scholarly journals Ten Good Reasons to Practice Neuroultrasound in Critical Care Setting

2022 ◽  
Vol 12 ◽  
Author(s):  
Carla Bittencourt Rynkowski ◽  
Juliana Caldas
Keyword(s):  
Critical Care ◽  
Care Setting ◽  
Imaging Modality ◽  
Low Cost ◽  
Radiation Risk ◽  
Brain Structures ◽  
Image Resolution ◽  
Ease Of Use ◽  
Care Staff ◽  
Real Problem

In the beginning, cerebral ultrasound (US) was not considered feasible because the intact skull was a seemingly impenetrable obstacle. For this reason, obtaining a clear image resolution had been a challenge since the first use of neuroultrasound (NUS) for the assessment of small deep brain structures. However, the improvements in transducer technologies and advances in signal processing have refined the image resolution, and the role of NUS has evolved as an imaging modality for the brain parenchyma within multiple pathologies. This article summarizes ten crucial applications of cerebral ultrasonography for the evaluation and management of neurocritical patients, whose transfer from and to intensive care units poses a real problem to medical care staff. This also encompasses ease of use, low cost, wide acceptance by patients, no radiation risk, and relative independence from movement artifacts. Bedsides, availability and reliability raised the interest of critical care intensivists in using it with increasing frequency. In this mini-review, the usefulness and the advantages of US in the neurocritical care setting are discussed regarding ten aspects to encourage the intensivist physician to practice this important tool.

My Patient is Short of Breath: Have They Got a Pneumothorax?

Ultrasound ◽  
2011 ◽  
Vol 19 (4) ◽  
pp. 230-235 ◽  
Author(s):  
David Lewis
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Diagnostic Test ◽  
Chest Radiograph ◽  
Chest Radiography ◽  
Care Setting ◽  
Imaging Modality ◽  
Point Of Care ◽  
First Line ◽  
Resuscitation Room

Clinical diagnosis of pneumothorax in the emergency department (ED) resuscitation room can be difficult and in certain circumstances chest radiography is either impractical or the delay is unacceptable. The diagnosis must also be considered in other clinical areas such as critical care, theatres, respiratory units and acute medical units. Erect chest radiography is the standard first-line diagnostic test for pneumothorax in the ED, but the sensitivity is low (59–81%). For many patients in ED, critical care and theatre, an erect chest radiograph is not possible as the patient must remain supine. The sensitivity for a supine chest radiograph has been reported as being 45–75%. Ultrasound has been shown to be more sensitive than chest radiography in the diagnosis of pneumothorax in certain settings. This paper outlines the evidence for ultrasound in the diagnosis of pneumothorax in the point of care setting; it describes the technique and discusses the clinical application of this imaging modality.

scholarly journals Ocular Complications in the Prone Position in the Critical Care Setting: The COVID-19 Pandemic

2020 ◽  
pp. 088506662095903 ◽  
Author(s):  
Priyanka Sanghi ◽  
Mohsan Malik ◽  
Ibtesham T. Hossain ◽  
Bita Manzouri
Keyword(s):  
Critical Care ◽  
Care Setting ◽  
Acute Angle ◽  
Critical Care Setting ◽  
Care Staff ◽  
Angle Closure ◽  
Organ Support ◽  
Ischemic Optic Neuropathy ◽  
Prone Positioning ◽  
Ocular Complications

Purpose: Ocular complications are common in the critical care setting but are frequently missed due to the focus on life-saving organ support. The SARS-CoV-2 (COVID-19) pandemic has led to a surge in critical care capacity and prone positioning practices which may increase the risk of ocular complications. This article aims to review all ocular complications associated with prone positioning, with a focus on challenges posed by COVID-19. Materials and Methods: A literature review using keywords of “intensive care”, “critical care”, “eye care”, “ocular disorders”, “ophthalmic complications,” “coronavirus”, “COVID-19,” “prone” and “proning” was performed using the electronic databases of PUBMED, EMBASE and CINAHL. Results: The effects of prone positioning on improving respiratory outcomes in critically unwell patients are well established; however, there is a lack of literature regarding the effects of prone positioning on ocular complications in the critical care setting. Sight-threatening ophthalmic disorders potentiated by proning include ocular surface disease, acute angle closure, ischemic optic neuropathy, orbital compartment syndrome and vascular occlusions. Conclusions: COVID-19 patients may be more susceptible to ocular complications with increased proning practices and increasing demand on critical care staff. This review outlines these ocular complications with a focus on preventative and treatment measures to avoid devastating visual outcomes for the patient.

Low-Cost Hardware Implementation of Human Blood Identification Device Using Feed-Forward Artificial Neural Network on FPGA

2018 ◽  
Author(s):  
Rizki Eka Putri ◽  
Denny Darlis
Keyword(s):  
Neural Network ◽  
Artificial Neural Network ◽  
Low Cost ◽  
Image Resolution ◽  
Blood Type ◽  
Feed Forward ◽  
Testing Facility ◽  
System Input ◽  
Artificial Neural ◽  
Short Time

This article was under review for ICELTICS 2018 -- In the medical world there is still service dissatisfaction caused by lack of blood type testing facility. If the number of tested blood arise, a lot of problems will occur so that electronic devices are needed to determine the blood type accurately and in short time. In this research we implemented an Artificial Neural Network on Xilinx Spartan 3S1000 Field Programable Gate Array using XSA-3S Board to identify the blood type. This research uses blood sample image as system input. VHSIC Hardware Discription Language is the language to describe the algorithm. The algorithm used is feed-forward propagation of backpropagation neural network. There are 3 layers used in design, they are input, hidden1, and output. At hidden1layer has two neurons. In this study the accuracy of detection obtained are 92%, 92%, 92%, 90% and 86% for 32x32, 48x48, 64x64, 80x80, and 96x96 pixel blood image resolution, respectively.

scholarly journals Imaging in Propeller Flap Surgery

2020 ◽  
Vol 34 (03) ◽  
pp. 145-151
Author(s):  
Shimpei Ono ◽  
Hiroyuki Ohi ◽  
Rei Ogawa
Keyword(s):  
Low Cost ◽  
Three Dimensional ◽  
Duplex Sonography ◽  
Computed Tomographic Angiography ◽  
Ease Of Use ◽  
Computed Tomographic ◽  
Imaging Tool ◽  
Preoperative Mapping ◽  
Flap Design ◽  
Tomographic Angiography

AbstractSince propeller flaps are elevated as island flaps and most often nourished by a single perforator nearby the defect, it is challenging to change the flap design intraoperatively when a reliable perforator cannot be found where expected to exist. Thus, accurate preoperative mapping of perforators is essential in the safe planning of propeller flaps. Various methods have been reported so far: (1) handheld acoustic Doppler sonography (ADS), (2) color duplex sonography (CDS), (3) perforator computed tomographic angiography (P-CTA), and (4) magnetic resonance angiography (MRA). To facilitate the preoperative perforator assessment, P-CTA is currently considered as the gold standard imaging tool in revealing the three-dimensional anatomical details of perforators precisely. Nevertheless, ADS remains the most widely used tool due to its low cost, faster learning, and ease of use despite an undesirable number of false-positive results. CDS can provide hemodynamic characteristics of the perforator and is a valid and safer alternative particularly in patients in whom ionizing radiation and/or contrast exposure should be limited. Although MRA is less accurate in detecting smaller perforators of caliber less than 1.0 mm and the intramuscular course of perforators at the present time, MRA is expected to improve in the future due to the recent developments in technology, making it as accurate as P-CTA. Moreover, it provides the advantage of being radiation-free with fewer contrast reactions.

scholarly journals Liquid marble based digital microfluidics – fundamentals and applications

Lab on a Chip ◽  
2021 ◽  
Author(s):  
Chin Hong Ooi ◽  
Raja Vadivelu ◽  
Jing Jin ◽  
Sreejith Kamalalayam Rajan ◽  
Pradip Singha ◽  
...  
Keyword(s):  
Low Cost ◽  
Digital Microfluidics ◽  
Ease Of Use ◽  
Liquid Marbles ◽  
Liquid Marble

Liquid marbles are droplets with volume typically on the order of microliters coated with hydrophobic powder. The versatility, ease of use and low cost make liquid marbles an attractive platform...

scholarly journals Molecularly Imprinted Polymers Combined with Electrochemical Sensors for Food Contaminants Analysis

Molecules ◽  
2021 ◽  
Vol 26 (15) ◽  
pp. 4607
Author(s):  
Dounia Elfadil ◽  
Abderrahman Lamaoui ◽  
Flavio Della Pelle ◽  
Aziz Amine ◽  
Dario Compagnone
Keyword(s):  
Food Safety ◽  
Molecularly Imprinted Polymers ◽  
Electrochemical Sensors ◽  
Low Cost ◽  
Electrochemical Analysis ◽  
Ease Of Use ◽  
Electrochemical Sensing ◽  
Food Contaminants ◽  
Molecularly Imprinted ◽  
Imprinted Polymers

Detection of relevant contaminants using screening approaches is a key issue to ensure food safety and respect for the regulatory limits established. Electrochemical sensors present several advantages such as rapidity; ease of use; possibility of on-site analysis and low cost. The lack of selectivity for electrochemical sensors working in complex samples as food may be overcome by coupling them with molecularly imprinted polymers (MIPs). MIPs are synthetic materials that mimic biological receptors and are produced by the polymerization of functional monomers in presence of a target analyte. This paper critically reviews and discusses the recent progress in MIP-based electrochemical sensors for food safety. A brief introduction on MIPs and electrochemical sensors is given; followed by a discussion of the recent achievements for various MIPs-based electrochemical sensors for food contaminants analysis. Both electropolymerization and chemical synthesis of MIP-based electrochemical sensing are discussed as well as the relevant applications of MIPs used in sample preparation and then coupled to electrochemical analysis. Future perspectives and challenges have been eventually given.

Sign in / Sign up

Export Citation Format

Share Document