POCUS journal最新文献_第5页

Pleural Effusion Identified by Point of Care Ultrasound (POCUS) in Septic Shock: Impact on Clinical Outcomes. 脓毒性休克时胸膜积液的点超声诊断：对临床结果的影响。

POCUS journal Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.24908/pocus.v9i2.17293

Erick Joel Rendón-Ramírez, Andrés Mauricio Morales-García, Adrián Rendón-Pérez, Homero Nañez-Terreros, Ricardo Cesar Solis, Alexandra Daniela Magaña-García, Samantha Medrano-Juárez, Jose Francisco Caloca-Estrada, Roberto Mercado-Longoria, Jorge Eduardo Leija-Herrera, José M Porcel

{"title":"Pleural Effusion Identified by Point of Care Ultrasound (POCUS) in Septic Shock: Impact on Clinical Outcomes.","authors":"Erick Joel Rendón-Ramírez, Andrés Mauricio Morales-García, Adrián Rendón-Pérez, Homero Nañez-Terreros, Ricardo Cesar Solis, Alexandra Daniela Magaña-García, Samantha Medrano-Juárez, Jose Francisco Caloca-Estrada, Roberto Mercado-Longoria, Jorge Eduardo Leija-Herrera, José M Porcel","doi":"10.24908/pocus.v9i2.17293","DOIUrl":"10.24908/pocus.v9i2.17293","url":null,"abstract":"Aim: To analyze the association between pleural effusion detected by chest point of care ultrasound (POCUS) and clinical outcomes in patients with septic shock admitted to an intensive care unit (ICU). Material and methods: A prospective evaluation of ICU patients with septic shock in whom chest POCUS was performed during the first 24 hours of diagnosis to identify the presence and characteristics of pleural effusion. Results: Of 45 patients with septic shock, 17 (38%) had pleural effusion. Mortality (13 vs 17 patients, p=0.44), as well as length of stay in ICU (11.0 vs 6.5 days, p=0.161) were similar among groups. However, there was a significant difference in the modified Nutrition Risk in Critically Ill (mNUTRIC) score between the pleural effusion (5.82±1.13) and non-pleural effusion groups (4.00±2.39, p=0.001). In addition, patients with pleural effusion required more days on mechanical ventilation than those without pleural effusion (10 vs 7, p=0.04). A subgroup analysis of chest POCUS characteristics between surviving and non-surviving patients with pleural effusion identified a higher median size of pleural effusion in the non-surviving group (3±2.16 cm vs 1.9±0.6, p=0.01). Conclusion: Pleural effusion in patients with septic shock is associated with high mNUTRIC scores and more days on mechanical ventilation. The larger the pleural effusion, the lower the survival rate.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"9 2","pages":"55-61"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782091","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

Knowledge and Confidence Among Five Cohorts of Faculty Learners in a Point of Care Ultrasound (POCUS) Program: Factors Defining Learner Success. 在护理点超声（POCUS）计划中，五组教师学习者的知识和信心：定义学习者成功的因素。

POCUS journal Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.24908/pocus.v9i2.17640

Michael Janjigian, Anne Dembitzer, Isaac Holmes, Caroline Srisarajivakul Klein, Khemraj Hardowar, Harald Sauthoff

{"title":"Knowledge and Confidence Among Five Cohorts of Faculty Learners in a Point of Care Ultrasound (POCUS) Program: Factors Defining Learner Success.","authors":"Michael Janjigian, Anne Dembitzer, Isaac Holmes, Caroline Srisarajivakul Klein, Khemraj Hardowar, Harald Sauthoff","doi":"10.24908/pocus.v9i2.17640","DOIUrl":"10.24908/pocus.v9i2.17640","url":null,"abstract":"Background: The availability of faculty proficient in point of care ultrasound (POCUS) has emerged as a barrier to the ongoing expansion of POCUS across the field of internal medicine. We sought to examine the faculty graduates of our institutional POCUS program to identify characteristics associated with long-term proficiency to inform curricula and guide institutional support. Methods: We emailed a test and survey to the 89 faculty graduates of the annual POCUS course we have run from 2018-2023. Results: Of the 46 participants (52%) who completed the test and survey, the overall median test score was 72%. Graduates were most confident with image acquisition of the lung, and were most likely to use ultrasound to evaluate ascites and dyspnea. All 11 participants reporting completion of an image portfolio were actively teaching POCUS, whereas only 54% of non-completers were teaching. Portfolio completers scored higher on the test compared to non-completers (median 92% and 68%, respectively, p <0.01) and were more confident in image acquisition and interpretation (p<0.001). Conclusions: In this long-term, single-institutional study of faculty graduates of an annual POCUS program, those who reported completing an image portfolio scored significantly higher on a knowledge test, reported higher confidence with image acquisition and interpretation, and reported using and teaching POCUS more frequently compared to graduates who did not complete the portfolio. POCUS education programs should be designed to foster continuous scanning practice and image portfolio completion.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"9 2","pages":"109-116"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782083","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

Delphi Consensus Recommendations for the Development of the Emergency Medicine Point of Care Ultrasound (POCUS) Curriculum in Nepal. 德尔菲共识建议发展急诊医学点护理超声（POCUS）课程在尼泊尔。

POCUS journal Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.24908/pocus.v9i2.17724

Anmol P Shrestha, Wolfgang Blank, Ursula H Blank, Rudolf Horn, Susane Morf, Sanu K Shrestha, Shailesh P Shrestha, Samjhana Basnet, Anjana Dongol, Raj Kumar Dangal, Roshana Shrestha

{"title":"Delphi Consensus Recommendations for the Development of the Emergency Medicine Point of Care Ultrasound (POCUS) Curriculum in Nepal.","authors":"Anmol P Shrestha, Wolfgang Blank, Ursula H Blank, Rudolf Horn, Susane Morf, Sanu K Shrestha, Shailesh P Shrestha, Samjhana Basnet, Anjana Dongol, Raj Kumar Dangal, Roshana Shrestha","doi":"10.24908/pocus.v9i2.17724","DOIUrl":"10.24908/pocus.v9i2.17724","url":null,"abstract":"Introduction: Emergency Medicine Point of Care Ultrasound (EM-POCUS) is a diagnostic bedside tool for quick and accurate clinical decision-making. Comprehensive training in POCUS is a mandatory part of EM training in developed countries. In Nepal, we need to build an educational curriculum based on the local medical system, available resources, and educational environment. We used the modified Delphi method to develop a EM-POCUS curriculum. Methods: We formed an EM-POCUS core working group based on expertise in key identified areas. The core working group developed criteria for expert panelist selection and synthesized the data for panelists after each Delphi round. We recruited 46 expert panelists to participate in a series of electronic surveys. The literature review and the results of the first Delphi round identified a set of competencies. Quantitative methodology was performed for subsequent surveys. Data analysis of the frequency, percentage, median, and interquartile range of the 9-point Likert scale was performed. We deemed a minimum threshold of 80% agreement to retain items across Delphi rounds. The result of every round was disseminated before subsequent rounds for the expert panelists to review responses in light of the group's response. Results: We identified 10 specific global competency categories and 132 objectives (Round 1, response rate 85%). Rounds 2 and 3 (response rates 78% and 81% respectively) developed consensus on 45 core objectives (34%). The list of EM-POCUS competencies with the median (IQR) was finalized. Conclusion: This expert, consensus-generated EM-POCUS curriculum provides detailed guidance for EM-POCUS education and applications in clinical practice in Nepal.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"9 2","pages":"133-142"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782071","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

Dengue Cardiomyopathy Treatment Strategy Optimisation by Integrating Point of Care Ultrasound (POCUS) with VExUS. 结合护理点超声（POCUS）和VExUS优化登革热心肌病治疗策略。

POCUS journal Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.24908/pocus.v9i2.17706

Wei Ven Chin, Mae Jane Khaw

引用次数: 0

Ultrasound-Guided Nerve Blocks for Flexor Tenosynovitis. 超声引导下神经阻滞治疗屈肌腱滑膜炎。

POCUS journal Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.24908/pocus.v9i2.17395

John M Bowling, Erick Zoumberakis

引用次数: 0

Inside the November 2024 Issue. 在2024年11月刊中。

POCUS journal Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.24908/pocus.v9i2.18344

Benjamin T Galen

引用次数: 0

Rare Cause of Pediatric Abdominal Pain Diagnosed on Point of Care Ultrasound (POCUS). 急诊超声诊断小儿腹痛的罕见病因。

POCUS journal Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.24908/pocus.v9i2.17451

Courtney Owens, Lindsey Chaudoin

{"title":"Rare Cause of Pediatric Abdominal Pain Diagnosed on Point of Care Ultrasound (POCUS).","authors":"Courtney Owens, Lindsey Chaudoin","doi":"10.24908/pocus.v9i2.17451","DOIUrl":"10.24908/pocus.v9i2.17451","url":null,"abstract":"An 11-year-old postmenarchal female presented to the pediatric emergency department (ED) with 2 days of periumbilical and right lower abdominal pain. Radiology-performed ultrasound (RADUS) did not visualize the appendix, and there was a plan for surgical consultation to decide between serial abdominal exams versus computed tomography (CT) scan. While awaiting consultation and to help further narrow the differential diagnosis, the emergency provider performed a point of care ultrasound (POCUS) of the urinary tract. This revealed several anomalies including a solitary left kidney with hydronephrosis, and a well-circumscribed, fluid-filled structure with mixed echogenicity posterior to the bladder and inferior to the uterus. Given these findings on POCUS, further imaging was pursued, including a RADUS of the pelvis followed by a magnetic resonance imaging (MRI) of the abdomen. Further imaging ultimately diagnosed a bicornuate uterus, septate vagina with hematocolpos and solitary left kidney consistent with Obstructed Hemivagina and Ipsilateral Renal Anomaly (OHVIRA) syndrome. This case is an illustration of how POCUS is an invaluable tool to narrow the differential diagnosis and guide advanced imaging or consultation for both common and rare causes of pediatric abdominal pain.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"9 2","pages":"32-34"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782093","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

A Cardiac Tumor and Liver Masses on Point of Care Ultrasound (POCUS): Implications in a Resource-Limited Setting. 在护理点超声（POCUS）上的心脏肿瘤和肝脏肿块：在资源有限的情况下的意义。

POCUS journal Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.24908/pocus.v9i2.17665

Waseem Sous, George Limwado, Enoch Ndarama, Michaela Sous

引用次数: 0

Just In Time! Assessment of Internal Medicine Resident Point of Care Ultrasound (POCUS) Attitudes and Behaviors After Spaced Intervention at Two Residency Programs. 来得正是时候！两个住院医师项目间隔干预后内科住院医师护理点超声（POCUS）态度和行为的评估。

POCUS journal Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.24908/pocus.v9i2.17635

Kevin M Piro, Patricia A Carney, Christopher J Smith

{"title":"Just In Time! Assessment of Internal Medicine Resident Point of Care Ultrasound (POCUS) Attitudes and Behaviors After Spaced Intervention at Two Residency Programs.","authors":"Kevin M Piro, Patricia A Carney, Christopher J Smith","doi":"10.24908/pocus.v9i2.17635","DOIUrl":"10.24908/pocus.v9i2.17635","url":null,"abstract":"Point of care ultrasound (POCUS) is a complex psychomotor skill that requires scaffolded support for skill acquisition. However, the effect of spaced curricular elements on learner POCUS behaviors are not clearly understood. Using a multi-site observational cross-sectional survey study, we measured resident baseline POCUS use, behaviors, and attitudes and then implemented POCUS workflow and just-in-time POCUS curricula during internal medicine resident ward rotations and assessed changes. Self-reported personal and team POCUS use and documentation habits all improved between baseline and the just-in-time teaching. Personal POCUS use correlated with team POCUS use (ρ=0.431; p<0.001) and co-resident POCUS use (ρ=0.242; p=0.035). Attending POCUS use correlated with team POCUS use (ρ=0.523; p< 0.001), but not personal use. Overall, we found moderate, but statistically significant, improvements in reported resident and team performance of POCUS and documentation habits, suggesting that just-in-time interventions may promote POCUS use. Co-learning also appears to be a key influencer for POCUS use.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"9 2","pages":"93-101"},"PeriodicalIF":0.0,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11616801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142782082","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

Diagnosis of a Stress Fracture Of a Metatarsal Bone with Point of Care Ultrasound (POCUS). 点超声（POCUS）诊断跖骨应力性骨折。

POCUS journal Pub Date : 2024-11-15 eCollection Date: 2024-01-01 DOI: 10.24908/pocus.v9i2.17393

Alfred Doblinger

引用次数: 0