scholarly journals The Utility of Maternal Point of Care Ultrasound on Labor and Delivery Wards

2022 ◽  
Vol 9 (1) ◽  
pp. 29
Author(s):  
Mohammed Algodi ◽  
Diana S. Wolfe ◽  
Cynthia C. Taub
Keyword(s):  
Critically Ill ◽  
Point Of Care ◽  
Bedside Ultrasound ◽  
Point Of Care Ultrasound ◽  
Labor And Delivery ◽  
Point Of Care Ultrasonography

Point-of-care ultrasonography (POCUS) refers to limited bedside ultrasound used to evaluate patients for conditions specific to the scope of their practice. Given the benefits of its application, interest in its use is increasing. We aimed to review the literature and assess the potential feasibility of using POCUS of the heart and lungs in the field of obstetrics. We aim to describe its relevance and value as an adjunctive tool for critically ill obstetric patients on labor and delivery wards.

512 Bedside Transthoracic echography volume Assessment in the BICU

2021 ◽  
Vol 42 (Supplement_1) ◽  
pp. S103-S103
Author(s):  
Michael G Chambers ◽  
Britton Garrett ◽  
Leopoldo C Cancio
Keyword(s):  
Point Of Care ◽  
Injured Patient ◽  
Bedside Ultrasound ◽  
Point Of Care Ultrasound ◽  
Ultrasound Images ◽  
Advanced Practice ◽  
Multidisciplinary Rounds ◽  
Volume Assessment ◽  
Us Findings ◽  
Image Repository

Abstract Introduction Point-of-Care Ultrasound (POCUS) has been shown to be a useful adjunct in assessment of various shock states and utilized to guide resuscitative and post-resuscitation de-escalation efforts. POCUS use for guiding resuscitation in burn injured patient has not be described. Objectives characterize the use of bedside ultrasound examinations performed by advance practice providers and treating physicians in a regional burn intensive care unit Methods Daily beside ultrasound examinations were performed utilizing a bedside ultrasound device by an advanced practice provider prior to rounds POCUS examinations consist of: Ultrasound images were archived to a centralized image repository and reviewed daily during multi-disciplinary rounds. Ultrasonographic volume assessment compared to clinical volume assessment made during daily multidisciplinary rounds. Results 100 examinations were performed of those 32 were within the initial 72 hour window: Conclusions Our results demonstrate that bedside ultrasound aides in guidance of both resuscitative and post-resuscitative efforts. We identified a cohort of patients who appeared hypervolemic clinically but US findings supported hypovolemia, we refer to as pseudohypervolemia US volume assessment provides information that changes management. We believe point of care ultrasound is a viable tool in preventing over-resuscitation as well as to guide post-resuscitative diuresis.

scholarly journals Non-Invasive Intracranial Pressure Evaluation in an Emergency Room – Point-of-Care Ultrasonography

2016 ◽  
Vol 38 (04) ◽  
pp. 279-283
Author(s):  
Daniel Damiani ◽  
Durval Damiani
Keyword(s):  
Intracranial Pressure ◽  
Randomized Trials ◽  
Point Of Care ◽  
Current Data ◽  
Point Of Care Ultrasound ◽  
Medical Specialties ◽  
Non Invasive ◽  
Nerve Sheath ◽  
Invasive Method ◽  
Point Of Care Ultrasonography

AbstractPoint-of-care ultrasound is modifying conducts in emergency care. The various medical specialties, in addition to traditional indications in cases of multiple trauma, are using this technique for rapid diagnosis at the bedside without patient mobilization and without radiation. Point-of-care ultrasound in neurocritical patients, through its transorbital window, can estimate the intracranial pressure by a non-invasive method. Through the measurement of the diameter of the optic nerve sheath 3 mm posterior to the retina, the intracranial pressure is estimated if the value of the diameter is > 5 mm, as it has been verified in other studies. The present article describes the most current data on this topic, and it also highlights the need for more multicentric and randomized trials to determine the correct cut-off points that represent the high sensibility and specificity of the method.

scholarly journals Impact of Point-of-Care Ultrasound in Critically Ill Patients

2019 ◽  
Vol 1 (9) ◽  
pp. e0042
Author(s):  
Richard Amini ◽  
Elaine Hua Situ-LaCasse ◽  
Josie Acuña ◽  
Daniel Theodoro ◽  
Michael Blaivas ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Point Of Care ◽  
Point Of Care Ultrasound

Single-access ultrasound-guided tunneled femoral lines in critically ill pediatric patients

2020 ◽  
Vol 21 (6) ◽  
pp. 1034-1041 ◽  
Author(s):  
Andrew Woerner ◽  
Jesse L Wenger ◽  
Eric J Monroe
Keyword(s):  
Critically Ill ◽  
Pediatric Patients ◽  
Point Of Care ◽  
Pediatric Population ◽  
Central Venous Access ◽  
Venous Access ◽  
Point Of Care Ultrasound ◽  
Ultrasound Guided ◽  
Patient Transport ◽  
Neonates And Infants

Central venous access is an essential aspect of critical care for pediatric patients. In the critically ill pediatric population, image-guided procedures performed at the bedside expedite care and may reduce risks and logistical challenges associated with patient transport to a remote procedure suite such as interventional radiology. We describe our institutional technique for ultrasound-guided tunneled femoral venous access in neonates and infants and provide technical pearls from our experience, with an intended audience including specialists performing point-of-care ultrasound–guided procedures as well as interventional radiologist making their services available in the intensive care unit.

scholarly journals Uveal Melanoma Identified as Ocular Mass on Point-of-care Ultrasound

2021 ◽  
Vol 5 (3) ◽  
pp. 367-368
Author(s):  
Hannah Spungen ◽  
Daniel Weingrow
Keyword(s):  
Emergency Department ◽  
Retinal Detachment ◽  
Uveal Melanoma ◽  
Vision Loss ◽  
Point Of Care ◽  
Black Spot ◽  
Distant Metastases ◽  
Posterior Chamber ◽  
Point Of Care Ultrasound ◽  
Point Of Care Ultrasonography

Case Presentation: A 41-year-old man presented to the emergency department with five months of progressive monocular vision loss in his right eye, which he described as a gradually descending and enlarging black spot. He had no light perception in his right eye with elevated intraocular pressure and an afferent pupillary defect, while his left eye visual acuity and pupillary exam was normal. Point-of-care ultrasound demonstrated a hyperechoic, pedunculated mass in the posterior chamber of his right eye, consistent with a diagnosis of ocular melanoma. Ophthalmology scheduled the patient for an elective, right eye enucleation the following week, after which a diagnosis of uveal melanoma (UM) was confirmed on histopathology. Discussion: Uveal melanoma is an uncommon diagnosis that requires prompt intervention and surveillance due to the possibility of distant metastases arising in up to 50% of patients. Emergency department diagnosis of UM may be confounded by features of other intraocular pathology, such as increased ocular pressure or the finding of retinal detachment on fundoscopy. When emergency providers encounter glaucoma or retinal detachment on physical exam, point-of-care ultrasonography represents a key adjunct in the timely diagnosis and referral of this potentially vision- and life-threatening malignancy.

Integrated Multiorgan Bedside Ultrasound for the Diagnosis and Management of Sepsis and Septic Shock

2021 ◽  
Vol 42 (05) ◽  
pp. 641-649
Author(s):  
Daniel A. Sweeney ◽  
Brandon M. Wiley
Keyword(s):  
Septic Shock ◽  
Point Of Care ◽  
Bedside Ultrasound ◽  
Multiple Point ◽  
Point Of Care Ultrasound ◽  
Suspected Sepsis ◽  
Source Of Infection ◽  
Organ Systems ◽  
Sepsis And Septic Shock ◽  
Delays In Diagnosis

AbstractDespite decades of research, the mortality rate of sepsis and septic shock remains unacceptably high. Delays in diagnosis, identification of an infectious source, and the challenge of providing patient-tailored resuscitation measures routinely result in suboptimal patient outcomes. Bedside ultrasound improves a clinician's ability to both diagnose and manage the patient with sepsis. Indeed, multiple point-of-care ultrasound (POCUS) protocols have been developed to evaluate and treat various subsets of critically ill patients. These protocols mostly target patients with undifferentiated shock and have been shown to improve clinical outcomes. Other studies have shown that POCUS can improve a clinician's ability to identify a source of infection. Once a diagnosis of septic shock has been made, serial POCUS exams can be used to continuously guide resuscitative efforts. In this review, we advocate that the patient with suspected sepsis or septic shock undergo a comprehensive POCUS exam in which sonographic information across organ systems is synthesized and used in conjunction with traditional data gleaned from the patient's history, physical exam, and laboratory studies. This harmonization of information will hasten an accurate diagnosis and assist with hemodynamic management.

scholarly journals 29EMF Interpreter Variability Of Lung Point-of-Care Ultrasound Rubric in a Population of Non-Critically Ill COVID Patients

2021 ◽  
Vol 78 (2) ◽  
pp. S14-S15
Author(s):  
D. Theodoro ◽  
D. Coneybeare ◽  
P. Lema ◽  
C. Gerhart ◽  
M. Binkley ◽  
...  
Keyword(s):  
Critically Ill ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Lung Point
Sign in / Sign up

Export Citation Format

Share Document