS课程的随机对照试验。

POCUS journal Pub Date : 2025-11-17 eCollection Date: 2025-11-01 DOI: 10.24908/pocusj.v10i02.19092

Anelah McGinness, Sarah Hancock, Megan Hilbert, Jane Soung, Emily Lovallo

{"title":"SpacED POCUS: A Randomized Controlled Trial of an Adaptive Spaced Education POCUS Curriculum for Medical Students.","authors":"Anelah McGinness, Sarah Hancock, Megan Hilbert, Jane Soung, Emily Lovallo","doi":"10.24908/pocusj.v10i02.19092","DOIUrl":"10.24908/pocusj.v10i02.19092","url":null,"abstract":"This study evaluated the effectiveness, retention, engagement, and acceptability of adaptive spaced education (spacED) for improving the accuracy of point of care ultrasound (POCUS) image interpretation by medical students. From July 2022-May 2023, students (n=36) were randomized into two groups and each assigned 50 unique POCUS cases: cardiac/vascular or lung/FAST. Each one served as the control for the other group. We measured effectiveness (% posttest 1 - % pretest), six-month retention (% posttest 2 - % posttest 1), engagement (% cases completed), and acceptability (% would recommend). Twenty-nine students (81%) completed the study. On average, 38.6% of cases were completed over the six-month study period. There was a significant increase in test scores covering FAST (Focused Assessment with Sonography in Trauma) (+18%), lung (+25%), and vascular (+23%, all p<0.01). Six-month FAST and lung scores did not have significant loss (+3% and -10%, p >0.05). Acceptability was high; 96% of students indicated they would participate again. Despite an imperfect case completion rate, for some applications, spacED was an effective, long-lasting, and acceptable method for teaching POCUS interpretation to medical students.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"10 2","pages":"13-19"},"PeriodicalIF":0.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658577/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650375","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}

引用次数: 0

Use of Internal Jugular Vein POCUS to Assess Intravascular Volume Status: A Study in Critically Ill Pediatric Post-Operative Cardiac Patients. 颈内静脉POCUS评估血管内容量状态：一项危重儿科心脏术后患者的研究。

POCUS journal Pub Date : 2025-11-17 eCollection Date: 2025-11-01 DOI: 10.24908/pocusj.v10i02.18249

Karunya Jayasimha, Wei Liu, William Hanna

{"title":"Use of Internal Jugular Vein POCUS to Assess Intravascular Volume Status: A Study in Critically Ill Pediatric Post-Operative Cardiac Patients.","authors":"Karunya Jayasimha, Wei Liu, William Hanna","doi":"10.24908/pocusj.v10i02.18249","DOIUrl":"10.24908/pocusj.v10i02.18249","url":null,"abstract":"Background: Understanding the intravascular volume status in critically ill children is challenging. Central venous pressure (CVP) is commonly used but is invasive. Assessment of both the inferior vena cava (IVC) and the internal jugular vein (IJV) by point of care ultrasound (POCUS) have shown significant correlation with CVP in adults. Limited data exists in pediatric patients, especially with IJV measurements. This study aims to correlate IJV POCUS with CVP in mechanically ventilated post-operative children following congenital heart disease surgery.Methods: This prospective study was conducted in the pediatric cardiac critical care unit at a tertiary children's hospital. In addition to other variables, IJV/common carotid artery (CCA) ratio at inspiration and expiration was calculated using the largest diameters of both vessels. The IJV distensibility index (%) was calculated as the ratio of difference in maximal IJV diameter during inspiration and minimal IJV expiratory diameter to minimal IJV expiratory diameter × 100. CVP was obtained prior to POCUS measurements. The association between CVP and the IJV/CCA ratio, as well as IJV distensibility, were assessed using correlation coefficients and 95% confidence intervals.Results: Thirty-one patients were included, with a median age of 2 months (IQR [0, 6]) and median CVP value of 8.5 mm Hg (IQR 6-11). No significant correlations were found between CVP and IJV/CCA ratio (R= 0.030 p= 0.87) and IJV distensibility index (R= -0.19 p= 0.31).Conclusions: Although utilizing IJV POCUS to assess volume status may be advantageous given the limited access to IVC measurements in post-operative pediatric cardiac patients, our preliminary data suggests limited utility. Larger-scale studies are needed to establish a more definitive relationship between these variables.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"10 2","pages":"109-114"},"PeriodicalIF":0.0,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12658566/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145650334","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}

引用次数: 0

Inside the November 2025 Issue. 在2025年11月刊中。

POCUS journal Pub Date : 2025-11-17 eCollection Date: 2025-11-01 DOI: 10.24908/pocusj.v10i02.20054

Benjamin T Galen

引用次数: 0

A Guide to an Effective Peer Review. 有效同行评议指南。

POCUS journal Pub Date : 2025-11-17 eCollection Date: 2025-11-01 DOI: 10.24908/pocusj.v10i02.20046

Tanping Wong, Riya N Soni, Casey Glass

引用次数: 0