Criteria, Processes and Determination of Competence in Basic Critical Care Echocardiography Training – a Delphi Process Consensus Statement by the Learning Ultrasound in Critical Care (LUCC) Initiative

CHEST Journal ◽  
2021 ◽  
Author(s):  
Arvind Rajamani ◽  
Laura Galarza ◽  
Filippo Sanfilippo ◽  
Adrian Wong ◽  
Alberto Goffi ◽  
...  
2014 ◽  
Vol 42 (10) ◽  
pp. 2169-2177 ◽  
Author(s):  
Kay Choong See ◽  
Venetia Ong ◽  
Jeffrey Ng ◽  
Rou An Tan ◽  
Jason Phua

2021 ◽  
Vol 14 (1) ◽  
pp. 24-28
Author(s):  
Tainá Zuchi ◽  
◽  
Claudia Lopatini ◽  
Joice Faria

Mammary gland tumors are one of the most commonly diagnosed tumors in female dogs, with a reported prevalence ranging from 26 to 73% in Brazil. In recognition of the importance of these tumors veterinary researchers and clinicians in Brazil produced the first consensus statement regarding canine mammary tumors in 2010. The intention was to establish criteria for diagnosis, prognosis, and treatment. This study evaluated the methods of prevention, diagnosis, treatment, and determination of prognosis used by veterinarians in Brazil, and sought to quantify the number of veterinarians who were aware of the consensus statement. One hundred and three veterinary clinics participated in the study, 87.37% of which recommend early neutering as a preventative treatment for mammary tumors. For diagnosis, 100% of these use laboratory testing, 94.17% perform chest radiography, 78.64% incisional biopsies, 44.66% cytological analysis, and 13.59% immunohistochemical analysis. The most common surgical procedure is unilateral mastectomy (72.81%), and chemotherapy is performed in 49.51% of the clinics. Of the 103 clinics, 66.01% were aware of the consensus. Although knowledge of the consensus statement is widespread among veterinarians in Brazil, not all its recommendations are being followed. Preventive actions for canine mammary tumors are well established in most parts of the country. However, the consensus statement has had little influence on informing prognostic and therapeutic approaches, with a poor uptake of surgical removal of lymph nodes and immunohistochemical examination.


2021 ◽  
Vol 28 (3) ◽  
pp. 244-251
Author(s):  
Oscar J.L. Mitchell ◽  
Felipe Teran ◽  
Sharad Patel ◽  
Cameron Baston

Author(s):  
Gulrukh Zaidi ◽  
Paul H. Mayo

Echocardiography is the most clinically practical method of visualizing cardiac structures and directly observing changes of cardiac function during the respiratory cycle. This chapter will review heart–lung interactions and will focus on the effects of intrathoracic pressure variation on cardiac function that can be measured with advanced critical care echocardiography. These measurements are derived from observing respirophasic variation of stroke volume (SV) and help the intensivist to guide management of haemodynamic failure. The heart–lung interactions that occur with changes in intrathoracic pressure variation have utility in identification of preload sensitivity and adverse patient ventilator interaction. Measurement of the systolic velocity envelope with pulsed-wave Doppler is a requisite skill in order to identify SV variation, as is the recognition that the measurements may be difficult with transthoracic echocardiography.


2020 ◽  
pp. 387-416

This chapter covers the role of echocardiography in acute and critical care. This includes ‘front door’ echocardiography, the safeguarding of patient care, cardiopulmonary resuscitation, and acute diagnostics. The chapter then examines the circulating volume, fluid responsiveness, advanced haemodynamics, and special circumstances in the critically ill patient.


Sign in / Sign up

Export Citation Format

Share Document