POCUS journal最新文献_第8页

You've Gotten Under my Skin: How to Make a Simple, Non-Perishable, Low-Cost Soft Tissue Infection Ultrasound Simulator. 你已经得到了我的皮肤：如何做一个简单的，不易腐烂的，低成本的软组织感染超声模拟器。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.24908/pocusj.v10i01.18407

John Barrett, Christy Moore, Jeffrey A Kramer, Nova Panebianco

引用次数: 0

The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care Unit. 在儿童重症监护病房使用点超声（POCUS）确认胃和幽门后饲管放置。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.24908/pocusj.v10i01.17785

Alonso Marron, Michael S Wolf, Marla Levine, Jeremy S Boyd, Marta Hernanz-Schulman

{"title":"The Utilization of Point of Care Ultrasound (POCUS) for the Confirmation of Gastric and Post-Pyloric Feeding Tube Placement in a Pediatric Intensive Care Unit.","authors":"Alonso Marron, Michael S Wolf, Marla Levine, Jeremy S Boyd, Marta Hernanz-Schulman","doi":"10.24908/pocusj.v10i01.17785","DOIUrl":"https://doi.org/10.24908/pocusj.v10i01.17785","url":null,"abstract":"The aim of this study was to investigate the role of point of care ultrasound (POCUS) as an alternative imaging modality to confirm the location of gastric and post-pyloric feeding tubes in patients admitted to the pediatric intensive care unit (PICU). This was a prospective descriptive study performed at a tertiary care children's hospital. Patients from birth to 17 years of age in whom the medical team placed a temporary enteral feeding tube were eligible for enrollment. The study physician, who was blinded to the radiographic findings, performed a POCUS study of the abdomen. An abdominal radiograph was obtained to confirm the placement in all patients. A total of 13 patients were enrolled, and 14 abdominal POCUS exams were completed. POCUS accurately identified the location of the enteral feeding tube in 10 of the 14 cases. POCUS had a sensitivity and specificity of 85.7% and 57.1%, respectively, in identifying gastric tubes. It had a sensitivity and specificity of 66.7% and 87.5%, respectively, in identifying post-pyloric tubes. No adverse events were reported. This study showed that POCUS had moderate sensitivity and specificity and was, overall, safe. Further studies can assess the level of training needed for improvement in accuracy, and larger studies can help support the findings of this data that POCUS is a safe and accurate alternative to radiographs for enteral feeding tube placement confirmation.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"10 1","pages":"164-174"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057464/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054903","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

Seeing Ghosts: A Quality Improvement Intervention to Decrease Phantom Scanning Through Increased Image Archiving of POCUS by Internal Medicine Residents. 看鬼：通过增加内科住院医师POCUS的影像存档来减少幻影扫描的质量改进干预。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.24908/pocusj.v10i01.17775

Linden Kolbenson, Talha Salman, Amanda Oro, Paul Olszynski

{"title":"Seeing Ghosts: A Quality Improvement Intervention to Decrease Phantom Scanning Through Increased Image Archiving of POCUS by Internal Medicine Residents.","authors":"Linden Kolbenson, Talha Salman, Amanda Oro, Paul Olszynski","doi":"10.24908/pocusj.v10i01.17775","DOIUrl":"https://doi.org/10.24908/pocusj.v10i01.17775","url":null,"abstract":"Point of care ultrasound (POCUS) is used in internal medicine (IM) to augment clinical decision making and improve procedural safety. Institutionally-supported archiving software can help learners track scan numbers and receive feedback on image acquisition and interpretation. At the University of Saskatchewan, IM residents use POCUS for procedures and assessments but rarely save images, limiting feedback opportunities. Our quality improvement project aimed to increase the number of POCUS images saved by Postgraduate Year One (PGY-1) IM residents, targeting over 75% of non-procedural scans and ensuring over 50% of residents save at least one scan. This quality improvement project was conducted on a clinical teaching unit at an academic hospital over two years. We used four Plan-Do-Study-Act (PDSA) cycles each year to measure the percentage of non-procedural scans saved by PGY-1 IM residents. As a balance measure, we compared the number of scans performed historically and during the study period to monitor for changes in usage. Data was collected using an ultrasound sign-out sheet. At baseline, no diagnostic scans were saved by PGY-1 IM residents. Post-intervention, 56% of scans were archived in cohort one and 76% in cohort two. Additionally, 79% of residents in cohort one and 94% in cohort two archived at least one scan. The balance measure improved from 1.13 in the first year to 2.25 in the second, suggesting image archiving is not a deterrent to performing scans. Through this intervention, we significantly increased the archiving of non-procedural scans by PGY-1 IM residents. We advocate for implementing a formal POCUS archiving system to promote quality assurance in residency programs.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"10 1","pages":"11-18"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055212","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

The Prevalence of Systemic Venous Congestion Post Kidney Transplant Detected by Point of Care Ultrasound (POCUS). 点位超声（POCUS）检测肾移植术后全身静脉充血的发生率。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.24908/pocusj.v10i01.18260

Santiago Beltramino, Agustín Manchado Bruno, Damián Fernández, Javier Walther, Gustavo Werber

{"title":"The Prevalence of Systemic Venous Congestion Post Kidney Transplant Detected by Point of Care Ultrasound (POCUS).","authors":"Santiago Beltramino, Agustín Manchado Bruno, Damián Fernández, Javier Walther, Gustavo Werber","doi":"10.24908/pocusj.v10i01.18260","DOIUrl":"https://doi.org/10.24908/pocusj.v10i01.18260","url":null,"abstract":"Systemic venous congestion is a known cause of acute kidney injury (AKI), but its presence in kidney transplant patients has not been previously described in the literature. The objective of this study was to determine the prevalence of systemic venous congestion in recent kidney transplant recipients. We conducted a prospective, longitudinal, descriptive study including 30 adult patients during the first week post-renal transplant at the Instituto de Trasplante y Alta Complejidad in Buenos Aires, Argentina. Venous congestion was detected in 53% of patients (16/30), but only 13.3% (4/30) presented moderate to severe congestion. Pulmonary congestion was more frequent: 70% (21/30) of the patients presented some degree of pulmonary congestion, and 30% (9/30) had moderate or severe congestion. In the venous congestion group, 75% of patients developed delayed graft function (DGF) compared to 57% in the non-congestion group, although this difference was not statistically significant (p<0.3). Body weight and physical examination-two commonly used methods to guide decisions on dialysis initiation and fluid management-were found to be unreliable for assessing the true volume status. In conclusion, venous congestion was observed during the first week following renal transplantation; however, moderate to severe congestion was uncommon, affecting only 13.3% of patients. While DGF was more frequently observed in patients with congestion, a statistically significant association could not be established. Further studies with larger sample sizes are needed to better evaluate this potential relationship.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"10 1","pages":"134-140"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062871","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

Comparison of Six Handheld Ultrasound Devices by Pediatric Point of Care Ultrasound (POCUS) Experts. 儿科护理点超声（POCUS）专家对六种手持超声设备的比较。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.24908/pocusj.v10i01.18722

Stephanie K Leung, Ria Dancel, Riya N Soni, Ariadna Perez-Sanchez, Michael J Mader, Haitham Al-Wahab, Thomas W Conlon, Maria V Fraga, Javier J Lasa, Andrea Matho, Hannah Smith, Nilam J Soni

{"title":"Comparison of Six Handheld Ultrasound Devices by Pediatric Point of Care Ultrasound (POCUS) Experts.","authors":"Stephanie K Leung, Ria Dancel, Riya N Soni, Ariadna Perez-Sanchez, Michael J Mader, Haitham Al-Wahab, Thomas W Conlon, Maria V Fraga, Javier J Lasa, Andrea Matho, Hannah Smith, Nilam J Soni","doi":"10.24908/pocusj.v10i01.18722","DOIUrl":"10.24908/pocusj.v10i01.18722","url":null,"abstract":"Background: Point of care ultrasound (POCUS) use is increasing among pediatric clinicians, but lack of access to ultrasound devices is a major barrier. The availability of pocket-sized handheld ultrasound devices (\"handhelds\") has improved access. However, no head-to-head comparative studies of handhelds in children have been performed to guide purchasing decisions.Methods: This cross-sectional study compared six handhelds: Butterfly iQ+™ (Butterfly Network Inc.), Clarius® (Clarius Mobile Health™), Kosmos™(EchoNous), TE Air™ (Mindray®), Vscan Air™ SL (General Electric), and Lumify™ (Philips Healthcare). Eight pediatric POCUS experts acquired views showing the abdominal right upper quadrant (RUQ), cardiac apical 4-chamber, and superficial neck and lung on a standardized pediatric model using each handheld. Experts rated each handheld by its image quality, ease of use, and their overall satisfaction.Results: Vscan Air™, Kosmos™, and Lumify™ were rated highest for ease of use, image quality, and overall satisfaction. Most experts recommended Vscan Air™ for purchase. The five most desirable characteristics of handhelds were image quality, ease of use, total costs, transducer size, and availability of different transducer types. All six handhelds had important advantages and disadvantages per experts, and no single device had all the desired characteristics.Conclusions: Pediatric POCUS experts rated Vscan Air™, Kosmos™, and Lumify™ highest for ease of use, image quality, and overall satisfaction. No device was clearly superior across all applications. Subjective characteristics, particularly probe ergonomics, may be a deciding factor when selecting handhelds in pediatrics. There is a need to develop handhelds specifically for use in pediatric populations.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"10 1","pages":"141-156"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036840","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

Acute Traumatic Cataract Diagnosed by Ocular Point of Care Ultrasound (POCUS) in the Emergency Department. 急诊科眼点超声诊断急性外伤性白内障。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.24908/pocusj.v10i01.18110

Adrian Huffard, Shannon Overholt, Angelo Kantrales, Taryn Hoffman

{"title":"Acute Traumatic Cataract Diagnosed by Ocular Point of Care Ultrasound (POCUS) in the Emergency Department.","authors":"Adrian Huffard, Shannon Overholt, Angelo Kantrales, Taryn Hoffman","doi":"10.24908/pocusj.v10i01.18110","DOIUrl":"https://doi.org/10.24908/pocusj.v10i01.18110","url":null,"abstract":"Introduction: It is estimated that over 55 million people suffer ocular injuries each year. Of these injuries, approximately 1.6 million are found to suffer permanent visual impairment secondary to traumatic cataract. Although a traumatic cataract can be a vision threatening pathology, it may be overlooked or difficult to diagnose. The objective of this report is to demonstrate the utility of ocular point of care ultrasound (POCUS) in the emergency department while highlighting its potential to diagnose a traumatic cataract. Case.Report: A 66-year-old man presented to the emergency department with suspected cervical spine injury after being involved in a bicycle accident. During the secondary survey, the patient developed sudden painless loss of vision in his left eye. Computed tomography (CT) and external ocular exam did not reveal the cause of his vision loss. Emergency physicians employed the use of point of care ultrasound POCUS to diagnose an acute traumatic cataract as the etiology, which was later confirmed by Ophthalmology.Conclusion: With the adoption of ocular POCUS as a staple in emergency medicine residency training, this case is testimony to its growing functionality in the setting of ocular trauma. We pose that it may aid as a diagnostic tool, avoid gratuitous testing, and ultimately expedite specialist evaluation and definitive treatment.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"10 1","pages":"107-109"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044644","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

Cor Triatriatum in a Pediatric Patient, Accidental Point of Care Ultrasound (POCUS) Discovery. 小儿三心房心绞痛，意外点护理超声（POCUS）发现。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.24908/pocusj.v10i01.17718

Tareq Alhaddad, Amr Hamid, Abdulbaset Mohammed, Hana Mohsen

{"title":"Cor Triatriatum in a Pediatric Patient, Accidental Point of Care Ultrasound (POCUS) Discovery.","authors":"Tareq Alhaddad, Amr Hamid, Abdulbaset Mohammed, Hana Mohsen","doi":"10.24908/pocusj.v10i01.17718","DOIUrl":"https://doi.org/10.24908/pocusj.v10i01.17718","url":null,"abstract":"Cor triatriatum is a rare congenital heart defect, occurring in less than 0.1% of all such cases. It is characterized by a fibrous membrane dividing the atrium into two compartments. While often asymptomatic in infants and children, it can cause symptoms like shortness of breath, fatigue, and malnutrition. Early diagnosis and treatment are crucial to prevent further cardiac complications and ensure normal childhood growth and development. We discuss the case of a 4-year-old girl diagnosed with cor triatriatum, who was admitted to the emergency room exhibiting symptoms of pneumonia and poor weight gain. A point of care ultrasound (POCUS) test revealed a membrane in the left atrium. The child was admitted and treated for pneumonia and then referred for surgical repair of her heart defect. Following surgery, she was discharged home in stable condition. This case emphasizes the importance of POCUS - particularly in resource-limited settings - for early detection and treatment of congenital heart defects in children. It also shows the need for comprehensive assessment of symptoms for timely diagnosis and management of rare cardiac anomalies, such as cor triatriatum.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"10 1","pages":"188-191"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045945","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

The Expanding Point of Care Ultrasound (POCUS) Paradigm. 扩展护理点超声（POCUS）范式。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.24908/pocusj.v10i01.18408

Katie Wiskar

引用次数: 0

Parotid Sialolithiasis Diagnosed on Point of Care Ultrasound (POCUS). 护理点超声诊断腮腺涎石症。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.24908/pocusj.v10i01.18657

Heather Lystad, Elaine Yu, Rachna Subramony

引用次数: 0

Point of Care Ultrasound (POCUS) Applications Taught Within Canadian Internal Medicine Residency Programs: Results of a National Survey. 护理点超声（POCUS）在加拿大内科住院医师计划中的应用：一项全国调查的结果。

POCUS journal Pub Date : 2025-04-15 eCollection Date: 2025-04-01 DOI: 10.24908/pocusj.v10i01.18220

Ryan Marinovich, Michael G R Beyaert, Steven J Montague, Irene W Y Ma, Luke A Devine

{"title":"Point of Care Ultrasound (POCUS) Applications Taught Within Canadian Internal Medicine Residency Programs: Results of a National Survey.","authors":"Ryan Marinovich, Michael G R Beyaert, Steven J Montague, Irene W Y Ma, Luke A Devine","doi":"10.24908/pocusj.v10i01.18220","DOIUrl":"https://doi.org/10.24908/pocusj.v10i01.18220","url":null,"abstract":"Background: Point of care ultrasound (POCUS) is an important tool for bedside diagnostics and procedures within internal medicine. In 2017 the Canadian Internal Medicine Ultrasound (CIMUS) group provided recommendations for applications to teach POCUS to internal medicine trainees. The way that training programs have implemented these recommendations has not been assessed. We aim to assess POCUS applications taught within internal medicine training programs, five years after the CIMUS group's recommendations.Methods: An anonymous survey was distributed in 2022 to POCUS leads at Canadian internal medicine residency and general internal medicine subspecialty training programs. This voluntary survey assessed which POCUS applications were being taught to trainees.Results: A total of 17 responses for the core training program and 12 responses for the subspecialty training program were collected. There was widespread uptake of the CIMUS-recommended POCUS applications within core and subspecialty level training. The compliance was higher for procedures than diagnostics. Many applications recommended at the subspecialty level were being incorporated into the core training program curriculum. Many applications that were not commented on by the CIMUS group were also incorporated into POCUS curricula.Conclusions: POCUS education within Canadian internal medicine residency programs are largely in sync with the CIMUS recommendations published in 2017. Many programs have expanded their training beyond the CIMUS group's recommendations.","PeriodicalId":74470,"journal":{"name":"POCUS journal","volume":"10 1","pages":"27-31"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12057461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059439","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