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SonoKids ECHO-VASC fluid-resp

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9 papers 0 to 25 followers
Daniel Mantuani, Bradley W Frazee, Jahan Fahimi, Arun Nagdev
INTRODUCTION: Determining the etiology of acute dyspnea in emregency department (ED) patients is often difficult. Point-of-care ultrasound (POCUS) holds promise for improving immediate diagnostic accuracy (after history and physical), thus improving use of focused therapies. We evaluate the impact of a three-part POCUS exam, or "triple scan" (TS) - composed of abbreviated echocardiography, lung ultrasound and inferior vena cava (IVC) collapsibility assessment - on the treating physician's immediate diagnostic impression...
January 2016: Western Journal of Emergency Medicine
Zachary Bauman, Victor Coba, Marika Gassner, David Amponsah, John Gallien, Dionne Blyden, Keith Killu
PURPOSE: Point-of-care ultrasound evaluates inferior vena cava (IVC) and internal jugular vein (IJV) measurements to estimate intravascular volume status. The reliability of the IVC and IJV collapsibility index during increased thoracic or intra-abdominal pressure remains unclear. METHODS: Three phases of sonographic scanning were performed: spontaneous breathing phase, increased thoracic pressure phase via positive pressure ventilation (PPV) phase, and increased intra-abdominal pressure (IAP) phase via laparoscopic insufflation to 15 mmHg...
December 2015: Journal of Ultrasound
Christopher W C Lee, Pierre D Kory, Robert T Arntfield
Appropriate fluid resuscitation has been a major focus of critical care medicine since its inception. Currently, the most accurate method to guide fluid administration decisions uses "dynamic" measures that estimate the change in cardiac output that would occur in response to a fluid bolus. Unfortunately, their use remains limited due to required technical expertise, costly equipment, or applicability in only a subset of patients. Alternatively, point-of-care ultrasound (POCUS) has become widely used as a tool to help clinicians prescribe fluid therapy...
February 2016: Journal of Critical Care
Deidre L Wyrick, Samuel D Smith, Jeffrey M Burford, Christopher J Swearingen, Melvin S Dassinger
PURPOSE: Rapid assessment of volume status in children is often difficult. The purpose of this study was to evaluate the feasibility of surgeon-performed ultrasound to assess volume status in patients with hypertrophic pyloric stenosis. METHODS: Ultrasounds were performed on admission and before operation. The diameters of the inferior vena cava (IVC) and aorta (Ao) were measured and IVC/Ao ratios were calculated. Electrolytes were measured on admission and repeated if warranted...
December 2015: Pediatric Surgery International
Hooman Hossein-Nejad, Payam Mohammadinejad, Mahboob Lessan-Pezeshki, Seyedhossein Seyedhosseini Davarani, Mohsen Banaie
PURPOSE: The purpose of this study is to investigate the possible correlation between corrected flow time (FTc) in carotid artery and changes in volume status. MATERIALS AND METHODS: Ninety-three patients with end-stage renal failure who underwent fluid removal via hemodialysis were enrolled prospectively. The volume of fluid removed as well as prehemodialysis and posthemodialysis measures of FTc in the carotid artery, heart rate, and mean arterial pressure was evaluated...
December 2015: Journal of Critical Care
Lori A Stolz, Jarrod M Mosier, Austin M Gross, Matthew J Douglas, Michael Blaivas, Srikar Adhikari
INTRODUCTION: Common carotid flow measurements may be clinically useful to determine volume responsiveness. The objective of this study was to assess the ability of emergency physicians (EP) to obtain sonographic images and measurements of the common carotid artery velocity time integral (VTi) for potential use in assessing volume responsiveness in the clinical setting. METHODS: In this prospective observational study, we showed a five-minute instructional video demonstrating a technique to obtain common carotid ultrasound images and measure the common carotid VTi to emergency medicine (EM) residents...
March 2015: Western Journal of Emergency Medicine
Feyzullah Besli, Mesut Kecebas, Serhat Caliskan, Seckin Dereli, Ibrahim Baran, Yasin Turker
INTRODUCTION: Both inferior vena cava (IVC) diameter and the degree of inspiratory collapse are used in the estimation of right atrial pressure. AIM: The purpose of this study is to evaluate the utility of IVC diameter, using echocardiography as a marker of volume overload and the relationship between these parameters and N-terminal pro-B natriuretic peptide (NT-proBNP) in patients with systolic heart failure (HF). METHODS: We included 136 consecutive patients with systolic HF (left ventricular ejection fraction, <50%), including 80 patients with acutely decompensated HF and 56 patients with compensated HF as well as 50 subjects without a diagnosis of HF...
May 2015: American Journal of Emergency Medicine
Joshua Jauregui, Daniel Nelson, Esther Choo, Branden Stearns, Adam C Levine, Otto Liebmann, Sachita P Shah
BACKGROUND: Prior research suggests that the ratio of the ultrasound-measured diameter of the inferior vena cava to the aorta correlates with the level of dehydration in children. This study was designed to externally validate this and to access the accuracy of the ultrasound measured inspiratory IVC collapse and physician gestalt to predict significant dehydration in children in the emergency department. METHODS: We prospectively enrolled a non-consecutive cohort of children ≤18 years old...
2014: Critical Ultrasound Journal
J Kevin Bailey, John McCall, Suzanne Smith, Richard J Kagan
The purpose of this pilot study was to identify the relationship between the ratio of the diameter/cross-sectional area of the internal jugular vein (IJV) and carotid artery and the central venous pressure (CVP). After obtaining approval from our Institutional Review Board, ultrasound images were repeatedly obtained from participants on consecutive days when a thoracic central line was in place. The CVP was then measured in standardized fashion, using our bedside monitors. A blinded observer measured the diameter of the common carotid artery and IJV, for comparison...
January 2012: Journal of Burn Care & Research: Official Publication of the American Burn Association
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