308 results match your criteria Bedside Ultrasonography Cardiac Evaluation


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

J Ultrasound 2019 Mar 9. 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

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http://dx.doi.org/10.1007/s40477-019-00371-8DOI Listing

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

Authors:
H Ten Freyhaus

Med Klin Intensivmed Notfmed 2019 Feb 28. 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

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http://dx.doi.org/10.1007/s00063-019-0556-9DOI Listing
February 2019
1 Read

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

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

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http://dx.doi.org/10.21037/jtd.2018.10.30DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6297429PMC
November 2018
2 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

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https://linkinghub.elsevier.com/retrieve/pii/S07364679183104
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http://dx.doi.org/10.1016/j.jemermed.2018.10.023DOI Listing
February 2019
22 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

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https://www.cureus.com/articles/14836-can-you-teach-yourself
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http://dx.doi.org/10.7759/cureus.3320DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6248742PMC
September 2018
8 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

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http://www.gnresearch.org/doi/10.5935/0103-507X.20180055
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http://dx.doi.org/10.5935/0103-507X.20180055DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180473PMC
December 2018
17 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

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

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

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http://dx.doi.org/10.1017/S1047951118001439DOI Listing
December 2018
2 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

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http://dx.doi.org/10.1097/CRD.0000000000000221DOI Listing
July 2018
14 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

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May 2018
8 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

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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2018.04.009DOI Listing
April 2018
13 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

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https://bmcanesthesiol.biomedcentral.com/articles/10.1186/s1
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http://dx.doi.org/10.1186/s12871-018-0504-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899388PMC
April 2018
17 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

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

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

Pediatr Pulmonol 2018 Jun 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

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http://dx.doi.org/10.1002/ppul.23993DOI Listing
June 2018
7 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

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http://dx.doi.org/10.1055/s-0043-115604DOI Listing
February 2018
3 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

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

Contemporary Application of Point-of-Care Echocardiography in the Emergency Department.

Can J Cardiol 2018 02 1;34(2):109-116. Epub 2017 Sep 1.

Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Division of Emergency Medicine, University of Toronto, Toronto, Ontario, Canada; Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.

Point-of-care echocardiography is revolutionizing the management of patients presenting with undifferentiated shock and cardiac arrest in the emergency department (ED). Its primary purpose is to aid the clinician in rapidly ruling in and ruling out life-threatening diagnoses at the bedside. In addition, it has become an important component of the clinical examination for stable patients seen in the ED with nonspecific signs and symptoms such as shortness of breath or syncope. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0828282X173093
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http://dx.doi.org/10.1016/j.cjca.2017.08.018DOI Listing
February 2018
7 Reads

[Sonography of the Optic Nerve: a New Bedside Tool in Intensive Care?]

Dtsch Med Wochenschr 2017 Dec 5;142(24):1858-1861. Epub 2017 Dec 5.

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

 Here, we present the case history of a 76-year old man with out-of-hospital cardiac arrest due to a cardiogenic shock and a consecutive no-flow-time of approximately 10 minutes. After 25 minutes of resuscitation procedures a spontaneous return of circulation could be established. The patient was admitted to our center for emergency coronary angiography. Read More

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http://dx.doi.org/10.1055/s-0043-121607DOI Listing
December 2017
10 Reads

Multi-modality imaging evaluation of recurrent Tako-tsubo syndrome in a patient with coronary artery fibromuscular dysplasia.

Cardiovasc Ultrasound 2017 Nov 30;15(1):26. Epub 2017 Nov 30.

State University of New York, Upstate Medical University, Syracuse, NY, 13202, USA.

Background: Integrated bedside and sophisticated cardiac imaging techniques help characterize the discrepancy between myocardial injury and mechanic dysfunction in acute myocardial infarction.

Case Presentation: A 57 year-old woman presented with sudden onset chest pain and ventricular fibrillation after hearing of her brother's death. The electrocardiography indicated "anterior wall ST segment elevation myocardial infarction". Read More

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https://cardiovascularultrasound.biomedcentral.com/articles/
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http://dx.doi.org/10.1186/s12947-017-0117-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5708116PMC
November 2017
18 Reads

Cardiogenic Shock.

Cardiol Clin 2018 Feb;36(1):53-61

Emergency Medicine/Internal Medicine/Critical Care Program, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA. Electronic address:

Cardiogenic shock (CS) is a physiologic state in which cardiac pump function is inadequate to perfuse the tissues. If CS is not rapidly recognized and treated, tissue hypoperfusion can quickly lead to organ dysfunction and patient death. Evaluation of patients with suspected CS should include an electrocardiogram, chest radiograph, laboratory studies, and bedside echocardiogram. Read More

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http://dx.doi.org/10.1016/j.ccl.2017.08.009DOI Listing
February 2018
17 Reads

Reversible Causes in Cardiovascular Collapse at the Emergency Department Using Ultrasonography (REVIVE-US).

Ann Acad Med Singapore 2017 Aug;46(8):310-316

Emergency Medicine Department, National University Hospital, Singapore.

Introduction: Ultrasonographic evaluation of patients in cardiac arrest is currently not protocolised in the advanced cardiac life support (ACLS) algorithm. Potentially reversible causes may be identified using bedside ultrasonography that is ubiquitous in most emergency departments (EDs). This study aimed to evaluate the incidence of sonographically detectable reversible causes of cardiac arrest by incorporating an ultrasonography protocol into the ACLS algorithm. Read More

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August 2017
28 Reads

A plea for an early ultrasound-clinical integrated approach in patients with acute heart failure. A proactive comment on the ESC Guidelines on Heart Failure 2016.

Int J Cardiol 2017 Oct;245:207-210

Anesthesia and Intensive Care, Cardiocentro Ticino, Lugano, Switzerland. Electronic address:

Background: The European Association of Cardiology (ESC) Guidelines on the diagnosis and treatment of acute heart failure (AHF) indicate prompt therapy initiation and performance of relevant investigations as paramount. Specifically, echocardiography prior to treatment is advocated only with hemodynamic instability, and the evaluation of clinical signs of peripheral perfusion and congestion is suggested as guidance for early interventions. Given the growing body of evidence on the diagnostic/monitoring capabilities of bedside ultrasound (including focused cardiac ultrasound, comprehensive echocardiography, lung ultrasound), we discuss the potential benefit of an integrated clinical/ultrasound approach at the very early stages of acute heart failure. Read More

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http://dx.doi.org/10.1016/j.ijcard.2017.07.013DOI Listing
October 2017
10 Reads

The Correlation Between Inferior Vena Cava Diameter Measured by Ultrasonography and Central Venous Pressure.

Indian J Pediatr 2017 Oct 4;84(10):757-762. Epub 2017 Sep 4.

Department of Pediatric Intensive Care Unit, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, Cannaught Place, New Delhi, 110001, India.

Objective: To find a correlation between inferior vena cava (IVC) diameters, IVC compressibility index (CI) and central venous pressure (CVP).

Methods: Prospective observational study was done at pediatric intensive care unit (PICU) of Kalawati Saran Children's Hospital (KSCH). Fifty children aged 5-18 y, presenting with shock were enrolled for the study. Read More

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http://dx.doi.org/10.1007/s12098-017-2433-yDOI Listing
October 2017
26 Reads

Evaluation of a point-of-care ultrasound scan list in a resource-limited emergency centre in Addis Ababa Ethiopia.

Afr J Emerg Med 2017 Sep 17;7(3):118-123. Epub 2017 May 17.

Addis Ababa University, Addis Ababa, Ethiopia.

Introduction: Emergency centres (EC) in low- and middle-income countries often have limited diagnostic imaging capabilities. Point-of-care ultrasound (POCUS) is used in high-income countries to diagnose and guide treatment of life-threatening conditions. This study aims to identify high impact POCUS scans most relevant to practice in an Ethiopian EC. Read More

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http://dx.doi.org/10.1016/j.afjem.2017.04.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234161PMC
September 2017
11 Reads

Microvascular perfusion in cardiac arrest: a review of microcirculatory imaging studies.

Perfusion 2018 Jan 16;33(1):8-15. Epub 2017 Aug 16.

4 2nd Department of Medicine - Department of Cardiovascular Medicine, First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.

Cardiac arrest represents a leading cause of mortality and morbidity in developed countries. Extracorporeal cardiopulmonary resuscitation (ECPR) increases the chances for a beneficial outcome in victims of refractory cardiac arrest. However, ECPR and post-cardiac arrest care are affected by high mortality rates due to multi-organ failure syndrome, which is closely related to microcirculatory disorders. Read More

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http://dx.doi.org/10.1177/0267659117723455DOI Listing
January 2018
35 Reads

Extramedullary haematopoiesis presenting with cardiac tamponade in a patient with polycythaemia vera.

BMJ Case Rep 2017 Aug 10;2017. Epub 2017 Aug 10.

Department of Pathology, The George Washington University School of Medicine and Health Sciences, Washington, USA.

A 71-year-old man with a history of polycythaemia vera, diagnosed 4 years ago, presented to the emergency room with shortness of breath. A bedside echocardiogram revealed a large pericardial effusion with features concerning for pericardial tamponade. A left anterior thoracotomy and a pericardial window were emergently performed in the operating room and relieved the patient's symptoms. Read More

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http://dx.doi.org/10.1136/bcr-2017-221316DOI Listing
August 2017
27 Reads

Lung ultrasound in internal medicine: A bedside help to increase accuracy in the diagnosis of dyspnea.

Eur J Intern Med 2017 Dec 6;46:61-65. Epub 2017 Aug 6.

Clinica Medica II, Department of Internal Medicine, Fondazione IRCCS San Matteo, University of Pavia, Italy. Electronic address:

Background: Dyspnea is one of the most frequent causes of admission in Internal Medicine wards, leading to a sizeable utilization of medical resources.

Study Design And Methods: The role of bedside lung ultrasound (LUS) was evaluated in 130 consecutive patients (age: 81±9years), in whom blindly collected LUS results were compared with data obtained by clinical examination, medical history, blood analysis, and chest X-ray. Dyspnea etiology was classified as "cardiac" (n=80), "respiratory" (n=36) or "mixed" (n=14), according to the discharge diagnosis (congestive heart failure either alone [n=80] or associated with pneumonia [n=14], pneumonia [n=24], and obstructive disventilatory syndrome [n=12]). Read More

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http://dx.doi.org/10.1016/j.ejim.2017.07.034DOI Listing
December 2017
12 Reads

Combined Thoracic Ultrasound Assessment during a Successful Weaning Trial Predicts Postextubation Distress.

Anesthesiology 2017 10;127(4):666-674

From the Critical Care Unit (S.S., D.A.A., L.H., F.F., D.R., A.M., B.R.) and Critical Care and Anaesthesiology Department (S.S., D.A.A., L.H., J.R., F.F., D.R., A.M., O.F., B.R.), University Teaching Hospital of Purpan, Toulouse, France; French National Institute of Health and Medical Research U1214, University Teaching Hospital of Purpan, Toulouse, France (S.S.); Critical Care Unit, Hopital Dieu Hospital, Narbonne, France (P.C., M.M., B.B.); Critical Care Unit, University Cancer Institute Hospital of Toulouse, France (J.R.); and Intensive Care Unit and Transplantation, Department of Anaesthesiology and Critical Care B, Saint Eloi Hospital, Montpellier, France (S.J.).

Background: Recent studies suggest that isolated sonographic assessment of the respiratory, cardiac, or neuromuscular functions in mechanically ventilated patients may assist in identifying patients at risk of postextubation distress. The aim of the present study was to prospectively investigate the value of an integrated thoracic ultrasound evaluation, encompassing bedside respiratory, cardiac, and diaphragm sonographic data in predicting postextubation distress.

Methods: Longitudinal ultrasound data from 136 patients who were extubated after passing a trial of pressure support ventilation were measured immediately after the start and at the end of this trial. Read More

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http://dx.doi.org/10.1097/ALN.0000000000001773DOI Listing
October 2017
44 Reads

An echocardiographic clue for ostial left main coronary artery stenosis.

Indian Heart J 2017 May - Jun;69(3):351-352. Epub 2017 Jan 4.

Mesa Hospital, Department of Cardiology, Ankara, Turkey.

Calcified nodules in human coronary arteries are usually focally distributed. Non-invasive imaging of coronary arteries by bedside emergency transthoracic echocardiography in adults is possible and may become a useful adjunct to other methods of coronary artery examination. Coronary artery stenosis can be identified as localized color aliasing and accelerated flow velocities. Read More

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http://dx.doi.org/10.1016/j.ihj.2016.12.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5485390PMC
April 2018
11 Reads

[Ultrasonographic evaluation of diaphragm structure and function].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2017 Mar;29(3):276-280

Ningxia Medical University, Yinchuan 750004, Ningxia, China (Wang FF); Department of Respiratory Disease, Shanghai East Hospital, Tongji University of School Medicine, Shanghai 200120, China (Zhu XP); Department of Critical Care Medicine, Shanghai East Hospital, Tongji University of School Medicine, Shanghai 200120, China (Ma SL). Corresponding author: Ma Shaolin, Email:

Objective: Diaphragm is the principal respiratory muscle. Diaphragm dysfunction resulting from mechanical ventilation, chronic cardiopulmonary disease, medicine, cardio-thoracic surgery, septic shock and chronic malnutrition predisposes to weaning failure from mechanical ventilation and prolongs intensive care unit (ICU) stay. Traditionally, the method of assessment of diaphragm structure and function was invasive, lacking specific, and was difficult to be used bedside. Read More

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http://dx.doi.org/10.3760/cma.j.issn.2095-4352.2017.03.018DOI Listing
March 2017
2 Reads

Clinician-Performed Bedside Ultrasound in Improving Diagnostic Accuracy in Patients Presenting to the ED with Acute Dyspnea.

West J Emerg Med 2017 Apr 3;18(3):382-389. Epub 2017 Mar 3.

The State University of New York, Downstate Medical Center, Department of Emergency Medicine, Brooklyn, New York.

Introduction: Diagnosing acute dyspnea is a critical action performed by emergency physicians (EP). It has been shown that ultrasound (US) can be incorporated into the work-up of the dyspneic patient; but there is little data demonstrating its effect on decision-making. We sought to examine the impact of a bedside, clinician-performed cardiopulmonary US protocol on the clinical impression of EPs evaluating dyspneic patients, and to measure the change in physician confidence with the leading diagnosis before and after US. Read More

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http://dx.doi.org/10.5811/westjem.2017.1.31223DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5391887PMC
April 2017
15 Reads

Advantages and pitfalls of pocket ultrasound vs daily chest radiography in the coronary care unit: A single-user experience.

Echocardiography 2017 May 14;34(5):656-661. Epub 2017 Mar 14.

Cardiovascular Division, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.

Background: Pocket ultrasonography may enhance patient diagnosis and care. We sought to assess pocket ultrasound in detecting common conditions in the coronary care unit (CCU) compared to portable daily chest radiography (CXR) and conventional transthoracic echocardiography (TTE).

Methods: An experienced pocket ultrasound user performed a pocket ultrasound examination for interstitial edema, pneumonia, central line seen in the right ventricle, pleural and pericardial effusions, left atrial enlargement, and cardiomegaly. Read More

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http://dx.doi.org/10.1111/echo.13509DOI Listing
May 2017
6 Reads

A Modified Lung and Cardiac Ultrasound Protocol Saves Time and Rules in the Diagnosis of Acute Heart Failure.

J Emerg Med 2017 Jun 9;52(6):839-845. Epub 2017 Mar 9.

Department of Emergency Medicine, Cook County Hospital, Chicago, Illinois; Department of Emergency Medicine, Wayne State University, Detroit, Michigan.

Background: Multiorgan ultrasound (US), which includes evaluation of the lungs and heart, is an accurate method that outperforms clinical gestalt for diagnosing acutely decompensated heart failure (ADHF). A known barrier to ultrasound use is the time needed to perform these examinations.

Objective: The primary goal of this study was to determine the test characteristics of a modified lung and cardiac US (LuCUS) protocol for the accurate diagnosis of ADHF. Read More

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http://dx.doi.org/10.1016/j.jemermed.2017.02.003DOI Listing
June 2017
8 Reads

Occurrence of elevated shock index in acute patients and development of a proportional shock index metric.

Conf Proc IEEE Eng Med Biol Soc 2016 08;2016:2411-2414

Although shock index, as the ratio between heart rate and systolic blood pressure, is a well-recognized predictor for adverse outcomes, it is seldom integrated into clinical evaluation procedures as it requires on-the-fly evaluation of multiple terms. In this paper, we investigate the prevalence of elevated shock index in emergency department patients through an analysis of automatic heart rate and blood pressure readings from 809 admissions to an acute bedside ward at a large Danish hospital. The analysis is conducted by evaluating differences in terms of 30 day mortality. Read More

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http://ieeexplore.ieee.org/document/7591216/
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http://dx.doi.org/10.1109/EMBC.2016.7591216DOI Listing
August 2016
16 Reads

Focused Real-Time Ultrasonography for Nephrologists.

Int J Nephrol 2017 2;2017:3756857. Epub 2017 Feb 2.

Division of Nephrology, Department of Medicine, University of Southern California, Los Angeles, CA, USA.

We propose that renal consults are enhanced by incorporating a nephrology-focused ultrasound protocol including ultrasound evaluation of cardiac contractility, the presence or absence of pericardial effusion, inferior vena cava size and collapsibility to guide volume management, bladder volume to assess for obstruction or retention, and kidney size and structure to potentially gauge chronicity of renal disease or identify other structural abnormalities. The benefits of immediate and ongoing assessment of cardiac function and intravascular volume status (prerenal), possible urinary obstruction or retention (postrenal), and potential etiologies of acute kidney injury or chronic kidney disease far outweigh the limitations of bedside ultrasonography performed by nephrologists. The alternative is reliance on formal ultrasonography, which creates a disconnect between those who order, perform, and interpret studies, creates delays between when clinical questions are asked and answered, and may increase expense. Read More

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http://dx.doi.org/10.1155/2017/3756857DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5312502PMC
February 2017
11 Reads

Contrast echocardiography for detection of myocardial perfusion abnormalities : A clinical perspective.

Herz 2017 May;42(3):287-294

Department of Echocardiography, Royal Brompton Hospital, Sydney Street, SW3 6NP, London, UK.

Myocardial contrast echocardiography (MCE) is a well-established imaging technique in the assessment of patients with known or suspected coronary artery disease. The use of ultrasound contrast agents has optimized the evaluation of left ventricular function and, moreover, permits simultaneous assessment of the myocardial perfusion. This technique utilizes microbubbles that remain in the intravascular space and the contrast intensity reflects the concentration of the microbubbles in the myocardium. Read More

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http://link.springer.com/10.1007/s00059-017-4536-7
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http://dx.doi.org/10.1007/s00059-017-4536-7DOI Listing
May 2017
3 Reads

Clinical Significance of Portal Hypertension Diagnosed With Bedside Ultrasound After Cardiac Surgery.

Anesth Analg 2017 04;124(4):1109-1115

From the *Department of Anesthesia and †Intensive Care Unit, Research Centre, Montreal Heart Institute and Université de Montréal, Montreal, Quebec; ‡Department of Nephrology and §Department of Medicine, and Université de Montréal, Montreal, Quebec; ‖Department of Surgery, Montreal Heart Institute and Université de Montréal, Montreal, Quebec; ¶Department of Social and Preventive Medicine, Université de Montréal, Montreal, Quebec; and #Department of Nephrology, Hôpital du Sacré-Coeur de Montréal, Montreal, Quebec.

Background: Portal venous flow pulsatility detected by Doppler ultrasound is a sign of congestive heart failure in noncritically ill patients. The assessment of portal and splenic venous flows has never been reported in patients undergoing cardiac surgery.

Methods: This is a case series performed in patients undergoing cardiac surgery between February 2014 and February 2015 in which portal and/or splenic venous flows were assessed by the attending anesthesiologist during surgery or by the intensivist after surgery using transthoracic echography in 9 patients or transesophageal echocardiography in 5 patients. Read More

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http://dx.doi.org/10.1213/ANE.0000000000001812DOI Listing
April 2017
31 Reads

Hemorrhagic Pericardial Cyst Diagnosis Accelerated by Emergency Physician Echocardiography: A Case Report.

J Emerg Med 2017 Apr 20;52(4):e105-e109. Epub 2017 Jan 20.

Department of Emergency Medicine, Bridgeport Hospital, Bridgeport, Connecticut.

Background: The differential diagnosis for chest pain in the emergency department is broad and includes both benign and life-threatening conditions-with pericardial cyst as a rare example. Emergency physician-performed point-of-care focused cardiac ultrasound (FOCUS) is increasingly recognized as a useful modality in the evaluation of patients with chest pain.

Case Report: We report a case of hemorrhagic pericardial cyst in a young woman presenting with chest pain in which findings on FOCUS contradicted findings on chest x-ray study and thus, accelerated diagnosis and definitive treatment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07364679163090
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http://dx.doi.org/10.1016/j.jemermed.2016.10.023DOI Listing
April 2017
5 Reads

Bedside focused cardiac ultrasound in the evaluation of systolic dysfunction.

Intern Emerg Med 2017 Mar 6;12(2):241-245. Epub 2017 Jan 6.

Department of Internal Medicine, L. Sacco Hospital, University of Milan, via GB Grassi 74, Milan, Italy.

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http://dx.doi.org/10.1007/s11739-016-1598-0DOI Listing
March 2017
23 Reads

Extracardiac Signs of Fluid Overload in the Critically Ill Cardiac Patient: A Focused Evaluation Using Bedside Ultrasound.

Can J Cardiol 2017 01 24;33(1):88-100. Epub 2016 Aug 24.

Department of Anesthesiology, Montreal Heart Institute, Université de Montréal, Montreal, Québec, Canada. Electronic address:

Fluid balance management is of great importance in the critically ill cardiac patient. Although intravenous fluids are a cornerstone therapy in the management of unstable patients, excessive administration coupled with cardiac dysfunction leads to elevation in central venous pressure and end-organ venous congestion. Fluid overload is known to have a detrimental effect on organ function and is responsible for significant morbidity in critically ill patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S0828282X163084
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http://dx.doi.org/10.1016/j.cjca.2016.08.012DOI Listing
January 2017
25 Reads

Point of Care Neonatal Ultrasound - Head, Lung, Gut and Line Localization.

Indian Pediatr 2016 Oct 1;53(10):889-899. Epub 2016 Jul 1.

Departments of Neonatology, Royal North Shore Hospital, Pacific High way, St Leonards, NSW, Australia; and *Bharati Vidyapeeth University Medical college, Pune, Maharastra, India. Correspondence to: Dr Pradeep Suryawanshi, Professor and Head, Department of Neonatology, Bharati Vidyapeeth University Medical College, Pune-Satara Road, Pune, Maharastra 411 043, India.

Context: Knowledge and skills of heart, head, lung, gut and basic abdominal ultrasound is of immense utility to clinicians in their day-to-day patient management, and in acute events, in the absence of specialist service back-up. This review examines the potential role of clinician-performed ultrasound in the neonatal intensive care unit.

Evidence Acquisition: The bibliographic search of English-language literature was performed electronically using PubMed and EMBASE databases for the different topics we have covered under this review. Read More

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October 2016
11 Reads

Association of Nasal Mucosal Vascular Alterations, Gastrointestinal Arteriovenous Malformations, and Bleeding in Patients With Continuous-Flow Left Ventricular Assist Devices.

JACC Heart Fail 2016 12 12;4(12):962-970. Epub 2016 Oct 12.

Division of Cardiology, Department of Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.

Objectives: This study sought to determine whether the nasal mucosa can serve as a surrogate for evaluating arteriovenous malformations (AVMs) related gastrointestinal (GI) bleeding in patients supported by continuous-flow left ventricular assist devices (CF LVADs).

Background: Bleeding from the mucosal surfaces of GI tract, particularly AVMs, is the most common complication of CF LVAD support. The pathophysiology of AVM formation during CF LVAD support is of critical interest yet poorly understood; in large part because of the length and accessibility of the GI tract. Read More

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http://dx.doi.org/10.1016/j.jchf.2016.08.005DOI Listing
December 2016
13 Reads

[Usefulness of natriuretic peptide testing and Doppler echocardiography at bedside in the diagnosis of acute heart failure].

Authors:
S Arques E Roux

Ann Cardiol Angeiol (Paris) 2016 Nov 29;65(5):334-339. Epub 2016 Sep 29.

Service de cardiologie, centre hospitalier Édmond-Garcin, avenue des Sœurs-Gastine, 13400 Aubagne, France.

Acute heart failure is a common condition that leads to hospital admission, with important mortality and readmission rates. A prompt and accurate diagnosis of this condition by hospitalists is essential for an early and tailored medical management. The use of natriuretic peptide testing (BNP and NT-proBNP) through a two cut-point strategy is currently recommended as the first-line diagnostic complement to the initial clinical evaluation in the acute care setting. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00033928163034
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http://dx.doi.org/10.1016/j.ancard.2016.09.005DOI Listing
November 2016
3 Reads

The Inter-rater Reliability of Echocardiographic Diastolic Function Evaluation Among Emergency Physician Sonographers.

J Emerg Med 2016 Oct 7;51(4):411-417. Epub 2016 Sep 7.

Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, New York.

Study Objectives: In a patient with dyspnea and suspected CHF, the evaluation of diastolic function involves: tissue Doppler of the mitral annulus and 2) pulsed wave Doppler of the mitral inflow. We aimed to 1) determine the inter-rater reliability for overall diastolic function and 2) evaluate the reliability of the individual Doppler measurements.

Methods: A convenience sample of adult emergency department patients was prospectively enrolled by 8 EPs who had participated in a 1-hour didactic session. Read More

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http://dx.doi.org/10.1016/j.jemermed.2016.06.031DOI Listing
October 2016
3 Reads

12th WINFOCUS world congress on ultrasound in emergency and critical care.

Authors:
Yahya Acar Onur Tezel Necati Salman Erdem Cevik Margarita Algaba-Montes Alberto Oviedo-García Mayra Patricio-Bordomás Mustafa Z Mahmoud Abdelmoneim Sulieman Abbas Ali Alrayah Mustafa Ihab Abdelrahman Mustafa Bahar Osama Ali H Lester Kirchner Gregor Prosen Ajda Anzic Paul Leeson Maryam Bahreini Fatemeh Rasooli Houman Hosseinnejad Gabriel Blecher Robert Meek Diana Egerton-Warburton Edina Ćatić Ćuti Stanko Belina Tihomir Vančina Idriz Kovačević Nadan Rustemović Ikwan Chang Jin Hee Lee Young Ho Kwak Do Kyun Kim Chi-Yung Cheng Hsiu-Yung Pan Chia-Te Kung Ela Ćurčić Ena Pritišanac Ivo Planinc Marijana Grgić Medić Radovan Radonić Abiola Fasina Anthony J Dean Nova L Panebianco Patricia S Henwood Oliviero Fochi Moreno Favarato Ezio Bonanomi Ivan Tomić Youngrock Ha Hongchuen Toh Elizabeth Harmon Wilma Chan Cameron Baston Gail Morrison Frances Shofer Angela Hua Sharon Kim James Tsung Isa Gunaydin Zeynep Kekec Mehmet Oguzhan Ay Jinjoo Kim Jinhyun Kim Gyoosung Choi Dowon Shim Ji-Han Lee Jana Ambrozic Katja Prokselj Miha Lucovnik Gabrijela Brzan Simenc Asta Mačiulienė Almantas Maleckas Algimantas Kriščiukaitis Vytautas Mačiulis Andrius Macas Sharad Mohite Zoltan Narancsik Hugon Možina Sara Nikolić Jan Hansel Rok Petrovčič Una Mršić Simon Orlob Markus Lerchbaumer Niklas Schönegger Reinhard Kaufmann Chun-I Pan Chien-Hung Wu Sarah Pasquale Stephanie J Doniger Sharon Yellin Gerardo Chiricolo Maja Potisek Borut Drnovšek Boštjan Leskovar Kristine Robinson Clara Kraft Benjamin Moser Stephen Davis Shelley Layman Yusef Sayeed Joseph Minardi Irmina Sefic Pasic Amra Dzananovic Anes Pasic Sandra Vegar Zubovic Ana Godan Hauptman Ana Vujaklija Brajkovic Jaksa Babel Marina Peklic Vedran Radonic Luka Bielen Peh Wee Ming Nur Hafiza Yezid Fatahul Laham Mohammed Zainal Abidin Huda Wan Nasarudin Wan Ismail W Yus Haniff W Isa Hashairi Fauzi Praveena Seeva Mohd Zulfakar Mazlan

Crit Ultrasound J 2016 Sep;8(Suppl 1):12

Anaesthesiology Department, University Science of Malaysia, Kota Bharu, Malaysia.

Table Of Contents: A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization. A novel approach in emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA5 Clinical ultrasound in a septic and jaundice patient in the emergency departmentMargarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA6 Characterization of the eyes in preoperative cataract Saudi patients by using medical diagnostic ultrasoundMustafa Z. Read More

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http://dx.doi.org/10.1186/s13089-016-0046-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5014769PMC
September 2016
59 Reads
2 Citations

Ultrasonography in the emergency department.

Crit Care 2016 08 15;20(1):227. Epub 2016 Aug 15.

Hofstra Northwell School of Medicine, Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY, 11040, USA.

Point-of-care ultrasonography (POCUS) is a useful imaging technique for the emergency medicine (EM) physician. Because of its growing use in EM, this article will summarize the historical development, the scope of practice, and some evidence supporting the current applications of POCUS in the adult emergency department. Bedside ultrasonography in the emergency department shares clinical applications with critical care ultrasonography, including goal-directed echocardiography, echocardiography during cardiac arrest, thoracic ultrasonography, evaluation for deep vein thrombosis and pulmonary embolism, screening abdominal ultrasonography, ultrasonography in trauma, and guidance of procedures with ultrasonography. Read More

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http://dx.doi.org/10.1186/s13054-016-1399-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4983783PMC
August 2016
9 Reads

Integrated Evaluation of Neonatal Hemodynamics, Part 2: Systematic Bedside Assessment.

Neonatal Netw 2016 ;35(4):192-203

University of Manitoba, Faculty of Medicine, Winnipeg, MB R3E0L8 Canada.

Intact hemodynamics results when there is adequate oxygen uptake by the respiratory system, normal cardiac output, sufficient oxygen-carrying capacity of blood, and intact autoregulatory mechanisms to maintain enough oxygenation for normal end-organ function. The current routine monitoring of cardiovascular dynamics in sick preterm and term infants has been based on incomplete evaluation and relies on nonspecific and sometimes misleading clinical markers such as blood pressure. A thorough understanding of perinatal and neonatal cardiovascular, respiratory, oxygen, and other specific end-organ physiology is also mandatory for proper targeted interpretation. Read More

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http://dx.doi.org/10.1891/0730-0832.35.4.192DOI Listing
July 2017
4 Reads

IMPACT OF RETINOPATHY SCREENINGS FOR PROSPECTIVE HEART TRANSPLANT CANDIDATES.

Retin Cases Brief Rep 2017 Summer;11(3):195-197

*Department of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and †Division of Cardiology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Purpose: To determine the prevalence of retinopathy among patients undergoing heart transplantation screening and to determine the impact of this finding on eligibility for transplantation.

Methods And Patients: A retrospective case series was collected to perform an institutional review of all inpatient consults for dilated eye examinations on potential heart transplant candidates over 5.5 years-from March 27, 2008 to October 10, 2014. Read More

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http://dx.doi.org/10.1097/ICB.0000000000000362DOI Listing
January 2018
8 Reads