Medical ultrasonography
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Medical ultrasonography · Feb 2021
ReviewA.B.C. approach proposal for POCUS in COVID-19 critically ill patients.
The rapid spread of SARS-CoV-2 (COVID-19) since December 2019 forced Intensive Care Units to face high numbers of patients admitted simultaneously with limited resources. COVID-19 critically ill patients, especially those on mechanical ventilators, demand special attention as they can develop potential complications with critical hemodynamic and respiratory consequences. Point of Care Ultrasound (POCUS) might have important roles in assessing the critically ill SARS-CoV-2 patient. ⋯ B. C. algorithms. There are few extensive ultrasonographic studies in COVID-19 critically ill patients up to now, but techniques extrapolated from non-COVID studies seem reasonable even though comparative studies are not available yet.
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Medical ultrasonography · Mar 2020
Teaching ultrasound guided femoral nerve block in the emergency department.
Patients with hip fracture are often not given adequate analgesia in the Emergency Department. Ultrasound guided femoral nerve block is an effective option but it is not commonly used due to limited experience, inadequate training and infrequent clinical exposure. We aimed to develop a workshop to bridge the current gap in the training of ultrasound guided femoral nerve block. ⋯ This workshop met its educational objectives and various principles of medical education were used effectively in the delivery of the content. Further research is necessary to demonstrate the impact of this educational effort on clinical practice and patient outcomes.
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Medical ultrasonography · May 2019
A simple approach for ultrasound-guided pararadicular injections in the sacral spine: a pilot computer tomography controlled cadaver study.
Injection therapies play an increasingly decisive role in the treatment of lower back pain. Cumulative studies could show the benefits of ultrasound-guided instillation procedures in the cervical and lumbar spine. We conducted this study to provide a new simple sonographic approach for pararadicular injections of the sacral spinal nerves and to prove the feasibility and accuracy by means of CT and anatomic dissection. ⋯ Although this study was only performed on cadaveric models, this new sonographic approach for pararadicular injections in the sacral spine allows an easy, precise and unerring needle placement within the dorsal sacral foramen.
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Medical ultrasonography · Feb 2019
ReviewPreoperative difficult airway prediction using suprahyoid and infrahyoid ultrasonography derived measurements in anesthesiology.
Airway management is one of the most important skills in everyday practice of anesthesia. Improper airway management might contribute to significant morbidity and mortality. In some patients, clinical parameters do not anticipate all difficulties related to airway management. ⋯ For the evaluation of the tongue, measurements such as thickness, cross-sectional area, width, volume and tongue-to-oral cavityratio can be used. Thus, anesthesiologists have many available potential US measurements, which could provide information regarding airway anatomy during the preoperative airway assessment and could serve as potential screening parameters for difficult airway. Still, we do not yet know which of these provides optimal predictive accuracy and larger sample size studiesare required to validate their use in the preoperative evaluation of the airway.