Could Ultrasound-guided Internal Jugular Vein Catheter Insertion Replace the Use of Chest X-ray?

Could Ultrasound-guided Internal Jugular Vein Catheter Insertion Replace the Use of Chest X-ray?

The implementation of ultrasound protocols during catheter placement has demonstrated multiple advantages that increase accuracy and allow medical teams to reduce operative time, potential complications, and procedure costs.... read more

Battle of Portable Ultrasound Devices

Battle of Portable Ultrasound Devices

So here is Part 1 of the as promised portable ultrasound reviews. The aim, to un-muddy the water a bit for you all over choice and functionality. There are so many put there at the moment, we wanted to test them on the shop... read more

Diagnostic Accuracy of Chest Radiograph, and When Concomitantly Studied Lung Ultrasound, in Critically Ill Patients With Respiratory Symptoms

Diagnostic Accuracy of Chest Radiograph, and When Concomitantly Studied Lung Ultrasound, in Critically Ill Patients With Respiratory Symptoms

This meta-analysis demonstrates that chest radiograph has a low sensitivity and reasonable specificity compared with CT for detecting lung pathology in critically ill patients. The studies also investigating lung ultrasound,... read more

Ultrasound Non-invasive Measurement of Intracranial Pressure in Neurointensive Care

Ultrasound Non-invasive Measurement of Intracranial Pressure in Neurointensive Care

Of the studied ultrasound nICP methods, ONSD is the best estimator of Intracranial Pressure (ICP). The novel combination of ONSD ultrasonography and vTCD of the straight sinus is a promising and easily available technique... read more

Common pitfalls in point-of-care ultrasound: a practical guide for emergency and critical care physicians

Common pitfalls in point-of-care ultrasound: a practical guide for emergency and critical care physicians

Point-of-care ultrasonography (POCUS) is a widely used tool in emergency and critical care settings, useful in the decision-making process as well as in interventional guidance. Following some rules in technique and interpretation,... read more

Acute Skeletal Muscle Wasting in Critical Illness

Acute Skeletal Muscle Wasting in Critical Illness

Among these critically ill patients, muscle wasting occurred early and rapidly during the first week of critical illness and was more severe among those with multiorgan failure compared with single organ failure. These findings... read more

Social Media in Critical Care: What’s All the Fuss About?

Social Media in Critical Care: What’s All the Fuss About?

The way we communicate and learn has been revolutionized by technology. Almost all of us carry a smartphone these days, so we are never more than a phone call, message or text away from family, friends and colleagues. This... read more

Measuring and Monitoring Lean Body Mass in Critical Illness

Measuring and Monitoring Lean Body Mass in Critical Illness

Methods to monitor lean body mass in the ICU are under constant development, improving upon bedside usability and offering new modalities to measure. This provides clinicians with valuable markers with which to identify patients... read more

Dr. Ultrasound and Mr. Hyde: my confessions as an educator and ICU geek

Dr. Ultrasound and Mr. Hyde: my confessions as an educator and ICU geek

I think most people in our field have had some or all of these thoughts. I feel guilty thinking them and certainly have a hard time verbalizing to other team members. Point of Care Ultrasound (POCUS) has swept the medical... read more

Human limb skeletal muscle wasting and architectural remodeling during five to ten days intubation and ventilation in critical care

Human limb skeletal muscle wasting and architectural remodeling during five to ten days intubation and ventilation in critical care

Using ultrasound, we have been able to demonstrate that muscle thickness and architecture of vastus lateralis undergo rapid changes during the early phase of admission to a critical care environment. Muscle loss in critically... read more

ECMO – How can I make the best referral?

Extracorporeal membrane oxygenation or ECMO is one of those treatments we sometimes need to think about with our very sick patients. I recently had to make a referral to my local centre and doing so made me wonder what it... read more

Accuracy of Ultrasound Exam Performed by EM vs. Radiology Residents in the Diagnosis of Acute Appendicitis

Accuracy of Ultrasound Exam Performed by EM vs. Radiology Residents in the Diagnosis of Acute Appendicitis

Although the traditional approach to the diagnosis of acute appendicitis (AA) is using clinical methods, experience has shown that strict reliance on clinical data can lead to mismanagement or unnecessary surgery. US has... read more

The Sound of Air: Point-of-Care Lung Ultrasound in Perioperative Medicine

The Sound of Air: Point-of-Care Lung Ultrasound in Perioperative Medicine

Lung ultrasound (LUS) has emerged as an effective and accurate goal-directed diagnostic tool that can be applied in real time for the bedside assessment of patients with respiratory symptoms and signs. Lung ultrasound has... read more

Advanced Hemodynamic and Cardiopulmonary Ultrasound for Critically Ill Patients

Advanced Hemodynamic and Cardiopulmonary Ultrasound for Critically Ill Patients

Focused echocardiography, advanced hemodynamic, and cardiopulmonary point-of-care ultrasound studies provide time-sensitive evaluation of critically ill patients, guiding and facilitating earlier implementation of life-preserving... read more

Ultrasonography in Trauma: a Nation-wide Cross-Sectional Investigation

Ultrasonography in Trauma: a Nation-wide Cross-Sectional Investigation

The Focused Assessment with Sonography in Trauma (FAST) protocol is considered beneficial in emergent evaluation of trauma patients with blunt or penetrating injury and has become integrated into the Advanced Trauma Life... read more

What Could be More Exciting than Combining Ultrasound and Airway?!

Recently you may have heard The Master of the Critical Care Universe, Scott Weingart put out an episode on The Post Intubation Package. In this episode he briefly mentions using ultrasound during your intubation and commented... read more

Central Venous Catheter – Which Needle?

Central Venous Catheter – Which Needle?

A prospective randomised trial comparing insertion success rate and incidence of catheterisation-related complications for subclavian venous catheterisation using a thin-walled introducer needle or a catheter-over-needle... read more