Tag: ultrasound
Bleeding During Percutaneous Dilatational Tracheostomy – What to do while waiting for the surgeon?
A patient suffered significant bleeding during an attempt at percutaneous dilatational tracheostomy due to an aberrant anterior jugular vein. Bleeding was controlled with pressure temporarily, but quickly returned necessitating... read more
Tree-like Color Doppler in Diagnosing Pneumonia in Critically Ill
Pneumonia remains a difficult sonographic diagnosis in the critically ill. It is characterized by hypoechoic areas, irregular margins, heterogeneous echo texture, dynamic air bronchogram, pleural effusion and vascular flow... read more
Clinical Examination, Critical Care Ultrasonography and Outcomes in the Critically Ill
In the Simple Intensive Care Studies-I (SICS-I), we aim to unravel the value of clinical and haemodynamic variables obtained by physical examination and critical care ultrasound (CCUS) that currently guide daily practice... read more
Endobronchial Ultrasound Can ID Pulmonary Thromboembolism
The researchers found that in four cases (0.7 percent), filling defects were demonstrated in central pulmonary arteries while sampling mediastinal lymph nodes.... read more
Diagnostic Imaging on iPhone
FDA just cleared Butterfly Network's iQ an iPhone-connected Ultrasound system, which claims it is the world's first "ultrasound-on-a-chip" system. Butterfly iQ is FDA 510(k) cleared for diagnostic imaging across 13 clinical... read more
The Practice and Implications of Finding Fluid During Point-of-Care Ultrasonography
Point-of-care ultrasonography (POCUS) can augment physical examination and procedural efficacy but requires appropriate education and program setup. As POCUS continues to spread, internal medicine physicians need to clarify... read more
Ultrasound-guided Mechanical Ventilation
Point-of-care ultrasound (POCUS) is now a tool used worldwide, integrating clinical assessment of the critically ill. In this review, we focus on lung, diaphragm and cardiac ultrasound in the management of the mechanically... read more
Ultrasound-guided Central Venous Catheter Placement
Ultrasound-guided central venous catheter placement: a structured review and recommendations for clinical practice. Although placement of a central venous catheter (CVC) is a routine procedure in intensive care medicine and... read more
Utility and Diagnostic Accuracy of Bedside Lung Ultrasonography During MET
Lung ultrasonography can be rapidly performed in the majority of patients with MET activation for respiratory deterioration. As an independent diagnostic test, lung ultrasonography is non-inferior to the medical emergency... read more
Endobronchial Ultrasound-guided Transbronchial Needle Aspiration
EBUS-TBNA is a safe procedure. The highest complication rate reported is 1.44%. Additionally, the scope damage could be encountered in 1.33% of cases and occasionally the TBNA needle could malfunction. The complications are... read more
Why Point-of-Care Ultrasound Should be a Mainstay in EMS
A former firefighter/EMT turned medical student describes the functional components, diagnostic uses and roadblocks of using this imaging technology. From the first enormous and hefty ultrasound scanners, circa 1965, to today's... read more
Detection of Pulmonary Embolism During Cardiac Arrest
The aim of this study was to test the hypothesis that the right ventricle is more dilated during resuscitation from cardiac arrest caused by pulmonary embolism, compared with hypoxia and primary arrhythmia. The right ventricle... read more
Utility and diagnostic accuracy of bedside lung ultrasonography during MET activations for respiratory deterioration
We investigated the feasibility and diagnostic accuracy of lung ultrasonography during medical emergency team (MET) activations for respiratory deterioration. The ultrasound exam was completed in 49/50 (98%) patients enrolled... read more
Ultrasound Guidance and Other Determinants of Successful Peripheral Artery Catheterization
Margaret Parker, MD, MCCM, speaks with David B. Kantor, MD, PhD, about the article, "Ultrasound Guidance and Other Determinants of Successful Peripheral Artery Catheterization in Critically Ill Children," published in the... read more
This Handheld Ultrasound Scanner Could Be the Next Stethoscope
Clarius co-founder and CEO Laurent Pelissier believes the affordable, wireless device could revolutionize health care. The U.S. Food and Drug Administration approved the Clarius ultrasound scanner for use in December 2016,... read more
Critical care ultrasonography in acute respiratory failure
CCUS combining CCE and chest ultrasonography rapidly provides valuable information in patients presenting with ARF. A pragmatic and systematic applied protocol may first evaluate how aerated is the lung and whether there... read more
Physicians at RSNA make case for contrast enhanced ultrasound
The procedure, which was OK'd by the FDA this year for liver screening, but is currently not approved in the U.S. for cardiac disease shows particular value in imaging children who may otherwise have to undergo a CT... read more
Abdominal Aortic Aneurysm Screening
The long-term follow-up of the Western Australian trial of screening for abdominal aortic aneurysms (AAAs) reported in this issue of JAMA Internal Medicine1 is likely the last report from the 4 randomized clinical trials1- 4... read more
FDA to radiologists: stop using any Multidata Systems devices
At least two devices distributed in U.S. without FDA approval. There have been at least two Multidata medical devices that the company manufactured and distributed in the United States for which FDA never received nor reviewed... read more
Frontline PARP inhibitor shrinks tumors in BRCA-positive breast patients
All 13 newly diagnosed breast cancer patients with BRCA mutations had their tumors shrink significantly when treated with a PARP inhibitor ahead of frontline presurgical chemotherapy in a pilot study at The University of... read more
Tech Doc: Ultrasound changing how physicians diagnose at your bedside
Ultrasound is a high frequency sound, too high for humans to hear. Medical ultrasound or ultrasonography uses these high frequency sound waves to create images of organs and structures inside the body.... read more
