scholarly journals 1185: ENDOTRACHEAL TUBE SURVEILLANCE: CAN POINT-OF-CARE ULTRASOUND REPLACE CHEST RADIOGRAPHS?

2021 ◽  
Vol 50 (1) ◽  
pp. 591-591
Author(s):  
Mary Heekin ◽  
Brandon Chaffay ◽  
Philip Dela Cruz ◽  
David Yamane ◽  
Mark Munoz
2021 ◽  
Vol 8 (3) ◽  
pp. 124-131
Author(s):  
Dr. Abhijit Shinde ◽  
Dr. Sushrut Kumar ◽  
Dr. Sneha Mhaske

An ever expanding branch of applications have been developed for ultrasound, including its goal directed use at the bedside, often called point-of-care ultrasound (POCUS). ).  Although neonatologist-performed functional echocardiography has been at the frontline of the worldwide growth of POCUS, a rapidly growing body of evidence has also demonstrated the importance of non-cardiac applications, including guidance of placement of central catheterisation and lumbar puncture, endotracheal tube localisation as well as rapid estimation of the brain, lungs, bladder and bowel.  Ultrasonography has become a pivotal adjunct to the care of neonates in the neonatal intensive care unit (NICU); but a full appreciation for its diagnostic capabilities in the NICU is lacking.(2) Ultrasonography (USG) is no longer the exclusive domain of radiologists and cardiologists. With appropriate training, clinician performed ultrasound (CPU) is now practised widely in obstetrics, emergency medicine and adult intensive care .In many developed countries,it is standard practice in neonatology. (3) In this review, we will discuss neonatal & pediatric point of care ultrasound (POCUS) as a novel standard practice & its clinical application for assessment of the head, heart, lung, gut, bladder, for vascular line localization & for endotracheal tube placement. As new applications and adoption of point-of-care ultrasound continues to gain acceptance in paediatric and neonatal medicine throughout the world, a rapidly growing body of evidence suggests that the result will be faster, safer and more successful diagnosis and treatment of our  patients.


2020 ◽  
Vol 39 (6) ◽  
pp. 448-453
Author(s):  
Taichi Itoh ◽  
Stephen Gorga ◽  
Andrew Hashikawa ◽  
James Cranford ◽  
Jeffrey Thomas ◽  
...  

2020 ◽  
Vol 19 (3) ◽  
pp. 162-167
Author(s):  
Daniel Owen Mort ◽  
◽  
Dipraj Limbu ◽  
Joseph Nunan ◽  
Andrew P. Walden ◽  
...  

COVID-19 pneumonia produces a heterogeneous array of clinical, biochemical, and radiological findings. Over the last few months of global hurry to optimize a testing strategy, it has been suggested that bedside point-of-care lung ultrasound may have a diagnostic role. We present 3 patients with RT-PCR nasopharyngeal swab-confirmed COVID-19 pneumonia, who had an admission plain chest film reported to be normal by a consultant radiologist, but with significant sonographic abnormalities on bedside ultrasound performed within 24 hours of the chest radiograph. Lung ultrasound may better correlate with the oxygen requirement and overall condition of the patient than chest radiographs – a pertinent consideration given the imminent advance of the pandemic into resource-poor zones where timely access to roentgenological imaging may be sparse.


2019 ◽  
Vol 56 (5) ◽  
pp. 374-380 ◽  
Author(s):  
Poonam Singh ◽  
Anup Thakur ◽  
Pankaj Garg ◽  
Neeraj Aggarwal ◽  
Neelam Kler

2020 ◽  
Vol 35 (6) ◽  
pp. 629-631
Author(s):  
Michael Joyce ◽  
Jordan Tozer ◽  
Michael Vitto ◽  
David Evans

AbstractIntroduction:The Advanced Cardiac Life Support (ACLS) guidelines were recently updated to include ultrasound confirmation of endotracheal tube (ETT) location as an adjunctive tool to verify placement. While this method is employed in the emergency department under the guidance of the most recent American College of Emergency Physicians (ACEP; Irving, Texas USA) guidelines, it has yet to gain wide acceptance in the prehospital setting where it has the potential for greater impact. The objective of this study to is determine if training critical care medics using simulation was a feasible and reliable method to learn this skill.Methods:Twenty critical care paramedics with no previous experience with point-of-care ultrasound volunteered for advanced training in prehospital ultrasound. Four ultrasound fellowship trained emergency physicians proctored two three-hour training sessions. Each session included a brief introduction to ultrasound “knobology,” normal sonographic neck and lung anatomy, and how to identify ETT placement within the trachea or esophagus. Immediately following this, the paramedics were tested with five simulated case scenarios using pre-obtained images that demonstrated a correctly placed ETT, an esophageal intubation, a bronchial intubation, and an improperly functioning ETT. Their accuracy, length of time to respond, and comfort with using ultrasound were all assessed.Results:All 20 critical care medics completed the training and testing session. During the five scenarios, 37/40 (92.5%) identified the correct endotracheal placements, 18/20 (90.0%) identified the esophageal intubations, 18/20 (90.0%) identified the bronchial intubation, and 20/20 (100.0%) identified the ETT malfunctions correctly. The average time to diagnosis was 10.6 seconds for proper placement, 15.5 seconds for esophageal, 15.6 seconds for bronchial intubation, and 11.8 seconds for ETT malfunction.Conclusions:The use of ultrasound to confirm ETT placement can be effectively taught to critical care medics using a short, simulation-based training session. Further studies on implementation into patient care scenarios are needed.


2020 ◽  
Vol 21 (7) ◽  
pp. e393-e398 ◽  
Author(s):  
Atim Uya ◽  
Nischal K. Gautam ◽  
Muhammad B. Rafique ◽  
Olga Pawelek ◽  
Syamasundar R. Patnana ◽  
...  

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