scholarly journals Point-of-Care Ultrasound in Respiratory Failure

CHEST Journal ◽  
2020 ◽  
Vol 157 (3) ◽  
pp. 740
Author(s):  
Nicholas Smallwood ◽  
Jennie Stephens ◽  
Martin Dachsel ◽  
Ashley Miller ◽  
Andrew Walden
Keyword(s):  
Respiratory Failure ◽  
Point Of Care ◽  
Point Of Care Ultrasound

scholarly journals Clinical Progress Note: Point-of-Care Ultrasound Applications in COVID-19

2020 ◽  
Vol 15 (6) ◽  
pp. 353-355 ◽  
Author(s):  
Benji K Mathews ◽  
Seth Koenig ◽  
Linda Kurian ◽  
Benjamin Galen ◽  
Gregory Mints ◽  
...  
Keyword(s):  
Septic Shock ◽  
Respiratory Failure ◽  
Critical Illness ◽  
Literature Search ◽  
Point Of Care ◽  
Severe Illness ◽  
Point Of Care Ultrasound ◽  
The Novel ◽  
Novel Coronavirus ◽  
Ultrasound Applications

COVID-19, the disease caused by the novel coronavirus SARS-CoV-2, was declared a pandemic on March 11, 2020. Although most patients (81%) develop mild illness, 14% develop severe illness, and 5% develop critical illness, including acute respiratory failure, septic shock, and multiorgan dysfunction.1 Point-of-care ultrasound (POCUS), or bedside ultrasound performed by a clinician caring for the patient, is being used to support the diagnosis and serially monitor patients with COVID-19. We performed a literature search of electronically discoverable peer-reviewed publications on POCUS use in COVID-19 from December 1, 2019, to April 10, 2020. We review key POCUS applications that are most relevant to frontline providers in the care of COVID-19 patients.

Fifteen-minute consultation: Using point of care ultrasound to assess children with respiratory failure

2018 ◽  
Vol 104 (1) ◽  
pp. 2-10 ◽  
Author(s):  
Helen L Ord ◽  
Michael J Griksaitis
Keyword(s):  
Emergency Medicine ◽  
Critical Care ◽  
Respiratory Failure ◽  
Respiratory Distress ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Diagnostic Features ◽  
Paediatric Practice ◽  
The Impact ◽  
Indications For Use

Point of care ultrasound (POCUS) is well established in adult emergency medicine and critical care. It is used for immediate diagnosis and evaluation of the impact of bedside interventions in the acutely unwell child. This article highlights how ultrasound can be helpful in paediatric practice when dealing with the neonate, infant or older child with undifferentiated respiratory distress, respiratory failure or ventilation problems. It highlights indications for use, key diagnostic features of common pathology and outlines the benefits of POCUS in everyday practice.

Point-of-care ultrasound (POCUS) as the keystone investigation in undifferentiated dyspnoea

2020 ◽  
Vol 13 (6) ◽  
pp. e234602
Author(s):  
Sara Montemerani ◽  
Valeria Donati ◽  
Nicola Di Pietra ◽  
Giovanni Iannelli
Keyword(s):  
Respiratory Failure ◽  
Point Of Care ◽  
High Rate ◽  
Chronic Obstructive ◽  
Subjective Perception ◽  
Point Of Care Ultrasound ◽  
Obstructive Pulmonary Disease ◽  
Require Time ◽  
Non Invasive ◽  
Common Causes

Dyspnoea is defined as a subjective perception of laboured breathing. It is a common cause of access to the emergency department (ED), it has a high rate of intensive care unit admission and a high mortality. The most common causes of dyspnoea in the adult include pneumonia, heart failure, chronic obstructive pulmonary disease, pulmonary embolism and asthma. Due to the high variety of dyspnoea’s causes, the need for a rapid and accurate diagnosis puts the emergency physician in trouble. Moreover, standard tests such as chest radiography, B-type natriuretic peptide and d-dimer require time and may be less useful in patients with respiratory failure who require urgent therapy. Point-of-care ultrasound (POCUS) is rapid, non-invasive, repeatable and a useful tool in evaluating patients with acute and severe dyspnoea. This case report demonstrates the usefulness of POCUS in a patient with undifferentiated respiratory failure presenting to the ED.

1185: USE OF POINT-OF-CARE ULTRASOUND TO DIAGNOSE THE ETIOLOGY OF ACUTE RESPIRATORY FAILURE IN THE PICU

2020 ◽  
Vol 48 (1) ◽  
pp. 570-570
Author(s):  
Ryan DeSanti ◽  
Awni Al-Subu ◽  
Eileen Cowan ◽  
Michael Lasarev ◽  
Pierre Kory
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Point Of Care ◽  
Point Of Care Ultrasound

scholarly journals Point-of-care ultrasound of the heart and lungs in patients with respiratory failure: a pragmatic randomized controlled multicenter trial

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
M. Riishede ◽  
A. T. Lassen ◽  
G. Baatrup ◽  
P. I. Pietersen ◽  
N. Jacobsen ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Clinical Examination ◽  
Point Of Care ◽  
Intervention Group ◽  
Multicenter Trial ◽  
Point Of Care Ultrasound ◽  
Emergency Physicians ◽  
Link Type ◽  
Appropriate Treatment ◽  
Superiority Trial

Abstract Background Point-of-care ultrasound is a focus oriented tool for differentiating among cardiopulmonary diseases. Its value in the hands of emergency physicians, with various ultrasound experience, remains uncertain. We tested the hypothesis that, in emergency department patients with signs of respiratory failure, a point-of-care cardiopulmonary ultrasound along with standard clinical examination, performed by emergency physicians with various ultrasound experience would increase the proportion of patients with presumptive diagnoses in agreement with final diagnoses at four hours after admission compared to standard clinical examination alone. Methods In this prospective multicenter superiority trial in Danish emergency departments we randomly assigned patients presenting with acute signs of respiratory failure to intervention or control in a 1:1 ratio by block randomization. Patients received point-of-care cardiopulmonary ultrasound examination within four hours from admission. Ultrasound results were unblinded for the treating emergency physician in the intervention group. Final diagnoses and treatment were determined by blinded review of the medical record after the patients´ discharge. Results From October 9, 2015 to April 5, 2017, we randomized 218 patients and included 211 in the final analyses. At four hours we found; no change in the proportion of patients with presumptive diagnoses in agreement with final diagnoses; intervention 79·25% (95% CI 70·3–86·0), control 77·1% (95% CI 68·0–84·3), an increased proportion of appropriate treatment prescribed; intervention 79·3% (95% CI 70·3–86·0), control 65·7% (95% CI 56·0–74·3) and of patients who spent less than 1 day in hospital; intervention n = 42 (39·6%, 25·8 38·4), control n = 25 (23·8%, 16·5–33·0). No adverse events were reported. Conclusions Focused cardiopulmonary ultrasound added to standard clinical examination in patients with signs of respiratory failure had no impact on the diagnostic accuracy, but significantly increased the proportion of appropriate treatment prescribed and the proportion of patients who spent less than 1 day in hospital. Trial registration https://clinicaltrials.gov/, number NCT 02550184.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

Sign in / Sign up

Export Citation Format

Share Document