341 results match your criteria Bedside Ultrasonography Cardiac Evaluation


Cardiac MRI in Pulmonary Hypertension: From Magnet to Bedside.

Radiographics 2020 Jul-Aug;40(4):982-1002

From the Department of Radiology, Hospital San Juan de Dios, Hospital de la Cruz Roja, RESSALTA HT Médica, Avenida el Brillante 36, 14012 Córdoba, Spain (J.B.); Cardiothoracic Imaging Section, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Mo (S.B., F.R.G.); Department of Radiology, University of Colorado-Anschutz Medical Campus, Aurora, Colo (D.V.); Department of Radiology, Mayo Clinic, Rochester, Minn (E.E.W.); Cardiovascular Division, Barnes Jewish Heart and Vascular Center, St Louis, Mo (M.M.); and MRI Section, Department of Radiology, Clínica Las Nieves, SERCOSA HT Médica, Jaén, Spain (A.L.).

Pulmonary hypertension (PH) is a disease characterized by progressive rise of pulmonary artery (PA) pressure, which can lead to right ventricular (RV) failure. It is usually diagnosed late because of the nonspecificity of its symptoms. RV performance and adaptation to an increased afterload, reflecting the interaction of the PA and RV as a morphofunctional unit, constitute a critical determinant of morbidity and mortality in these patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1148/rg.2020190179DOI Listing

Need for Objective Assessment of Volume Status in Critically Ill Patients with COVID-19: The Tri-POCUS Approach.

Cardiorenal Med 2020 May 27:1-8. Epub 2020 May 27.

Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, Florida, USA.

As the coronavirus disease 2019 (COVID-19) continues to spread across the globe, the knowledge of its epidemiology, clinical features, and management is rapidly evolving. Nevertheless, the data on optimal fluid management strategies for those who develop critical illness remain sparse. Adding to the challenge, the fluid volume status of these patients has been found to be dynamic. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1159/000508544DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316643PMC

Focused ultrasonography for septic shock resuscitation.

Curr Opin Crit Care 2020 Jun;26(3):296-302

Division of Cardiovascular Anesthesia and Critical Care Medicine/Critical Medicine Services, Texas Heart Institute, Baylor St Luke's Medical Center, Baylor College of Medicine, Houston, Texas, USA.

Purpose Of Review: Severe sepsis with septic shock is the most common cause of death among critically ill patients. Mortality has decreased substantially over the last decade but recent data has shown that opportunities remain for the improvement of early and targeted therapy. This review discusses published data regarding the role of focused ultrasonography in septic shock resuscitation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MCC.0000000000000730DOI Listing

PET and SPECT Tracers for Myocardial Perfusion Imaging.

Semin Nucl Med 2020 May 13;50(3):208-218. Epub 2020 Mar 13.

University of Ottawa Heart Institute, Division of Cardiology, Ottawa, ON, Canada. Electronic address:

Coronary artery disease has been the leading cause of death since the 1960s, which has motivated the research and development of myocardial perfusion imaging (MPI) agents for early diagnosis and to guide treatment. MPI with SPECT has been the clinical workhorse for MPI, but over the past two decades PET MPI is experiencing growth due to enhanced image quality that results in superior diagnostic accuracy over SPECT. Furthermore, dynamic PET imaging of the tracer distribution process from time of tracer administration to tracer accumulation in the myocardium has enabled routine quantification of myocardial blood flow (MBF) and myocardial flow reserve (MFR) in absolute units. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.semnuclmed.2020.02.016DOI Listing

Clinical quantitative cardiac imaging for the assessment of myocardial ischaemia.

Nat Rev Cardiol 2020 Jul 24;17(7):427-450. Epub 2020 Feb 24.

Department of Cellular and Molecular Imaging, Comprehensive Heart Failure Center, Würzburg University Clinics, Würzburg, Germany.

Cardiac imaging has a pivotal role in the prevention, diagnosis and treatment of ischaemic heart disease. SPECT is most commonly used for clinical myocardial perfusion imaging, whereas PET is the clinical reference standard for the quantification of myocardial perfusion. MRI does not involve exposure to ionizing radiation, similar to echocardiography, which can be performed at the bedside. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41569-020-0341-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297668PMC

[Diagnosis and treatment value of bedside pulmonary ultrasound for atelectasis in patients after cardiac surgery].

Zhonghua Yi Xue Za Zhi 2020 Jan;100(3):220-224

Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing 100035, China.

To investigate the value of bedside pulmonary ultrasound in the diagnosis and treatment of atelectasis in patients after cardiac surgery. A total of 45 patients developed respiratory failure within 1 week after cardiovascular surgery from April 2017 to April 2018 were enrolled in this study. Among them, 27 were male and 18 were female, mean age was (47±5) years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2020.03.012DOI Listing
January 2020

Respiratory muscle ultrasonography: methodology, basic and advanced principles and clinical applications in ICU and ED patients-a narrative review.

Intensive Care Med 2020 Apr 14;46(4):594-605. Epub 2020 Jan 14.

Department of Intensive Care Medicine, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.

Respiratory muscle ultrasound is used to evaluate the anatomy and function of the respiratory muscle pump. It is a safe, repeatable, accurate, and non-invasive bedside technique that can be successfully applied in different settings, including general intensive care and the emergency department. Mastery of this technique allows the intensivist to rapidly diagnose and assess respiratory muscle dysfunction in critically ill patients and in patients with unexplained dyspnea. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00134-019-05892-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7103016PMC

Bedside ultrasound in cardiac standstill: a clinical review.

Ultrasound J 2019 Dec 30;11(1):35. Epub 2019 Dec 30.

Rashid Hospital, Dubai, United Arab Emirates.

Patients with cardiac arrest present as a relatively frequent occurrence in the Emergency Department. Despite the advances in our understanding of the pathophysiology of cardiac arrest, managing the condition remains a stressful endeavor and currently implemented interventions, while beneficial, are still associated with a disappointingly low survivability. The majority of modern Advanced Life Support algorithms employ a standardized approach to best resuscitate the 'crashed' patient. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13089-019-0150-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6937355PMC
December 2019

From the simulation center to the bedside: Validating the efficacy of a dynamic haptic robotic trainer in internal jugular central venous catheter placement.

Am J Surg 2020 02 21;219(2):379-384. Epub 2019 Oct 21.

Department of Industrial and Manufacturing Engineering, Pennsylvania State University, University Park, PA, 16802, USA; Department of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, 17033, USA; School of Engineering Design, Technology, and Professional Programs, Pennsylvania State University, University Park, PA, 16802, USA. Electronic address:

Background: The objective of this study was to validate the transfer of ultrasound-guided Internal Jugular Central Venous Catheterization (US-IJCVC) placement skills from training on a Dynamic Haptic Robotic Trainer (DHRT), to placing US-IJCVCs in clinical environments. DHRT training greatly reduces preceptor time by providing automated feedback, standardizes learning experiences, and quantifies skill improvements.

Methods: Expert observers evaluated DHRT-trained (N = 21) and manikin-trained (N = 36) surgical residents on US-IJCVC placement in the operating suite using a US-IJCVC evaluation form. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.amjsurg.2019.10.026DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222103PMC
February 2020

Use of ultrasound-measured internal jugular vein collapsibility index to determine static intracardiac pressures in patients with presumed pulmonary hypertension.

Ann Intensive Care 2019 Oct 28;9(1):124. Epub 2019 Oct 28.

Division of Pulmonary, Critical Care and Sleep Medicine, Tufts Medical Center, Boston, MA, USA.

Background: Bedside ultrasound helps to estimate volume status in critically ill patients and has traditionally relied on diameter, respiratory variation, and collapsibility of the inferior vena cava (IVC) to reflect fluid status. We evaluated collapsibility of the internal jugular vein (IJ) with ultrasound and correlated it with concomitant right heart catheterization (RHC) measurements in patients with presumed pulmonary hypertension.

Methods And Results: We studied 71 patients undergoing RHC for evaluation of pulmonary hypertension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13613-019-0595-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6816682PMC
October 2019
1 Read

Impact of an ultrasound-driven diagnostic protocol at early intensive-care stay: a randomized-controlled trial.

Ultrasound J 2019 Sep 30;11(1):24. Epub 2019 Sep 30.

Intensive Care Unit, Asociación Española Primera de Socorros Mutuos, Montevideo, Uruguay.

Background: Point-of-care ultrasound (POCUS) is a tool in increasing use, but there is still a lack of basics for its routine use and evidence of its impact in intensive care.

Objective: To measure the impact of POCUS on resource utilization, diagnostic accuracy, and clinical management in medical-surgical intensive care units (ICUs).

Methods: Prospective, controlled study, in two polyvalent ICUs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13089-019-0139-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6783485PMC
September 2019
1 Read

Increased Sensitivity of Focused Cardiac Ultrasound for Pulmonary Embolism in Emergency Department Patients With Abnormal Vital Signs.

Acad Emerg Med 2019 11 27;26(11):1211-1220. Epub 2019 Sep 27.

Department of Emergency Medicine, Yale School of Medicine, New Haven, CT.

Background: Focused cardiac ultrasound (FOCUS) is insensitive for pulmonary embolism (PE). Theoretically, when a clot is large enough to cause vital sign abnormalities, it is more likely to show signs of right ventricular dysfunction on FOCUS, although this has not been well quantified. A rapid bedside test that could quickly and reliably exclude PE in patients with abnormal vital signs could be of high utility in emergency department (ED) patients. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/acem.13774DOI Listing
November 2019
2 Reads

Comparative Accuracy of Focused Cardiac Ultrasonography and Clinical Examination for Left Ventricular Dysfunction and Valvular Heart Disease: A Systematic Review and Meta-analysis.

Ann Intern Med 2019 08 6;171(4):264-272. Epub 2019 Aug 6.

University of Ottawa Heart Institute and University of Ottawa, Ottawa, Ontario, Canada (B.H.).

Background: Incorporating focused cardiac ultrasonography (FoCUS) into clinical examination could improve the diagnostic yield of bedside patient evaluation.

Purpose: To compare the accuracy of FoCUS-assisted clinical assessment versus clinical assessment alone for diagnosing left ventricular dysfunction or valvular disease in adults having cardiovascular evaluation.

Data Sources: English-language searches of MEDLINE, Embase, and Web of Science from 1 January 1990 to 23 May 2019 and review of reference citations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7326/M19-1337DOI Listing
August 2019
5 Reads

Role of Ultrasound in Evaluation of Undifferentiated Shock in ICU Settings.

J Assoc Physicians India 2018 Aug;66(8):17-13

consultant Radiologist, Department Of Radio Diagnosis,K.E.M Hospital, Pune, Maharashtra.

Objective: To classify shock, using ultrasonography as the modality of choice for imaging and to assess the diagnostic accuracy of ultrasound as a tool to classify shock.

Design: Prospective study.

Setting: KEM Hospital, Pune in the ICU (Intensive care unit). Read More

View Article

Download full-text PDF

Source
August 2018
4 Reads

Insonation versus Auscultation in Valvular Disorders: Is Aortic Stenosis the Exception? A Systematic Review.

Ann Glob Health 2019 07 11;85(1). Epub 2019 Jul 11.

Icahn School of Medicine at Mount Sinai Hospital, Mount Sinai Heart, New York, US.

Background: Handheld echocardiography is being proposed as the fifth pillar of bedside physical cardiovascular examination (PE) and is referred to as insonation. Although there is emerging consensus that insonation is superior to PE for diagnosis of various cardiac conditions, superiority has not been consistently demonstrated for various valvular heart disease (VHD) lesions. The objective of this review is to systematically review the accuracy of insonation and auscultation in published literature for detection of common VHD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5334/aogh.2489DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6634326PMC
July 2019
4 Reads

[Speckle Tracking Echocardiography - a New Tool for the Intensive Care Unit?]

Anasthesiol Intensivmed Notfallmed Schmerzther 2019 May 13;54(5):356-363. Epub 2019 May 13.

The noninvasive evaluation of cardiac morphology and function by echocardiography is an essential part of modern intensive care therapy. However, this procedure can be challenging and beginners often lack the ability to objectively state the correct global and regional myocardial function. Recent developments allow a semi-automatic deformation (strain) analysis by a couple of more objective respective parametric techniques. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0043-120553DOI Listing
May 2019
3 Reads

Mechanical, inflammatory, and embolic complications of myocardial infarction: An emergency medicine review.

Am J Emerg Med 2019 Jun 8;37(6):1175-1183. Epub 2019 Apr 8.

Brooke Army Medical Center, Department of Emergency Medicine, 3841 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States. Electronic address:

Introduction: Despite the declining incidence of coronary heart disease (CHD) in the United States, acute myocardial infarction (AMI) remains an important clinical entity, with many patients requiring emergency department (ED) management for mechanical, inflammatory, and embolic complications.

Objective: This narrative review provides an evidence-based summary of the current data for the emergency medicine evaluation and management of post myocardial infarction mechanical, inflammatory, and embolic complications.

Discussion: While 30-day mortality rate after AMI has decreased in the past two decades, it remains significantly elevated at 7. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2019.04.003DOI Listing
June 2019
1 Read

What should I use next if clinical evaluation and echocardiographic haemodynamic assessment is not enough?

Curr Opin Crit Care 2019 06;25(3):259-265

Department of Anaesthesia and Intensive Care Medicine, Humanitas Clinical and Research Center - IRCCS, Rozzano, Milan, Italy.

Purpose Of Review: To provide an integrated clinical approach to the critically ill patients in shock.

Recent Findings: The complexity behind shock mechanism has improved in the last decades; as consequence, conventional generalized practices have been questioned, in favour of different approaches, titrated to patient's individual response. Bedside clinical examination has been demonstrated to be a reliable instrument to recognize the mismatch between cardiac function and peripheral oxygen demand. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MCC.0000000000000603DOI Listing
June 2019
7 Reads

Evaluation of Gastric Emptying in Cystic Fibrosis Using Bedside Ultrasonography.

J Ultrasound Med 2019 Nov 28;38(11):2955-2962. Epub 2019 Mar 28.

Adult CF Unit, Liverpool Heart and Chest Hospital NHS Trust, Liverpool, United Kingdom.

Objectives: Although gastric emptying rate (GER) influences incretin response and nutrient absorption, both defective in people with cystic fibrosis (CF), there are few studies in this group, and the circadian rhythm is unknown. We employed an ultrasonographic technique to assess GER in people with CF following liquid and mixed meals and also evaluated the circadian rhythm, compared to normal controls.

Methods: Thirteen pancreatic-insufficient adults with CF and 10 healthy controls underwent a fasting oral glucose tolerance test (OGTT; liquid meal) and on a second visit underwent a fasting mixed meal test (MMT) thrice on the same day. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/jum.15001DOI Listing
November 2019
6 Reads

Is there a role for bedside ultrasound in malaria? A survey of the literature.

J Ultrasound 2020 Mar 9;23(1):13-21. Epub 2019 Mar 9.

Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Viale Brambilla 74, 27100, Pavia, PV, Italy.

Purpose: Point-of-care ultrasound (POCUS) has proven utility in the evaluation and treatment of many tropical diseases. Its role in malaria has been studied, but its value for the clinician at the bedside is unclear. Our review aimed at summarizing the existing studies to assess the usefulness, if any, of POCUS in treating malaria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s40477-019-00371-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7010899PMC
March 2020
7 Reads

[Bedside echocardiographic evaluation of diastolic function : Step by step].

Authors:
H Ten Freyhaus

Med Klin Intensivmed Notfmed 2019 Sep 28;114(6):499-503. Epub 2019 Feb 28.

Klinik III für Innere Medizin, Herzzentrum, Universität zu Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

Heart failure with preserved ejection fraction (HFpEF) is a common condition, especially in the elderly. The principal symptom is dyspnea on exertion, which is often the reason for emergency medical consultation. As HFpEF is associated with a significant mortality, early diagnosis is warranted. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00063-019-0556-9DOI Listing
September 2019
8 Reads

Pediatric Emergency Medicine Simulation Curriculum: Cardiac Tamponade.

MedEdPORTAL 2018 09 28;14:10758. Epub 2018 Sep 28.

Assistant Professor, Department of Pediatrics, University of Washington School of Medicine.

Introduction: Cardiac tamponade is an uncommon presentation to the pediatric emergency department and requires early recognition and emergent intervention.

Methods: We developed this patient simulation case to simulate a low-frequency, high-acuity scenario for pediatric emergency medicine fellows and resident physicians in emergency medicine, pediatrics, and family medicine. We ran the case in a pediatric emergency department using a high-fidelity pediatric mannequin and equipment found in the clinical environment, including a bedside ultrasound machine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.15766/mep_2374-8265.10758DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342367PMC
September 2018
13 Reads

Update on Cardiovascular Echo in Aortic Aneurysm and Dissection.

Ann Vasc Dis 2018 Dec;11(4):437-442

Miyuki Hospital LTAC Heart Failure Center, Kumamoto, Japan.

The majority of aortic aneurysms comorbid with atherosclerosis can be asymptomatic and are discovered incidentally on routine physical examination or on imaging studies for other indications. Transthoracic echocardiography is a basic modality to assess patients with coronary artery disease and can be used for the screening of aortic aneurysm. Acute aortic dissection is a highly lethal cardiovascular emergency and requires prompt recognition. Read More

View Article

Download full-text PDF

Source
https://www.jstage.jst.go.jp/article/avd/11/4/11_ra.18-00112
Publisher Site
http://dx.doi.org/10.3400/avd.ra.18-00112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326059PMC
December 2018
45 Reads

Assessment of dyspneic patients in the emergency department using point-of-care lung and cardiac ultrasonography-a prospective observational study.

J Thorac Dis 2018 Nov;10(11):6221-6229

Emergency Medicine Department, National University Hospital, National University Health System, Singapore.

Background: Lung ultrasonography is increasingly used in the emergency department (ED) as a standard adjunct in the evaluation of the breathless patient. The study objective was to ascertain the diagnostic accuracy of lung and cardiac ultrasound in undifferentiated dyspneic ED patients.

Methods: We conducted this prospective observational study on patients presenting with dyspnea in the ED of a tertiary hospital. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.21037/jtd.2018.10.30DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297429PMC
November 2018
10 Reads

Amyloid Cardiomyopathy in the Emergency Department.

J Emerg Med 2019 Feb 13;56(2):205-209. Epub 2018 Dec 13.

Department of Emergency Medicine, Mount Sinai Medical Center, Miami Beach, Florida; Emergency Department Ultrasonography, Mount Sinai Medical Center, Miami Beach, Florida.

Background: Cardiac amyloidosis is an underdiagnosed cause of restrictive cardiomyopathy resulting from the infiltration of the myocardium by amyloid proteins.

Case Report: We report the case of an 83-year-old woman who presented with increasing dyspnea and lower-extremity swelling. She reported a medical history of unspecified heart failure. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S07364679183104
Publisher Site
http://dx.doi.org/10.1016/j.jemermed.2018.10.023DOI Listing
February 2019
63 Reads

Cardiac Involvement by Yellow Fever(from the PROVAR+ Study).

Am J Cardiol 2019 03 4;123(5):833-838. Epub 2018 Dec 4.

Serviço de Cardiologia e Cirurgia Cardiovascular e Centro de Telessaúde do Hospital das Clínicas da UFMG, Belo Horizonte, Minas Gerais, Brazil; Departamento de Clínica Médica, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil. Electronic address:

Incidence of Yellow Fever (YF) has increased in Brazil, and cardiac findings such as bradyarrhythmias and conduction abnormalities have been described. We aimed to perform a comprehensive cardiac evaluation of patients with YF, and to assess the association between cardiac involvement and disease severity. Patients hospitalized with YF from February to March 2018 underwent clinical and laboratory evaluation, focused bedside echocardiography (GE Vivid IQ), electrocardiogram and, in case of alterations, 24-hours Holter. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00029149183213
Publisher Site
http://dx.doi.org/10.1016/j.amjcard.2018.11.032DOI Listing
March 2019
47 Reads

Can You Teach Yourself Point-of-care Ultrasound to a Level of Clinical Competency? Evaluation of a Self-directed Simulation-based Training Program.

Cureus 2018 Sep 17;10(9):e3320. Epub 2018 Sep 17.

Emergency Medicine, Saint John Regional Hospital, Saint John, CAN.

Introduction Self-directed learning in medical professions is established as an effective method of training in certain modalities. Furthermore, simulation technology is becoming widely used and accepted as a valid method of training for various medical skills, with ultrasound being one of the best studied. The use of point-of-care ultrasound (PoCUS) in the practice of emergency medicine is well established, and PoCUS is a core competency of the Royal College of Physicians and Surgeons of Canada emergency medicine standards. Read More

View Article

Download full-text PDF

Source
https://www.cureus.com/articles/14836-can-you-teach-yourself
Publisher Site
http://dx.doi.org/10.7759/cureus.3320DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6248742PMC
September 2018
15 Reads

What echocardiographic findings suggest a pericardial effusion is causing tamponade?

Am J Emerg Med 2019 02 17;37(2):321-326. Epub 2018 Nov 17.

Department of Emergency Medicine, Rutgers New Jersey Medical School, 150 Bergen Street, Newark, NJ 07103, USA.

Background: Pericardial tamponade is neither a clinical nor an echocardiographic diagnosis alone. The echocardiogram carries diagnostic value and should be performed when there is suspicion for tamponade based on the history and physical exam. A pericardial effusion uncovered on point-of-care ultrasound (POCUS) may be mistaken for tamponade and thereby lead to inappropriate and invasive management with pericardiocentesis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ajem.2018.11.004DOI Listing
February 2019
26 Reads

Non-invasive hemodynamic evaluation by Doppler echocardiography.

Rev Bras Ter Intensiva 2018 Jul-Sept;30(3):385-393

Serviço de Medicina Intensiva, Centro Hospitalar São João, EPE - Porto, Portugal.

The approach for treating a hemodynamically unstable patient remains a diagnostic and therapeutic challenge. Stabilization of the patient should be rapid and effective, but there is not much room for error. This narrow window of intervention makes it necessary to use rapid and accurate hemodynamic evaluation methods. Read More

View Article

Download full-text PDF

Source
http://www.gnresearch.org/doi/10.5935/0103-507X.20180055
Publisher Site
http://dx.doi.org/10.5935/0103-507X.20180055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180473PMC
December 2018
25 Reads

Merits and perils of targeted neonatal echocardiography-based hemodynamic research: a position statement .

Can J Physiol Pharmacol 2019 Mar 16;97(3):183-186. Epub 2018 Oct 16.

a Department of Paediatrics, University of Toronto, Toronto, ON M5G 1X8, Canada.

In the neonatal setting, point-of-care ultrasound is increasingly being used to help clinicians with the evaluation of heart function. Practices in neonatology, particularly with regard to acute and chronic hemodynamic managements, were traditionally more driven on dogma and predefined thresholds and not always supported by demonstrable physiology. For the first time, targeted neonatal echocardiography (TNE) provided neonatal intensivists with a bedside tool that made real-time assessment of neonatal hemodynamics status feasible in even the tiniest of babies. Read More

View Article

Download full-text PDF

Source
http://www.nrcresearchpress.com/doi/10.1139/cjpp-2018-0458
Publisher Site
http://dx.doi.org/10.1139/cjpp-2018-0458DOI Listing
March 2019
9 Reads

Contrast Echocardiogram for the Evaluation of Streaming in a Single-Ventricle Patient.

Pediatr Cardiol 2019 Jan 10;40(1):216-218. Epub 2018 Oct 10.

Department of Pediatric Intensive Care, Saitama Children's Medical Center, 1-2, Shintoshin, Chuou-ku, Saitama, 330-8777, Japan.

In cases involving single ventricles, predicting streaming characteristics is difficult. Unfavorable streaming can cause decreased oxygen saturation. Judging whether desaturation results from decreased pulmonary flow or unfavorable streaming is critical. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00246-018-1997-2DOI Listing
January 2019
8 Reads

Bedside Ultrasound Versus Chest Radiography for Detection of Pulmonary Edema: A Prospective Cohort Study.

J Ultrasound Med 2019 Apr 2;38(4):967-973. Epub 2018 Oct 2.

Department of Graduate Medical Education, Mount Carmel Health System, Columbus, Ohio, USA.

Objectives: Chest radiography has been the preferred imaging study to assess pulmonary congestion. However, chest radiography interpretation is influenced by the level of expertise and high interobserver variability. Lung ultrasound (US) may produce more objective findings through evaluation of vertical comet tail artifacts known as B-lines, which are created by a decrease in the ratio of alveolar air to fluid pulmonary content. Read More

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1002/jum.14781
Publisher Site
http://dx.doi.org/10.1002/jum.14781DOI Listing
April 2019
6 Reads

No difference found in safety or efficacy of balloon atrial septostomy performed at the bedside versus the catheterisation laboratory.

Cardiol Young 2018 Dec 28;28(12):1421-1425. Epub 2018 Aug 28.

4Department of Pediatrics,University of Texas Health Science Center at Houston,Houston,TX,USA.

Background: Balloon atrial septostomy is performed in infants with dextro-transposition of the great arteries to improve oxygenation before surgery. It is performed in the catheterisation laboratory with fluoroscopy or at the bedside using echocardiography. It is unclear whether procedural safety and efficacy is superior in one location versus the other, although the bedside procedure may improve resource utilisation and present an opportunity for reducing cost. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1017/S1047951118001439DOI Listing
December 2018
11 Reads

Ultrasound Assessment of the Change in Carotid Corrected Flow Time in Fluid Responsiveness in Undifferentiated Shock.

Crit Care Med 2018 11;46(11):e1040-e1046

Department of Anesthesiology, David Geffen School of Medicine at UCLA, Los Angeles, CA.

Objectives: Adequate assessment of fluid responsiveness in shock necessitates correct interpretation of hemodynamic changes induced by preload challenge. This study evaluates the accuracy of point-of-care Doppler ultrasound assessment of the change in carotid corrected flow time induced by a passive leg raise maneuver as a predictor of fluid responsiveness. Noninvasive cardiac output monitoring (NICOM, Cheetah Medical, Newton Center, MA) system based on a bioreactance method was used. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/CCM.0000000000003356DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6774608PMC
November 2018
55 Reads

Use of Bedside Ultrasonography and Saline Flush Technique for Evaluation of Central Venous Catheter Placement in Children.

Artif Organs 2018 Dec 22;42(12):1157-1163. Epub 2018 Aug 22.

Department of Pediatric Radiology, University of Health Sciences, Bakirkoy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey.

Our study investigated the reliability of appearance of rapid atrial swirl flow (RASF) by ultrasonography (US) in the right atrium (RA), which occurred as a result of rapid isotonic saline infusion (RISI) into the central venous catheter (CVC), in predicting catheter tip position. This prospective observational study included 95 CVC procedures performed on 77 pediatric patients (41 boys and 36 girls) with a median age of 0.6 (0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/aor.13281DOI Listing
December 2018
15 Reads

The Value of Bedside Echocardiogram in the Setting of Acute and Chronic Pulmonary Embolism.

Clin Chest Med 2018 09;39(3):549-560

Division of Cardiology, University of North Carolina, 160 Dental Circle, CB #7075, Chapel Hill, NC 27599, USA. Electronic address:

Echocardiography is valuable in the evaluation and risk stratification of patients with acute and chronic pulmonary embolism (PE). Patients with acute PE who have echocardiographic evidence of right ventricular dilatation and/or right ventricular dysfunction have a worse prognosis. A minority of patients with acute PE can develop chronic thromboembolic pulmonary hypertension. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ccm.2018.04.008DOI Listing
September 2018
18 Reads

Mitral Annular Plane Systolic Excursion as a Predictor of Mortality in Children With Septic Shock.

Pediatr Crit Care Med 2018 09;19(9):e486-e494

Department of Cardiology, Faculty of Medicine, Menoufia University, Menoufia Governorate, Egypt.

Objectives: Myocardial dysfunction is well recognized in severe sepsis and septic shock. Echocardiography provides rapid, noninvasive, and bedside evaluation of cardiac function in patients with hemodynamic instability. Mitral annular plane systolic excursion is an M-mode-derived echocardiographic variable used to assess longitudinal left ventricular systolic function. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/PCC.0000000000001661DOI Listing
September 2018
3 Reads

Cardiac Involvement in Systemic Sclerosis: Diagnostic Tools and Evaluation Methods.

Cardiol Rev 2019 Mar/Apr;27(2):73-79

From the Department of Internal Medicine, Connective Tissue Diseases and Geriatrics.

The heart is one of the major organs commonly involved in systemic sclerosis (SSc). Myocardial fibrosis has been identified in a high percentage of these patients. Most SSc patients with cardiac involvement (CI) are subclinical, especially early on in the course of their disease. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/CRD.0000000000000221DOI Listing
May 2019
36 Reads

4-D Intracardiac Ultrasound Vector Flow Imaging-Feasibility and Comparison to Phase-Contrast MRI.

IEEE Trans Med Imaging 2018 12 6;37(12):2619-2629. Epub 2018 Jun 6.

In vivo characterization of intracardiac blood velocity vector fields may provide new clinical information but is currently not available for bedside evaluation. In this paper, 4-D vector flow imaging for intracardiac flow assessment is demonstrated using a clinical ultrasound (US) system and a matrix array transducer, without the use of contrast agent. Two acquisition schemes were developed, one for full volumetric coverage of the left ventricle (LA) at 50 vps and a 3-D thick-slice setup with continuous frame acquisition (4000 vps), both utilizing ECG-gating. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1109/TMI.2018.2844552DOI Listing
December 2018
10 Reads

Functional Echocardiography in the Neonatal Intensive Care Unit.

Indian Pediatr 2018 May;55(5):417-424

Pediatric Cardiologist, Centre de Pediatrie, Clinique des Grangettes, 7 ch des Grangettes, 1224 Chêne-Bougeries, Geneva, Switzerland.

The role of functional echocardiography in neonatal intensive care unit is rapidly evolving, and increasingly neonatologists are using it in making clinical decisions in sick infants. Functional echocardiography can provide a direct assessment of hemodynamics on bedside, and may be considered as an extension of the clinical examination to evaluate cardiovascular wellbeing in the critically-ill infant. The physiological information may be used in targeting specific intervention based upon the underlying pathophysiology. Read More

View Article

Download full-text PDF

Source
May 2018
19 Reads

Ultrasound of Jugular Veins for Assessment of Acute Dyspnea in Emergency Departments and for the Assessment of Acute Heart Failure.

Isr Med Assoc J 2018 05;20(5):308-310

Department of Emergency Medicine, Padeh Medical Center,Poriya, Israel.

Background: When a patient arrives at the emergency department (ED) presenting with symptoms of acute decompensated heart failure (ADHF), it is possible to reach a definitive diagnosis through many different venues, including medical history, physical examination, echocardiography, chest X-ray, and B-type natriuretic peptide (BNP) levels. Point-of-care ultrasound (POCUS) has become a mainstream tool for diagnosis and treatment in the field of emergency medicine, as well as in various other departments in the hospital setting. Currently, the main methods of diagnosis of ADHF using POCUS are pleural B-lines and inferior vena cava (IVC) width and respiratory variation. Read More

View Article

Download full-text PDF

Source
May 2018
9 Reads

[Predictive value of early phrase echocardiography and cardiac biological markers in patients with severe sepsis: a five-year single-center retrospective study].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2018 Apr;30(4):332-336

Department of Intensive Care Unit, Capital Medical University Affiliated Beijing Shijitan Hospital, Beijing 100038, China. Corresponding author: Chen Wei, Email:

Objective: To assess the predictive value of early phrase echocardiography and cardiac biomarkers in patients with severe sepsis.

Methods: A retrospective analysis of severe septic patients (patients with acute coronary syndrome and end stage renal disease were excluded) in department of intensive care unit of Capital Medical University Affiliated Beijing Shijitan Hospital from January 2013 to December 2017 was conducted. The acute physiology and chronic health evaluation II (APACHE II) score, N-terminal prohormone of brain natriuretic peptide (NT-proBNP), cardiac troponin I (cTnI), myoglobin (MYO), creatine kinase (CK), MB isoenzyme of creatine kinase (CK-MB) within 6 hours after admission, and bedside echocardiography indexes [left ventricular ejection fraction (LVEF), the ratio of the peak blood flow velocity in the early stage of the mitral valve and the peak blood flow rate of the mitral valve (E/A ratio)] within 6 hours after diagnosis were recorded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2018.04.009DOI Listing
April 2018
26 Reads

Advances in anesthesia technology are improving patient care, but many challenges remain.

BMC Anesthesiol 2018 04 13;18(1):39. Epub 2018 Apr 13.

Departments of Anesthesia & Health Research Methods, Evidence, and Impact, Michael DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, 1280 Main Street West Hamilton, Hamilton, ON, L8S 4L8, Canada.

Although significant advances in clinical monitoring technology and clinical practice development have taken place in the last several decades, in this editorial we argue that much more still needs to be done. We begin by identifying many of the improvements in perioperative technology that have become available in recent years; these include electroencephalographic depth of anesthesia monitoring, bedside ultrasonography, advanced neuromuscular transmission monitoring systems, and other developments. We then discuss some of the perioperative technical challenges that remain to be satisfactorily addressed, such as products that incorporate poor software design or offer a confusing user interface. Read More

View Article

Download full-text PDF

Source
https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
Publisher Site
http://dx.doi.org/10.1186/s12871-018-0504-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899388PMC
April 2018
44 Reads

Development of massive pulmonary embolism during echocardiographic imaging: A case report.

Medicine (Baltimore) 2018 Apr;97(15):e0365

Sanliurfa Training and Research Hospital, Department of Cardiology, Sanlıurfa, Turkey.

Rationale: Pulmonary embolism (PE) is a common diagnostic consideration for patients who present to the emergency department (ED) with chest pain, dyspnea, or both. In addition, PE has a very high mortality in patients who are hemodynamically unstable. An electrocardiography, bedside transthoracic echocardiogram, and computed tomography pulmonary angiogram are usually performed to confirm the diagnosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000010365DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908560PMC
April 2018
25 Reads

Point of care diaphragm ultrasound in infants with bronchiolitis: A prospective study.

Pediatr Pulmonol 2018 06 26;53(6):778-786. Epub 2018 Mar 26.

Department of Pediatric Emergency, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Background: Bronchiolitis is the most common reason for hospitalization of children worldwide. Many scoring systems have been developed to quantify respiratory distress and predict outcome, but none of them have been validated. We hypothesized that the ultrasound evaluation of the diaphragm could quantify respiratory distress and therefore we correlated the ultrasound diaphragm parameters with outcome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/ppul.23993DOI Listing
June 2018
15 Reads

Cardiac Point-of-Care Ultrasound: State-of-the-Art in Medical School Education.

J Am Soc Echocardiogr 2018 07 15;31(7):749-760. Epub 2018 Mar 15.

Department of Medicine, Section of Cardiology, University of Manitoba, Winnipeg, Manitoba, Canada.

The development of small, user friendly, handheld ultrasound devices has stimulated the growth of cardiac point-of-care ultrasound (POCUS) for the purpose of rapid, bedside cardiac assessment. Medical schools have begun integrating cardiac POCUS into their curricula. In this review the authors summarize the variable approaches taken by several medical training programs with respect to duration of POCUS training, prerequisite knowledge, and methods of delivering these skills (including e-learning, hands-on training, and simulation). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.echo.2018.01.014DOI Listing
July 2018
11 Reads

Point-of-Care Ultrasound in the Intensive Care Unit.

Clin Chest Med 2018 03;39(1):79-97

Section of Interventional Pulmonology, Division of Pulmonary, Critical Care and Sleep Medicine, Ohio State University Wexner Medical Center, 201 DHLRI, 473 West 12th Avenue, Columbus, OH 43210, USA. Electronic address:

Spreading beyond the realm of tertiary academic medical centers, point-of-care ultrasound in the intensive care unit is an important diagnostic tool. The real-time feedback garnered can lead to critical and clinically relevant changes in management and decrease potential complications. Bedside ultrasound evaluation in the intensive care setting with a small, portable equipment is well-suited for placement of central lines, lumbar puncture, thoracentesis or other bedside ICU procedures and in the evaluation of cardiac activity, pleural and abdominal cavity and the overall fluid volume. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ccm.2017.11.005DOI Listing
March 2018
15 Reads

[Point-of-Care Sonography in Emergency and Intensive Care Medicine].

Dtsch Med Wochenschr 2018 02 6;143(3):161-164. Epub 2018 Feb 6.

Klinik III für Innere Medizin, Herzzentrum, Universität zu Köln, Köln.

The use of Point-of-care ultrasonography (POC Ultrasonography) is getting more and more important in the bedside care of patients, especially in emergency- and intensive care units. In addition to the focused sonography of the heart, lungs and abdomen, the POC Ultrasonography recently includes also cases in prehospital care. Increasingly special applications in intensive care, e. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0043-115604DOI Listing
February 2018
10 Reads

The predictive value of bedside ultrasound to restore spontaneous circulation in patients with pulseless electrical activity: A systematic review and meta-analysis.

PLoS One 2018 24;13(1):e0191636. Epub 2018 Jan 24.

Department of Emergency Medicine, Second Affiliated Hospital, Zhejiang University School of Medicine Institute of Emergency Medicine, Zhejiang University, Hangzhou, China.

Background: The prognosis of pulseless electrical activity is dismal. However, it is still challengable to decide when to terminate or continue resuscitation efforts. The aim of this study was to determine whether the use of bedside ultrasound (US) could predict the restoration of spontaneous circulation (ROSC) in patients with pulseless electrical activity (PEA) through the identification of cardiac activity. Read More

View Article

Download full-text PDF

Source
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0191636PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5783414PMC
March 2018
58 Reads