Doppler Ultrasound Identified Venous Congestion in Septic Shock

Doppler Ultrasound Identified Venous Congestion in Septic Shock

Venous congestion is a pathophysiological state where high venous pressures cause organ edema and dysfunction. Venous congestion is associated with worse outcomes, particularly acute kidney injury (AKI), for critically ill... read more

VA-ECMO in High-Risk Pulmonary Embolism

VA-ECMO in High-Risk Pulmonary Embolism

High-risk Pulmonary Embolism (PE) has an ominous prognosis and requires emergent reperfusion therapy, primarily systemic thrombolysis (ST). In deteriorating patients or with contraindications to ST, Veno-Arterial Extracorporeal... read more

Verticalization Therapy for ARDS Patients Receiving VV-ECMO

Verticalization Therapy for ARDS Patients Receiving VV-ECMO

Persistent hypoxemia during veno-venous extracorporeal membrane oxygenation (VV-ECMO) for supporting acute respiratory distress syndrome (ARDS) patients is a clinical challenge for intensive care medical providers. Prone... read more

Fluid Responsiveness Evaluation with Integrated Ultrasonographic Approach

Fluid Responsiveness Evaluation with Integrated Ultrasonographic Approach

In a group of non-ventilated patients, who had already undergone the initial resuscitation, we demonstrated that the evaluation of the fluid responsiveness (FR) based on echocardiography and lung ultrasound increased the... read more

CEUS Value in Diagnosis of AKI in ICU patients

CEUS Value in Diagnosis of AKI in ICU patients

Ultrasound can assess renal perfusion, but its role in the evaluation of acute kidney injury (AKI) is still unclear. This prospective cohort study was to investigate the value of contrast-enhanced ultrasound (CEUS) in the... read more

Rescue TEE Might Diagnose Cardiac Arrest Faster

Rescue TEE Might Diagnose Cardiac Arrest Faster

A Penn Medicine team is testing whether a new technology that gives live ultrasound images from inside a patient during CPR can help doctors get those answers faster. The device, called Rescue TEE, uses a tiny camera at the... read more

Diagnostic Accuracy of Point-of-Care Ultrasound for Shock

Diagnostic Accuracy of Point-of-Care Ultrasound for Shock

In this study, the identification of the etiology of shock by Point-of-Care Ultrasound (POCUS) was characterized by high sensitivity and a positive likelihood ratio, especially for obstructive shock. Hence, these findings... read more

Ultrasound-Guided Infraclavicular Axillary Vein vs. Internal Jugular Vein Cannulation in Critically Ill Mechanically Ventilated Patients

Ultrasound-Guided Infraclavicular Axillary Vein vs. Internal Jugular Vein Cannulation in Critically Ill Mechanically Ventilated Patients

No difference was found between the real-time ultrasound-guided out-of-plane cannulation of the IJV and the infraclavicular real-time ultrasound-guided in-plane cannulation of the AXV. Both techniques are equally efficient... read more

Extracorporeal Life Support: The ELSO Red Book, 6th Edition

Extracorporeal Life Support: The ELSO Red Book, 6th Edition

Written by over two hundred experts from around the world, this new edition is the definitive reference text on Extracorporeal Life Support, providing both the latest evidence and practical advice on how to clinically manage... read more

Pronation Improves Respiratory Outcomes in Neonates with Respiratory Failure

Pronation Improves Respiratory Outcomes in Neonates with Respiratory Failure

This study found that 6-hour periods of pronation (lying on the stomach) can improve gas exchange and lung function in neonates (newborn infants) with three types of respiratory failure, without causing any negative effects... read more

Use of Cardiac POCUS in Diagnosis of HFrEF in a Patient with Ischemic Stroke

Use of Cardiac POCUS in Diagnosis of HFrEF in a Patient with Ischemic Stroke

Ischemic strokes in younger adults, those 18 to 50 years old, account for approximately 10% to 15% of all ischemic strokes. Risk factors for stroke between younger and older patients tend to be similar. Younger patients... read more

Lung Ultrasound in the Critically Ill: The BLUE Protocol

Lung Ultrasound in the Critically Ill: The BLUE Protocol

Written by a pioneer in critical care ultrasound, this book discusses the basic technique and "signatures" of lung ultrasound and explains its main clinical applications. The tools and clinical uses of the BLUE protocol,... read more

Bedside PUG Positively Impact Efficiency and Cost Outcomes in the ICU

Bedside PUG Positively Impact Efficiency and Cost Outcomes in the ICU

This study demonstrates bedside percutaneous ultrasound gastrostomy (PUG) leads to decreased Length of Stay (LOS) and total hospital costs in patients with ventilator-dependent respiratory failure. Hospital costs were significantly... read more

Developing a Decision Instrument to Guide Abdominal-pelvic Imaging of Blunt Trauma Patients

Developing a Decision Instrument to Guide Abdominal-pelvic Imaging of Blunt Trauma Patients

Although computed tomography (CT) of the abdomen and pelvis (A/P) can provide crucial information for managing blunt trauma patients, liberal and indiscriminant imaging is expensive, can delay critical interventions, and... read more