scholarly journals Clinical applications of point‐of‐care ultrasound in brain injury: a narrative review

Anaesthesia ◽  
2022 ◽  
Vol 77 (S1) ◽  
pp. 69-77
Author(s):  
M. Dinsmore ◽  
L. Venkatraghavan
Author(s):  
Saima Rashid ◽  
Muhammad Faisal Khan ◽  
Rajkumar Rajendram

Ultrasound (US) was introduced in the 1950s and since then its use has increased exponentially. This has been facilitated by significant improvement in the probe technology, increasing access to portable machines and better understanding of lung, heart, abdominal and vascular US. Use of critical care US (CCUS) is now extremely common. It is important for frontline physicians who must make appropriate and timely decisions within seconds. It is safe, convenient and readily available in many centers. The concept of point of care ultrasound (POCUS) differs from US screening by a radiologist or sonographer. It is, rapid focused and goal-orientated. Despite its major limitation, e.g. operator dependence, bedside CCUS can be used for an ever-increasing range of indications. This narrative review will describe the potential role of CCUS as the replacement for the stethoscope in the 21st century and the limitations which must be overcome to achieve this. Received: 3 Nov 2018Reviewed & Accepted: 10 Nov 2018 Citation: Rashid S, Khan MF, Rajendram R. Ultrasound in critical care. Anaesth Pain & Intensive Care 2018;22 Suppl 1:S160-S163


2020 ◽  
Vol 8 (17) ◽  
pp. 1094-1094
Author(s):  
Darshan Gandhi ◽  
Nitin Jain ◽  
Kanika Khanna ◽  
Shuo Li ◽  
Love Patel ◽  
...  

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Philippe Rola ◽  
Francisco Miralles-Aguiar ◽  
Eduardo Argaiz ◽  
William Beaubien-Souligny ◽  
Korbin Haycock ◽  
...  

AbstractThe importance of functional right ventricular failure and resultant splanchnic venous congestion has long been under-appreciated and is difficult to assess by traditional physical examination and standard diagnostic imaging. The recent development of the venous excess ultrasound score (VExUS) and growth of point-of-care ultrasound in the last decade has made for a potentially very useful clinical tool. We review the rationale for its use in several pathologies and illustrate with several clinical cases where VExUS was pivotal in clinical management.


Author(s):  
Nils Petter Oveland ◽  
Jim Connolly

Over the last two decades, ultrasound has evolved from a modality reserved to certain medical specialties into its current state, with a diversity in both the operator background and clinical applications. This has, in large part, been due to the increasing portability and image quality of ultrasound machines, combined with decreased cost of systems, as well as the fact that physicians from different specialties can become very adept at using ultrasound for diagnostic and procedural applications relevant to their medical field. These characteristics add the aspect for operators to make bedside diagnostic and therapeutic decisions in real time, without having to take the patients out of their environment. Point-of-care ultrasound is therefore a particularly attractive modality in pre-hospital settings as an extension of the comprehensive Airway, Breathing, Circulation, Disability, and Exposure/Extremities (ABCDE) resuscitation.


2021 ◽  

Point of care ultrasound is a critical tool required for assessing all patients, providing rapid answers to clinical questions and facilitating high quality care for patients. This essential guide caters for all generalist clinicians beginning their ultrasound journey and extends to more advanced assessments for those with established ultrasound experience wishing to advance their knowledge and skills. It covers a wide range of ultrasound topics from echocardiography, thoracic and COVID-19 to emerging areas such as palliative care, hospital at home and remote and austere medicine. An extensive collection of colour images, videos and examples of clinical applications will inspire readers to acquire the skills of point of care ultrasound quickly, safely and systematically. The printed code on the inside of the cover provides access to an online version on Cambridge Core. An essential aid for acute clinicians, paramedics, general practitioners as well as remote medical providers, medical educators and students.


2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Diana Ávila-Reyes ◽  
Andrés O. Acevedo-Cardona ◽  
José F. Gómez-González ◽  
David R. Echeverry-Piedrahita ◽  
Mateo Aguirre-Flórez ◽  
...  

AbstractThe POCUS-CA (Point-of-care ultrasound in cardiac arrest) is a diagnostic tool in the Intensive Care Unit and Emergency Department setting. The literature indicates that in the patient in a cardiorespiratory arrest it can provide information of the etiology of the arrest in patients with non-defibrillable rhythms, assess the quality of compressions during cardiopulmonary resuscitation (CPR), and define prognosis of survival according to specific findings and, thus, assist the clinician in decision-making during resuscitation. This narrative review of the literature aims to expose the usefulness of ultrasound in the setting of cardiorespiratory arrest as a tool that allows making a rapid diagnosis and making decisions about reversible causes of this entity. More studies are needed to support the evidence to make ultrasound part of the resuscitation algorithms. Teamwork during cardiopulmonary resuscitation and the inclusion of ultrasound in a multidisciplinary approach is important to achieve a favorable clinical outcome.


POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS

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.


POCUS Journal ◽  
2017 ◽  
Vol 2 (2) ◽  
pp. 15-17
Author(s):  
Rimi Sambi, MD ◽  
Heather Sawula, MD ◽  
Brent Wolfrom, MD ◽  
Joseph Newbigging, MD

As point of care ultrasound (PoCUS) becomes increasingly popular and a standard of care in many clinical settings, the interest for integration in medical undergraduate curriculum is also growing [1]. This project aims to assess whether formal bedside Focused Abdominal Scan for Trauma (FAST) exam training of medical students increases their knowledge and comfort with the use of bedside ultrasound in a family medicine setting at Queen’s University. Third year medical students (n=18) were recruited to participate in a training session involving a 1-hour online video and 2-hour hands-on session. Knowledge based surveys were completed before and after the training. A survey was completed 4 months after the teaching session evaluating knowledge retention, comfort, and application of skills. Student knowledge of PoCUS and FAST increased and was maintained (pre-training 56%±20%, post-training 82%±10%, p<0.001). Self-evaluation of comfort performing a FAST examination (5-point Likert scale) similarly increased post-training session (pre-training 1.4±0.8, post-training 3.8±0.9, p<0.005), but decreased 4 months later (3±1.2, p<0.005). Students in this study were unanimously interested in ultrasound training and the methods used effectively increased theoretical knowledge and comfort with use. Students did not retain their comfort levels with FAST exam 4 months after the training session, nor did they have the opportunity to utilize the skills learned. Further evidence is required to identify the applicability of these results to undergraduate curriculum development.


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