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SonoKids PROC drainage

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17 papers 0 to 25 followers
Emily Bacon, Matthew Tabbut
No abstract text is available yet for this article.
June 2016: American Journal of Emergency Medicine
Rajan Kumar, Archana Sinha, Maggie J Lin, Reina Uchino, Tracy Butryn, M Shay O'Mara, Sudip Nanda, Jamshid Shirani, Stanislaw P Stawicki
Pericardiocentesis (PC) is both a diagnostic and a potentially life-saving therapeutic procedure. Currently echocardiography-guided pericardiocentesis is considered the standard clinical practice in the treatment of large pericardial effusions and cardiac tamponade. Although considered relatively safe, this invasive procedure may be associated with certain risks and potentially serious complications. This review provides a summary of pericardiocentesis and a focused overview of the potential complications of this procedure...
July 2015: International Journal of Critical Illness and Injury Science
Roberto Miraglia, Luigi Maruzzelli, Marcello Piazza, Giuseppe Gallo, Mario D'Amico, Marco Spada, Patrizio Vitulo, Angelo Luca
PURPOSE: Ultrasound (US) guidance is currently used for placement of wire-guided thoracic drains, and its use is associated with a decreased risk of complications. However, most studies conducted to date in this field have been performed on adult patients. The aim of this study was to report the technical success and complication rates observed during real-time US-guided placement of a thoracic pigtail catheter in pediatric liver-transplant recipients with symptomatic pleural effusion...
June 2016: Journal of Clinical Ultrasound: JCU
Lydia Sahlani, Laura Thompson, Amar Vira, Ashish R Panchal
The widespread availability of ultrasound (US) technology has increased its use for point of care applications in many health care settings. Focused (point of care) US is defined as the act of bringing US evaluation to the bedside for real-time performance. These images are collected immediately by the practitioner, allowing for direct integration into the physician's medical decision-making process. The real-time bedside diagnostic ability of US becomes a key tool for the management of patients. The purpose of this review is to (1) provide a general description of the use of focused US for bedside procedures; (2) specify the indications and common techniques used in bedside US procedures; and (3) describe the techniques used for each bedside intervention...
April 2016: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Michael Secko, Adam Sivitz
Peritonsillar abscess (PTA) is one of the most common deep neck space infections that can potentially have life-threatening complications if inadequately diagnosed and not treated promptly. The ability of clinicians to reliably differentiate PTA from peritonsillar cellulitis by physical examination alone is limited and blind needle aspiration, the typical method of diagnosis of PTA, is also unreliable. We review the available evidence supporting the use of ultrasound, either intraoral ultrasound or transcutaneous ultrasound to be the initial imaging modality of choice for evaluation of PTA and be used for real-time needle guidance...
April 2015: American Journal of Emergency Medicine
Mio Kanai, Hiroshi Sekiguchi
Thoracentesis is considered a relatively safe and well-established procedure commonly done at the bedside with minimal risk of complication. Thoracentesis-related hemothorax is uncommon; however, it may be life-threatening. We describe a case of a 19-year-old woman with persistent fever and pleural effusion, in which thoracentesis resulted in tension hemothorax due to intercostal artery laceration. It is important for proceduralists to understand not only the tortuosity of the intercostal artery covering 25% to 50% of the intercostal space, but also the presence of traversing collateral arteries...
January 2015: Chest
Samira Shojaee, A Christine Argento
Ultrasonography of the thorax has become a more recognized tool in pulmonary medicine, thanks to continuing clinical research that has proven its many valuable roles in the day-to-day management of pulmonary and pleural diseases. Ultrasound examination is a cost-effective imaging modality that permits the pulmonologist to obtain information about the pathologies in the thorax without the risk of exposure to ionizing radiation, providing the examiner with real-time and immediate results. Its ease of use and training along with its portability to the patient's bedside and accurate examination of the pleural space has allowed for safer pleural procedures such as thoracentesis, chest tube placement, tunneled pleural catheter placement, and medical thoracoscopy...
December 2014: Seminars in Respiratory and Critical Care Medicine
Janice D McDaniel, Mark T Warren, Jeffrey C Pence, Elizabeth H Ey
BACKGROUND: Appendicitis is a common cause of acute surgical abdomen in children and often presents after perforation. Intra-abdominal abscesses can be drained percutaneously via transabdominal, transgluteal or, in the case of deep pelvis abscess, via transrectal approach. OBJECTIVE: To describe a modification of previously described techniques for transrectal drainage procedures, which involves the use of a transvaginal probe and a modified enema tip as a guide for the one-step trocar technique...
March 2015: Pediatric Radiology
Laura Trujillo, Sara Naranjo, Alejandro Cardozo, Bryan Alvarez
BACKGROUND: Abdominal wall hematoma is due to trauma, coagulation disorders or anticoagulation therapy complications. METHODS: In this report we present a case of a 44-year-old female who suffered from blunt abdominal trauma and presented to the emergency department with sharp abdominal pain and ecchymosis. FAST and abdominal computerized tomography (CT) revealed an abdominal wall hematoma. Treatment with an ultrasound-guided percutaneous drainage was performed successfully...
2012: World Journal of Emergency Medicine
Emmanuelle Begot, Ana Grumann, Tiffany Duvoid, François Dalmay, Nicolas Pichon, Bruno François, Marc Clavel, Philippe Vignon
PURPOSE: Chest ultrasonography is currently a required element to achieve competence in general critical care ultrasound (GCCUS) which should be part of the training of every intensivist. We sought to assess the ability of resident novices in ultrasonography to identify and quantify unloculated pleural effusions in ICU patients after a limited training program. METHODS: A total of 147 patients (mean age, 62 ± 17 years; simplified acute physiology score II, 35 ± 15; 78 % ventilated) with a suspected pleural effusion underwent a thoracic ultrasonography performed successively by a recently trained resident novice in ultrasound and by an experienced intensivist with expertise in GCCUS, considered as reference...
October 2014: Intensive Care Medicine
Eric Mercier, Marc-Charles
A short-cut review was carried out to establish whether bedside ultrasound was accurate at diagnosing necrotising fasciitis in patients with limb infections. A total of 187 papers were found using the reported searches, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this paper is tabulated. It is concluded that there is limited evidence supporting the use of bedside ultrasound as an adjunct diagnostic tool in differentiating cellulitis from necrotising fasciitis in patients with a limb infection...
August 2014: Emergency Medicine Journal: EMJ
Romolo J Gaspari, David Blehar, David Polan, Anthony Montoya, Amal Alsulaibikh, Andrew Liteplo
OBJECTIVES: Treatment failure rates for incision and drainage (I&D) of skin abscesses have increased in recent years and may be attributable to an increased prevalence of community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA). Previous authors have described sonographic features of abscesses, such as the presence of interstitial fluid, characteristics of abscess debris, and depth of abscess cavity. It is possible that the sonographic features are associated with MRSA and can be used to predict the presence of MRSA...
May 2014: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Alexander C Lee, Hamid Shokoohi, Kyla Newman
No abstract text is available yet for this article.
July 2014: JAAPA: Official Journal of the American Academy of Physician Assistants
Jennifer R Marin, Anthony J Dean, Warren B Bilker, Nova L Panebianco, Naomi J Brown, Elizabeth R Alpern
OBJECTIVES: The objective was to evaluate the test characteristics of clinical examination (CE) with the addition of bedside emergency ultrasound (CE+EUS) compared to CE alone in determining skin and soft tissue infections (SSTIs) that require drainage in pediatric patients. METHODS: This was a prospective study of CE+EUS as a diagnostic test for the evaluation of patients 2 months to 19 years of age evaluated for SSTIs in a pediatric emergency department (ED). Two physicians clinically and independently evaluated each lesion, and the reliability of the CE for diagnosing lesions requiring drainage was calculated...
June 2013: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
Katrina Iverson, Demetris Haritos, Ronald Thomas, Nirupama Kannikeswaran
BACKGROUND: Presentation of skin and soft tissue infections (SSTIs) to the pediatric emergency department (PED) has increased. Physical examination alone can be inadequate in differentiating cellulitis from an abscess. The purposes of this study were to determine the effect of bedside ultrasound (US) in improving diagnostic accuracy for SSTIs in the PED and to evaluate its effect on the management of patients with SSTIs. METHODS: We conducted a prospective study of a convenience sample of children who presented to an inner-city PED with signs and symptoms of SSTI...
October 2012: American Journal of Emergency Medicine
Adam B Sivitz, Samuel H F Lam, Daniela Ramirez-Schrempp, Jonathan H Valente, Arun D Nagdev
BACKGROUND: Superficial soft-tissue infections (SSTI) are frequently managed in the emergency department (ED). Soft-tissue bedside ultrasound (BUS) for SSTI has not been specifically studied in the pediatric ED setting. OBJECTIVE: To evaluate the effect of a soft-tissue BUS evaluation on the clinical diagnosis and management of pediatric superficial soft-tissue infection. METHODS: We conducted a prospective observational study in two urban academic pediatric EDs...
November 2010: Journal of Emergency Medicine
Daniela Ramirez-Schrempp, David H Dorfman, William E Baker, Andrew S Liteplo
Soft tissue infections frequently prompt visits to the pediatric emergency department. The incidence of these infections has increased markedly in recent years. The emergence of community-acquired methicillin-resistant Staphylococcus aureus is associated with an increasing morbidity, mortality, and frequency of abscess formation. Bedside ultrasound may have a significant impact in the management of patients that present to the pediatric emergency department with soft tissue infections, including cellulitis, cutaneous abscess, peritonsillar abscess, and necrotizing fasciitis...
January 2009: Pediatric Emergency Care
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