Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
-
Comparative Study
Comparison of high-resolution ultrasonography and computed tomography in the diagnosis of nasal fractures.
The purpose of this study was to compare the value of high-resolution ultrasonography (HRUS) and computed tomography (CT) in the diagnosis of nasal fractures. ⋯ Compared with HRUS, CT had lower accuracy, especially in low-grade nasal fractures. Thus, HRUS is a reliable diagnostic tool for the evaluation of nasal fractures.
-
The purpose of this study was to assess the accuracy of sonographic pneumothorax detection by radiology residents as a part of extended focused assessment with sonography for trauma (eFAST). ⋯ Extended FAST performed by residents is an accurate and efficient tool for early detection of clinically important pneumothoraces.
-
The purpose of this study was to develop an ultrasound-guided first annular (A1) pulley injection technique for trigger finger with documentation of outcomes at 1 year. ⋯ Our ultrasound-guided A1 pulley injection technique is a highly effective and minimally invasive treatment option for trigger finger with a 90% success rate at 1 year for complete resolution of symptoms after a single injection. Assuming similar patient populations, our results were statistically significant (P < .01) compared with the 56% to 57% success rates recently reported for blind injections.
-
Clinical Trial
Peripherally inserted central catheter placement with the sonic flashlight: initial clinical trial by nurses.
We describe a case series constituting the first clinical trial by intravenous (IV) team nurses using the sonic flashlight (SF) for ultrasound guidance of peripherally inserted central catheter (PICC) placement. ⋯ We have shown that the SF is a safe and effective device for guidance of PICC placement in the hands of experienced IV team nurses. The advantage of placing the ultrasound image at its actual location must be balanced against the relatively small scale of the SF image.