Articles

Diagnostic accuracy of lung ultrasonography combined with procalcitonin for the diagnosis of pneumonia: a pilot study

The diagnostic value of lung ultrasonography (LUS) and procalcitonin (PCT) in the diagnosis of lung infections is known. No studies evaluated the combination of LUS and PCT for the diagnosis of pneumonia in th...

Authors: Peiman Nazerian, Gabriele Cerini, Simone Vanni, Chiara Gigli, Maurizio Zanobetti, Maurizio Bartolucci, Stefano Grifoni and Giovanni Volpicelli

Pediatric emergency medicine point-of-care ultrasound: summary of the evidence

The utility of point-of-care ultrasound is well supported by the medical literature. Consequently, pediatric emergency medicine providers have embraced this technology in everyday practice. Recently, the Ameri...

Authors: Jennifer R. Marin, Alyssa M. Abo, Alexander C. Arroyo, Stephanie J. Doniger, Jason W. Fischer, Rachel Rempell, Brandi Gary, James F. Holmes, David O. Kessler, Samuel H. F. Lam, Marla C. Levine, Jason A. Levy, Alice Murray, Lorraine Ng, Vicki E. Noble, Daniela Ramirez-Schrempp…

Common pitfalls in point-of-care ultrasound: a practical guide for emergency and critical care physicians

Point-of-care ultrasonography (POCUS) is a widely used tool in emergency and critical care settings, useful in the decision-making process as well as in interventional guidance. While having an impressive diag...

Authors: Pablo Blanco and Giovanni Volpicelli

The Sierra Leone Ultrasound Rainbow4Africa Project (SLURP): an observational study of ultrasound effectiveness in developing countries

Diagnostic tools available in low-income countries are often really basic even if patients can be as sick as those of the richer countries. Point-of-care ultrasound could be a solution for this problem. We stu...

Authors: Alessandro Lamorte, Enrico Boero, Paola Crida, Abdul R. Conteh, Marco Foletti and Paolo Narcisi

Erratum to: 12th WINFOCUS world congress on ultrasound in emergency and critical care

Authors: Edina Ćatić Ćuti, Nadan Rustemović and Dražen Perkov

12th WINFOCUS world congress on ultrasound in emergency and critical care

A1 Point-of-care ultrasound examination of cervical spine in emergency department

Authors: Yahya Acar, Onur Tezel, Necati Salman, Erdem Cevik, Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-Bordomás, Mustafa Z. Mahmoud, Abdelmoneim Sulieman, Abbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H. Lester Kirchner, Gregor Prosen…

Teaching the internist to see: effectiveness of a 1-day workshop in bedside ultrasound for internal medicine residents

A growing body of evidence supports the use of bedside ultrasound for core Internal Medicine procedures and increasingly as augmentation of the physical exam. The literature also supports that trainees, both m...

Authors: Ryan D. Clay, Elizabeth C. Lee, Marc F. Kurtzman and Renee K. Dversdal

Lung ultrasound in internal medicine: training and clinical practice

Lung ultrasound (LUS) represents an emerging technique for bedside chest imaging in different clinical settings. A standardized approach allows the diagnosis, the quantification, and the follow-up of different...

Authors: Chiara Mozzini, Anna Maria Fratta Pasini, Ulisse Garbin and Luciano Cominacini

A unique method for estimating the reliability learning curve of optic nerve sheath diameter ultrasound measurement

Optic nerve sheath diameter (ONSD) measurement using ultrasound has been proposed as a rapid, non-invasive, point of care technique to estimate intra-cranial pressure (ICP). Ultrasonic measurement of the optic...

Authors: Frederick A. Zeiler, Markus T. Ziesmann, Patrick Goeres, Bertram Unger, Jason Park, Dimitrios Karakitsos, Michael Blaivas, Ashley Vergis and Lawrence M. Gillman

Ultrasonography for the assessment of lung recruitment maneuvers

Lung collapse is a known complication that affects most of the patients undergoing positive pressure mechanical ventilation. Such atelectasis and airways closure lead to gas exchange and lung mechanics impairm...

Authors: Gerardo Tusman, Cecilia M. Acosta and Mauro Costantini

Focused cardiopulmonary ultrasound for assessment of dyspnea in a resource-limited setting

The diagnosis and management of acutely dyspneic patients in resource-limited developing world settings poses a particular challenge. Focused cardiopulmonary ultrasound (CPUS) may assist in the emergency diagn...

Authors: Sachita P. Shah, Sachin P. Shah, Reginald Fils-Aime, Walkens Desir, Joanel Joasil, David M. Venesy and Krithika Meera Muruganandan

Current status of emergency department attending physician ultrasound credentialing and quality assurance in the United States

The use of emergency ultrasonography (EUS) has gained much popularity in the past few decades, and is now a mainstay of diagnostic decision-making. This expanded use is now highlighting the substantial issue o...

Authors: Devjani Das, Monica Kapoor, Cara Brown, Afoma Ndubuisi and Sanjey Gupta

A workflow task force affects emergency physician compliance for point-of-care ultrasound documentation and billing

Emergency point-of-care ultrasound (POC u/s) is an example of a health information technology that improves patient care and time to correct diagnosis. POC u/s examinations should be documented, as they compri...

Authors: Resa E. Lewiss, Jessica Cook, Allison Sauler, Nicholas Avitabile, Nicole L. Kaban, Jeffrey Rabrich, Turandot Saul, Sebastian D. Siadecki and Dan Wiener

Learning process and improvement of point-of-care ultrasound technique for subxiphoid visualization of the inferior vena cava

Medical residents' training in ultrasonography usually follows the recommendations of the American College of Emergency Physicians (ACEP), even though these do not provide specific technical guidelines. Adequa...

Authors: Mauricio Gómez Betancourt, José Moreno-Montoya, Ana-María Barragán González, Juan Carlos Ovalle and Yury Forlan Bustos Martínez

Social media to supplement point-of-care ultrasound courses: the “sandwich e-learning” approach. A randomized trial

Point-of-care ultrasound (POC-US) is gaining importance in almost all specialties. E-learning has been used to teach theoretical knowledge and pattern recognition. As social media are universally available, th...

Authors: Dorothea Hempel, Stephanie Haunhorst, Sivajini Sinnathurai, Armin Seibel, Florian Recker, Frank Heringer, Guido Michels and Raoul Breitkreutz

Ultrasound findings in critical care patients: the “liver sign” and other abnormal abdominal air patterns

In critical care patients, point of care abdominal ultrasound examination, although it has been practiced for over 30 years, is not as widespread as its cardiac or pulmonary counterparts. We report two cases i...

Authors: Joseph Dahine, Annie Giard, David-Olivier Chagnon and André Denault

Phantom model and scoring system to assess ability in ultrasound-guided chest drain positioning

Chest tube positioning is an invasive procedure associated with potentially serious injuries. In the last few years, we have been running a project directed at developing a practical simulator of a surgical pr...

Authors: Luigi Vetrugno, Giovanni Volpicelli, Federico Barbariol, Ilaria Toretti, Livia Pompei, Francesco Forfori and Giorgio Della Rocca

Real-time images of tidal recruitment using lung ultrasound

Ventilator-induced lung injury is a form of mechanical damage leading to a pulmonary inflammatory response related to the use of mechanical ventilation enhanced by the presence of atelectasis. One proposed mec...

Authors: Gerardo Tusman, Cecilia M. Acosta, Marco Nicola, Mariano Esperatti, Stephan H. Bohm and Fernando Suarez-Sipmann

The evolution of an integrated ultrasound curriculum (iUSC) for medical students: 9-year experience

Interest in ultrasound education in medical schools has increased dramatically in recent years as reflected in a marked increase in publications on the topic and growing attendance at international meetings on...

Authors: Richard A. Hoppmann, Victor V. Rao, Floyd Bell, Mary Beth Poston, Duncan B. Howe, Shaun Riffle, Stephen Harris, Ruth Riley, Carol McMahon, L. Britt Wilson, Erika Blanck, Nancy A. Richeson, Lynn K. Thomas, Celia Hartman, Francis H. Neuffer, Brian D. Keisler…

Inferior vena cava diameters and collapsibility index reveal early volume depletion in a blood donor model

Changes of volume status can be readily inferred from variations in diameter of the inferior vena cava (IVC) measured by ultrasound. However the effect of IVC changes following acute blood loss are not fully e...

Authors: Paolo Pasquero, Stefano Albani, Elena Sitia, Anna Viola Taulaigo, Lorenzo Borio, Paola Berchialla, Franco Castagno and Massimo Porta

A case of chronic inflammatory demyelinating polyneuropathy with reversible alternating diaphragmatic paralysis: case study

Respiratory failure requiring mechanical ventilation has been reported in patients with bilateral diaphragmatic paralysis due to CIDP. We report a case of CIDP that progressed to respiratory failure with norma...

Authors: Kavi Haji, Ernest Butler and Colin Royse

Accuracy of abdominal ultrasound for the diagnosis of pneumoperitoneum in patients with acute abdominal pain: a pilot study

Pneumoperitoneum is a rare cause of abdominal pain characterized by a high mortality. Ultrasonography (US) can detect free intraperitoneal air; however, its accuracy remains unclear. The aims of this pilot stu...

Authors: Peiman Nazerian, Camilla Tozzetti, Simone Vanni, Maurizio Bartolucci, Simona Gualtieri, Federica Trausi, Marco Vittorini, Elisabetta Catini, Gian Alfonso Cibinel and Stefano Grifoni

Defining the learning curve of point-of-care ultrasound for confirming endotracheal tube placement by emergency physicians

Unrecognized esophageal intubations are associated with significant patient morbidity and mortality. No single confirmatory device has been shown to be 100 % accurate at ruling out esophageal intubations in th...

Authors: Jordan Chenkin, Colin J. L. McCartney, Tomislav Jelic, Michael Romano, Claire Heslop and Glen Bandiera

Point-of-care ultrasonography improves the diagnosis of splenomegaly in hospitalized patients

It is important to detect splenomegaly as it can have important diagnostic implications. Previous studies, however, have shown that the traditional physical examination is limited in its ability to rule in or ...

Authors: Andrew P. J. Olson, Bernard Trappey, Michael Wagner, Michael Newman, L. James Nixon and Daniel Schnobrich

Respiratory variation in carotid peak systolic velocity predicts volume responsiveness in mechanically ventilated patients with septic shock: a prospective cohort study

The evaluation of fluid responsiveness in patients with hemodynamic instability remains to be challenging. This investigation aimed to determine whether respiratory variation in carotid Doppler peak velocity (...

Authors: Miguel Á Ibarra-Estrada, José A López-Pulgarín, Julio C Mijangos-Méndez, José L Díaz-Gómez and Guadalupe Aguirre-Avalos

Perceived barriers in the use of ultrasound in developing countries

Access to ultrasound has increased significantly in resource-limited settings, including the developing world; however, there remains a lack of sonography education and ultrasound-trained physician support in ...

Authors: Sachita Shah, Blaise A. Bellows, Adeyinka A. Adedipe, Jodie E. Totten, Brandon H. Backlund and Dana Sajed

Focused transesophageal echocardiography for emergency physicians—description and results from simulation training of a structured four-view examination

Transesophageal echocardiography (TEE) offers several advantages over transthoracic echocardiography (TTE). Despite these advantages, use of TEE by emergency physicians (EPs) remains rare, as no focused TEE proto...

Authors: Robert Arntfield, Jacob Pace, Shelley McLeod, Jeff Granton, Ahmed Hegazy and Lorelei Lingard

Ruptured splenic artery aneurysm detected by emergency ultrasound—a case report

Splenic artery aneurysm is a rare but a potentially fatal condition. It is usually asymptomatic until it ruptures. Here, we present a case of ruptured splenic artery aneurysm in a 59-year-old gentleman present...

Authors: W L Lo and K L Mok

Bedside Doppler ultrasound for the assessment of renal perfusion in the ICU: advantages and limitations of the available techniques

Three Doppler-derived techniques have been proposed to assess renal perfusion at bedside: Doppler-based renal resistive index (RI) which has been extensively but imperfectly studied in assessing renal allograf...

Authors: David Schnell and Michael Darmon

Point-of-care ultrasound in the diagnosis of pulmonary embolism

The best diagnostic strategy to confirm or exclude pulmonary embolism (PE) suspicion needs an appropriate combination of clinical assessment, plasma D-dimer measurement, and computed tomographic pulmonary angi...

Authors: Alessandro Squizzato, Luca Galli and Victor E. A. Gerdes

The diagnosis of right heart thrombus by focused cardiac ultrasound in a critically ill patient in compensated shock

Right heart thrombus (RHT) is a life-threatening diagnosis that is rarely made in the emergency department (ED), but with the increasing use of focused cardiac ultrasound (FocUS), more of these cases may be id...

Authors: Mansour Jammal, Peter Milano, Renzo Cardenas, Thomas Mailhot, Diku Mandavia and Phillips Perera

Can severe aortic stenosis be identified by emergency physicians when interpreting a simplified two-view echocardiogram obtained by trained echocardiographers?

Aortic stenosis (AS) is a common valve problem that causes significant morbidity and mortality. The goal of this study was to determine whether an emergency physician (EP) could determine severe AS by reviewin...

Authors: Hasan Alzahrani, Michael Y Woo, Chris Johnson, Paul Pageau, Scott Millington and Venkatesh Thiruganasambandamoorthy

The risk of cumulative radiation exposure in chest imaging and the advantage of bedside ultrasound

The increasing use and complexity of imaging techniques have not been matched by increasing awareness and knowledge by prescribers and practitioners. Imaging examinations that expose to ionizing radiation prov...

Authors: Luna Gargani and Eugenio Picano

Point-of-care ultrasound of the diaphragm in a liver transplant patient with acute respiratory failure

In some intensive care, nowadays, ultrasound diagnostics have become an extension of the physical examination (like a stethoscope). In this report, we discuss the case of an acute respiratory failure which aro...

Authors: Federico Barbariol, Luigi Vetrugno, Livia Pompei, Adelisa De Flaviis and Giorgio Della Rocca

Nail in my heart

Authors: Siti Nor, Rahimi Abd Razak, S Mohamad Ali and H Ngadiron

Detection of a fish bone in the cervical esophagus using point-of-care ultrasound

Authors: T Kameda

Point-of-care ultrasound is useful for the detection of proximal ureteral stone in the emergency department

Authors: Kuo-Chih Chen, Chee-Fah Chong and Tzong-Luen Wang

McConnell’s sign; a distinctive echocardiographic finding for diagnosing acute pulmonary embolism in emergency department

Authors: Seong Beom Oh, Seung Jae Bang and Min Jeong Kim

Advantages of echocardiography in the emergency room in front of a young patient with palpitations

Authors: AA Oviedo-García and M Algaba-Montes

Ultrasound scanning by emergency physicians in jaundice patient

Authors: M Algaba-Montes, A Oviedo-García, J Lopez-Libano, JM Alvarez-Franco and A Segura Grau

Advantages of ultrasound in the emergency room in a septic shock patient

Authors: M Algaba-Montes and A Oviedo-García

Patient with flank pain and intermittent hematuria. The typical renal colic? Usefulness of ultrasonography in the emergency room

Authors: AA Oviedo-García and M Algaba-Montes

The position of patients for safe central venous catheterization via the internal jugular vein: prospective observational study of critically ill patients

Authors: Young Soon Cho and Jong Bin Lee

Accuracy of ultrasonography for the diagnosis of pneumoperitoneum

Authors: P Nazerian, C Tozzetti, A Petrioli, M Ottaviani, F Trausi, M Baioni and S Grifoni

Accuracy of lung ultrasound for the diagnosis of consolidations when compared to chest computed tomography

Authors: P Nazerian, G Volpicelli, S Vanni, C Gigli, C Tozzetti, A Petrioli and S Grifoni

Diagnostic performance of focused cardiac ultrasound performed by emergency physicians for the assessment of ascending aorta dilatation and aneurysm

Authors: P Nazerian, C Gigli, A Pavellini, FR Ermini, G Pepe, S Vanni and S Grifoni

Portal venous gas detected by ultrasound examination in emergency department in a patient with acute abdominal pain

Authors: A Oviedo-García, M Algaba-Montes, J Lopez-Libano, JM Alvarez-Franco, N Diaz-Rodriguez and A Rodriguez-Lorenzo

New possibilities of ultrasound in the emergency physician's hands to a young patient with abdominal pain

Authors: M Algaba-Montes and A Oviedo-García

Usefulness of ultrasonography in the emergency department to a patient with recurrent abdominal pain

Authors: A Oviedo-García, M Algaba-Montes, J Lopez-Libano and JM Alvarez-Franco

It is high time we changed our habits. Chest pain: when ECG is not enough and echo makes the difference

Authors: M Frameglia, E Frongia, P Riolfi, B Genco, C Bertrand, A Zocca, C Menini, L Adami, C Bellunato and G Arcoleo,G Battizocco