POCUS journal最新文献_第5页

A Prospective Cohort Study to Evaluate Needle Passes Using a Portable Ultrasound Device versus Traditional Landmark Approach for Epidural Anesthesia in a Busy Obstetric Tertiary Care Center. 一项前瞻性队列研究，评估在繁忙的产科三级护理中心使用便携式超声波设备与传统地标法进行硬膜外麻醉的针穿情况。

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16298

Antonio Gonzalez Fiol, Pedro Acevedo Rodriguez, Xiwen Zhao, Robert Gaiser, Adriana Herrera, Aymen Alian

{"title":"A Prospective Cohort Study to Evaluate Needle Passes Using a Portable Ultrasound Device versus Traditional Landmark Approach for Epidural Anesthesia in a Busy Obstetric Tertiary Care Center.","authors":"Antonio Gonzalez Fiol, Pedro Acevedo Rodriguez, Xiwen Zhao, Robert Gaiser, Adriana Herrera, Aymen Alian","doi":"10.24908/pocus.v8i2.16298","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16298","url":null,"abstract":"Despite its many cited benefits, ultrasound guidance for neuraxial procedures is not widespread in anesthesiology. Some cited limitations include device cost and accessibility. We test the hypothesis that a handheld and relatively inexpensive ultrasound can improve neuraxial proficiency (e.g., decreased needle manipulations and block time). This prospective study compared the number of needle passes, redirections, and procedural time between epidural placed with a handheld ultrasound versus landmarks. Needle passes and attempts were defined as the number of times the Tuhoy needle was redirected, and the times skin was punctured (re-insertion). Procedural time was defined as the time from local anesthetic infiltration until loss of resistance was obtained. The impact of level of training and accuracy of the device were also analyzed. 302 patients receiving labor epidural were included in the study. No difference in body mass index (BMI) nor distribution of level of training was noted between the groups. Regression analysis adjusted for BMI demonstrated a decrease in needle passes (-1.75 (95% CI -2.62, -0.89), p < 0.001), needle attempts (-0.51 (95% CI -0.97, -0.04), p = 0.032) and procedural time (-154.67s 95% CI -303.49s, -5.85s), p = 0.042) when a handheld ultrasound was utilized. The mean (95% Confidence interval) difference between needle depth and ultrasound depth was 0.39 cm (0.32, 0.46), p < 0.001. The use of a handheld device resulted in statistically significant decrease of needle manipulations and block time. More research is needed to evaluate the impact of and increase in accessibility of ultrasound technology.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814153","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 2023 Issue. 2023 年 11 月刊内页

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16970

Benjamin T Galen

引用次数: 0

Obstetric-Focused POCUS Training for Medical Students. 为医科学生提供以产科为重点的 POCUS 培训。

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16316

Koral Cohen, Jennifer Kidd, Emily Schiller, Agata Kantorowska, Wendy Kinzler, Martin Chavez

引用次数: 0

Asteroid Hyalosis: A Mimicker of Vitreous Hemorrhage on Point of Care Ultrasound: A Case Report. 小行星水肿症：护理点超声波检查中玻璃体出血的假象：病例报告。

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16391

Eniola C Gros, Lauren R Mccafferty

引用次数: 0

Dissemination of a Pediatric Musculoskeletal POCUS Scoring System via Virtual Education: A Proof-of-Concept Study. 通过虚拟教育传播儿科肌肉骨骼 POCUS 评分系统：概念验证研究

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16229

Ysabella Esteban, Jackeline Rodriguez-Smith, Marie Tominna, Amy Cassedy, Arthur B Meyers, Michael Henrickson, Tracy V Ting, Patricia Vega-Fernandez

{"title":"Dissemination of a Pediatric Musculoskeletal POCUS Scoring System via Virtual Education: A Proof-of-Concept Study.","authors":"Ysabella Esteban, Jackeline Rodriguez-Smith, Marie Tominna, Amy Cassedy, Arthur B Meyers, Michael Henrickson, Tracy V Ting, Patricia Vega-Fernandez","doi":"10.24908/pocus.v8i2.16229","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16229","url":null,"abstract":"Point of care pediatric musculoskeletal POCUS scanning and scoring protocols for childhood arthritis have emerged in recent years. However, pediatric musculoskeletal POCUS curricula in rheumatology fellowship programs are limited due to availability of trained faculty and resources. This proof-of-concept study investigated the effectiveness of educational methods for a pediatric musculoskeletal POCUS scoring protocol among fellows and physicians of differing subspecialties. Educational methods assessed included recorded videos and virtual review sessions. Effectiveness was assessed by calculating interrater reliability for the musculoskeletal POCUS scoring systems using the intra-class correlation coefficient (ICC). Following training sessions, participants then underwent scoring exercise(s) until the goal of an excellent ICC ≥ 0.75 was reached. Four participants completed two rounds of virtual education, review, and scoring sessions. Excellent interrater reliability was achieved for most views. This proof-of-concept study demonstrated virtual education covering advanced concepts of pediatric musculoskeletal POCUS provides a knowledge base for physicians from different subspecialties and various experience.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814231","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

Rekindling the Relevance of Obstetrical Transvaginal POCUS: Overcoming Barriers to Ensure Patient-Centered Care. 重新激发产科经阴道 POCUS 的相关性：克服障碍，确保以患者为中心的护理。

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16855

Alexis Salerno, Resa E Lewiss

引用次数: 0

Twinkle Artifact Observed During POCUS of a Human Myiasis Caused by the Dermatobia hominisBotfly. 在 POCUS 观察到的由 Dermatobia hominisBotfly 引起的人类 Myiasis 闪烁假象。

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16712

David Jerome, Matthew Stacey, Joseph Newbigging

引用次数: 0

Acute Type A Aortic Dissection Diagnosed by POCUS in a 29-year-old Man. 一名 29 岁男子通过 POCUS 诊断出急性 A 型主动脉夹层。

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16533

Vladimir Cárdenas López, Pablo Blanco

引用次数: 0

Prevalence of Phantom Scanning in Cardiac Arrest and Trauma Resuscitations: The Scary Truth. 心脏骤停和外伤复苏中幻影扫描的普遍性：可怕的真相

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16690

Zachary Boivin, Curtis Xu, Donias Doko, Meghan Kelly Herbst, Trent She

{"title":"Prevalence of Phantom Scanning in Cardiac Arrest and Trauma Resuscitations: The Scary Truth.","authors":"Zachary Boivin, Curtis Xu, Donias Doko, Meghan Kelly Herbst, Trent She","doi":"10.24908/pocus.v8i2.16690","DOIUrl":"https://doi.org/10.24908/pocus.v8i2.16690","url":null,"abstract":"Background: The prevalence of phantom scanning, or point of care ultrasound (POCUS) performed without saving images, has not been well studied. Phantom scanning can negatively affect patient care, reduce billed revenue, and can increase medicolegal liability. We sought to quantify and compare the prevalence of phantom scanning among emergency department (ED) cardiac arrests and trauma resuscitations. Methods: This was a single center, retrospective cohort study from July 1, 2019, to July 1, 2021, of all occurrences of POCUS examination documented on the resuscitation run sheet during cardiac arrest and trauma resuscitations. Two investigators reviewed the run sheets to screen for POCUS documentation. Instances where documentation was present were matched with saved images in the picture archiving and communication system. Instances where documentation was present but no images could be located were considered phantom scans. A two-tailed student's t test was utilized to compare the phantom scanning rate between cardiac arrest and trauma resuscitations. Results: A total of 1,862 patients were included in the study period, with 329 cardiac arrests and 401 trauma resuscitations having run sheet documentation of POCUS performance. The phantom scanning rate in cardiac arrests and trauma resuscitations was 70.5% (232/329) and 86.5% (347/401), respectively (p < 0.001). Conclusion: Phantom scanning is common in both cardiac arrests and trauma resuscitations in the ED at our institution, but is significantly higher in trauma resuscitations. Further research is needed to assess causes and develop potential solutions to reduce the high prevalence of phantom scanning.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814271","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

Role of POCUS in Assessing an Acute Aortic Thrombus. POCUS 在评估急性主动脉血栓中的作用。

POCUS journal Pub Date : 2023-11-27 eCollection Date: 2023-01-01 DOI: 10.24908/pocus.v8i2.16480

Zachary Boivin, Emily Mensel, Trent She

引用次数: 0