Nicholas E Harrison, Robert Ehrman, Sean Collins, Ankit A Desai, Nicole M Duggan, Rob Ferre, Luna Gargani, Andrew Goldsmith, Tina Kapur, Katie Lane, Phillip Levy, Xiaochun Li, Vicki E Noble, Frances M Russell, Peter Pang
BACKGROUND: Lung ultrasound congestion scoring (LUS-CS) is a congestion severity biomarker. The BLUSHED-AHF trial demonstrated feasibility for LUS-CS-guided therapy in acute heart failure (AHF). We investigated two questions: 1) does change (∆) in LUS-CS from emergency department (ED) to hospital-discharge predict patient outcomes, and 2) is the relationship between in-hospital decongestion and adverse events moderated by baseline risk-factors at admission? METHODS: We performed a secondary analysis of 933 observations/128 patients from 5 hospitals in the BLUSHED-AHF trial receiving daily LUS...
August 12, 2023: Journal of Cardiology
Elizabeth A Hall, Ibrahim Showaihi, Frances S Shofer, Nova L Panebianco, Anthony J Dean
BACKGROUND: Recognition of the difficult airway is a critical element of emergency practice. Mallampati score and body mass index (BMI) are not always predictive and they may be unavailable in critically ill patients. Ultrasonography provides high-resolution images that are rapidly obtainable, mobile, and non-invasive. Studies have shown correlation of ultrasound measurements with difficult laryngoscopy; however, none have been performed in the Emergency Department (ED) using a consistent scanning protocol...
January 18, 2018: Critical Ultrasound Journal
Anup K Singh, Paul H Mayo, Seth Koenig, Aranabh Talwar, Mangala Narasimhan
BACKGROUND: The presence of B lines on lung ultrasonography is a characteristic feature of both cardiogenic pulmonary edema (CPE) and noncardiogenic alveolar interstitial syndrome (NCAIS), so their presence does not allow the clinician to differentiate between the two entities. Our study used M-mode ultrasonography of the pleura to differentiate CPE from NCAIS. METHODS: A total of 43 subjects were enrolled in the study, and based on history, physical examination, and chart review, the patients were divided into three groups: an NCAIS group, a CPE group, and a control group...
March 2018: Chest
Won Young Kim, Hee Jung Suh, Sang-Bum Hong, Younsuck Koh, Chae-Man Lim
OBJECTIVE: To determine the prevalence of diaphragmatic dysfunction diagnosed by M-mode ultrasonography (vertical excursion <10 mm or paradoxic movements) in medical intensive care unit patients and to assess the influence of diaphragmatic dysfunction on weaning outcome. DESIGN: Prospective, observational study. SETTING: Twenty-eight-bed medical intensive care unit in a university-affiliated hospital. PATIENTS: Eighty-eight consecutive patients in the medical intensive care unit who required mechanical ventilation over 48 hrs and met the criteria for a spontaneous breathing trial were assessed...
December 2011: Critical Care Medicine
Belaïd Bouhemad, Hélène Brisson, Morgan Le-Guen, Charlotte Arbelot, Qin Lu, Jean-Jacques Rouby
RATIONALE: In the critically ill patients, lung ultrasound (LUS) is increasingly being used at the bedside for assessing alveolar-interstitial syndrome, lung consolidation, pneumonia, pneumothorax, and pleural effusion. It could be an easily repeatable noninvasive tool for assessing lung recruitment. OBJECTIVES: Our goal was to compare the pressure-volume (PV) curve method with LUS for assessing positive end-expiratory pressure (PEEP)-induced lung recruitment in patients with acute respiratory distress syndrome/acute lung injury (ARDS/ALI)...
February 1, 2011: American Journal of Respiratory and Critical Care Medicine
Francesca Cortellaro, Silvia Colombo, Daniele Coen, Pier Giorgio Duca
OBJECTIVE: The aim of this study was to evaluate the diagnostic accuracy of bedside lung ultrasound and chest radiography (CXR) in patients with suspected pneumonia compared with CT scan and final diagnosis at discharge. Design A prospective clinical study. METHODS: Lung ultrasound and CXR were performed in sequence in adult patients admitted to the emergency department (ED) for suspected pneumonia. A chest CT scan was performed during hospital stay when clinically indicated...
January 2012: Emergency Medicine Journal: EMJ
Sandra L Werner, Charles E Smith, Jessica R Goldstein, Robert A Jones, Rita K Cydulka
STUDY OBJECTIVE: Visualization of the vocal cords and end-tidal capnography are the usual standards in confirming endotracheal tube placement. Vocal cord visualization is, however, not always possible, and capnography is not 100% reliable and requires ventilation of the lungs to confirm placement. The goal of this study is to determine the accuracy of ultrasonography for detecting endotracheal tube placement into the trachea and esophagus in real time. METHODS: This was a prospective, randomized, controlled study...
January 2007: Annals of Emergency Medicine
Blake Weaver, Matthew Lyon, Michael Blaivas
OBJECTIVES: To evaluate the performance of the ultrasound (US) sliding lung sign as a predictor of endotracheal tube (ETT) placement. Many other tools and examination findings have been used to confirm ETT placement; erroneous placement of the ETT has even been confirmed by US. METHODS: This was a laboratory study using fresh, recently dead cadavers. Cadavers were obtained at a medical school anatomy laboratory on the basis of availability during a four-month period...
March 2006: Academic Emergency Medicine
Gene Ma, Daniel P Davis, James Schmitt, Gary M Vilke, Theodore C Chan, Stephen R Hayden
Confirmation of endotracheal (ET) tube placement is critical when performing emergency airway management. No single confirmation strategy has emerged as ideal in all circumstances. Our objective in this study was to assess the sensitivity and specificity of a novel approach to verify endotracheal intubation using transcricothyroid ultrasonography (US). We performed a prospective, randomized double-blinded trial in a human cadaver model. A 7.5-MHz curvilinear probe was placed longitudinally over the cricothyroid membrane as cadavers were randomly intubated in either the trachea or esophagus in two phases: 1) as the intubation was being performed (dynamic) and, 2) after intubation had been completed (static)...
May 2007: Journal of Emergency Medicine
Benjamin Thomas Kerrey, Gary Lee Geis, Andrea Megan Quinn, Richard William Hornung, Richard Michael Ruddy
BACKGROUND: Investigators report endotracheal tube misplacement in up to 40% of emergent intubations. The standard elements of confirmation have significant limitations. Diaphragmatic ultrasound is a potentially viable addition to the confirmatory process. Our primary hypothesis is that ultrasound is equivalent to chest radiography in determining endotracheal tube position within the airway in emergent pediatric intubations. METHODS: We enrolled a prospective, convenience sample from all intubated patients in our emergency department...
June 2009: Pediatrics
Hao-Chang Chou, Wen-Pin Tseng, Chih-Hung Wang, Matthew Huei-Ming Ma, Hsiu-Po Wang, Pei-Chuan Huang, Shyh-Shyong Sim, Yen-Chen Liao, Shey-Yin Chen, Chiung-Yuan Hsu, Zui-Shen Yen, Wei-Tien Chang, Chien-Hua Huang, Wan-Ching Lien, Shyr-Chyr Chen
OBJECTIVES: This study aimed to assess the diagnostic accuracy and timeliness of using tracheal ultrasound to examine endotracheal tube placement during emergency intubation. METHODS: This was a prospective, observational study, conducted at the emergency department of a national university teaching hospital. Patients received emergency intubation because of impending respiratory failure, cardiac arrest, or severe trauma. The tracheal rapid ultrasound exam (T.R...
October 2011: Resuscitation
Maurizio Zanobetti, Margherita Scorpiniti, Chiara Gigli, Peiman Nazerian, Simone Vanni, Francesca Innocenti, Valerio T Stefanone, Caterina Savinelli, Alessandro Coppa, Sofia Bigiarini, Francesca Caldi, Irene Tassinari, Alberto Conti, Stefano Grifoni, Riccardo Pini
BACKGROUND: Acute dyspnea is a common symptom in the ED. The standard approach to dyspnea often relies on radiologic and laboratory results, causing excessive delay before adequate therapy is started. Use of an integrated point-of-care ultrasonography (PoCUS) approach can shorten the time needed to formulate a diagnosis, while maintaining an acceptable safety profile. METHODS: Consecutive adult patients presenting with dyspnea and admitted after ED evaluation were prospectively enrolled...
June 2017: Chest
Eric H Chou, Eitan Dickman, Po-Yang Tsou, Mark Tessaro, Yang-Ming Tsai, Matthew Huei-Ming Ma, Chien-Chang Lee, John Marshall
OBJECTIVE: This study aimed to undertake a systematic review and meta-analysis to summarize evidence on the diagnostic value of ultrasonography for the assessment of endotracheal tube placement in adult patients. METHODS: The major databases, PubMed, EMBASE, and the Cochrane Library, were searched for studies published from inception to June 2014. We selected studies that used ultrasonography to confirm endotracheal tube placement. The search was limited to human studies, and had no publication date or country restrictions...
May 2015: Resuscitation
Mohammad Al Deeb, Skye Barbic, Robin Featherstone, Jerrald Dankoff, David Barbic
OBJECTIVES: Acute dyspnea is a common presenting complaint to the emergency department (ED), and point-of-care (POC) lung ultrasound (US) has shown promise as a diagnostic tool in this setting. The primary objective of this systematic review was to determine the sensitivity and specificity of US using B-lines in diagnosing acute cardiogenic pulmonary edema (ACPE) in patients presenting to the ED with acute dyspnea. METHODS: A systematic review protocol adhering to Cochrane Handbook guidelines was created to guide the search and analysis, and we searched the following databases: PubMed, EMBASE, Ovid MEDLINE, Ovid MEDLINE In-Process & Other Non-Indexed Citations, and the Cochrane Database of Systematic Reviews...
August 2014: Academic Emergency Medicine
Seth Koenig, Subani Chandra, Artur Alaverdian, Christopher Dibello, Paul H Mayo, Mangala Narasimhan
BACKGROUND: CT pulmonary angiography (CTPA) is considered the gold standard for the diagnosis of pulmonary embolism (PE) and is frequently performed in patients with cardiopulmonary complaints. However, indiscriminate use of CTPA results in significant exposure to ionizing radiation and contrast. We studied the accuracy of a bedside ultrasound protocol to predict the need for CTPA. METHODS: This was an observational study performed by pulmonary/critical care physicians trained in critical care ultrasonography...
April 2014: Chest
Vaishali P Shah, Michael G Tunik, James W Tsung
OBJECTIVE: To determine the accuracy of point-of-care ultrasonography for the diagnosis of pneumonia in children and young adults by a group of clinicians. DESIGN: Prospective observational cohort study. SETTING: Two urban emergency departments. PARTICIPANTS: Patients from birth to age 21 years undergoing chest radiography for suspected community-acquired pneumonia. INTERVENTION: After documenting clinical examination findings, clinicians with 1 hour of focused training used ultrasonography to diagnose pneumonia in children and young adults...
February 2013: JAMA Pediatrics
James W Tsung, David O Kessler, Vaishali P Shah
BACKGROUND: Emergency department visits quadrupled with the initial onset and surge during the 2009 H1N1 influenza pandemic in New York City from April to June 2009. This time period was unique in that >90% of the circulating virus was surveyed to be the novel 2009 H1N1 influenza A according to the New York City Department of Health. We describe our experience using lung ultrasound in a case series of patients with respiratory symptoms requiring chest X-ray during the initial onset and surge of the 2009 H1N1 influenza pandemic...
July 10, 2012: Critical Ultrasound Journal
Keith Curtis, Matthew Ahern, Matthew Dawson, Michael Mallin
BACKGROUND: Ultrasound (US) has well-documented utility in critical procedures performed in the emergency department. It has been described as a "skill integral to the practice of emergency medicine" in the 2007 Model of Clinical Practice of Emergency Medicine. One of the ideal uses for US in critical care may be in the performance of emergent cricothyroidotomy. To the best of our knowledge there is currently no description of how to perform an US-guided open cricothyroidotomy in the literature...
July 2012: Academic Emergency Medicine
Michael Blaivas
No abstract text is available yet for this article.
June 2012: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
Giovanni Volpicelli, Mahmoud Elbarbary, Michael Blaivas, Daniel A Lichtenstein, Gebhard Mathis, Andrew W Kirkpatrick, Lawrence Melniker, Luna Gargani, Vicki E Noble, Gabriele Via, Anthony Dean, James W Tsung, Gino Soldati, Roberto Copetti, Belaid Bouhemad, Angelika Reissig, Eustachio Agricola, Jean-Jacques Rouby, Charlotte Arbelot, Andrew Liteplo, Ashot Sargsyan, Fernando Silva, Richard Hoppmann, Raoul Breitkreutz, Armin Seibel, Luca Neri, Enrico Storti, Tomislav Petrovic
BACKGROUND: The purpose of this study is to provide evidence-based and expert consensus recommendations for lung ultrasound with focus on emergency and critical care settings. METHODS: A multidisciplinary panel of 28 experts from eight countries was involved. Literature was reviewed from January 1966 to June 2011. Consensus members searched multiple databases including Pubmed, Medline, OVID, Embase, and others. The process used to develop these evidence-based recommendations involved two phases: determining the level of quality of evidence and developing the recommendation...
April 2012: Intensive Care Medicine
2017-07-16 20:06:02
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.