Articles

Diagnostic accuracy of lung ultrasound for SARS-CoV-2: a retrospective cohort study

As medical infrastructures are strained by SARS-CoV-2, rapid and accurate screening tools are essential. In portions of the world, reverse transcription polymerase chain reaction (RT-PCR) testing remains slow ...

Authors: Daniel S. Brenner, Gigi Y. Liu, Rodney Omron, Olive Tang, Brian T. Garibaldi and Tiffany C. Fong

Descriptive analysis of a comparison between lung ultrasound and chest radiography in patients suspected of COVID-19

Lung ultrasound (LUS) and chest radiography (CXR) are the most used chest imaging tools in the early diagnosis of COVID-19 associated pneumonia. However, the relationship between LUS and CXR is not clearly def...

Authors: Giovanni Volpicelli, Luciano Cardinale, Thomas Fraccalini, Marco Calandri, Clara Piatti, Carlotta Geninatti and Giuseppe Stranieri

Patients in intensive care unit for COVID-19 pneumonia: the lung ultrasound patterns at admission and discharge. An observational pilot study

During COVID-19 pandemic, optimization of the diagnostic resources is essential. Lung Ultrasound (LUS) is a rapid, easy-to-perform, low cost tool which allows bedside investigation of patients with COVID-19 pn...

Authors: Persona Paolo, Valeri Ilaria, Zarantonello Francesco, Forin Edoardo, Sella Nicolò, Andreatta Giulio, Correale Christelle, Serra Eugenio, Boscolo Annalisa, Volpicelli Giovanni and Navalesi Paolo

Development and implementation of a point of care ultrasound curriculum at a multi-site institution

In 2014, over 60% of medical schools were incorporating point of care ultrasound (POCUS) into their curriculum. Today, over 6 years later, many more schools are teaching POCUS or are in the planning stages of ...

Authors: Frances M. Russell, Audrey Herbert, Robinson M. Ferre, Bita Zakeri, Valerie Echeverria, Dina Peterson and Paul Wallach

Applications of intraoperative Duplex ultrasound in vascular surgery: a systematic review

This review aims to summarise the contemporary uses of intraoperative completion Duplex ultrasound (IODUS) for the assessment of lower extremity bypass surgery (LEB) and carotid artery endarterectomy (CEA).

Authors: Pasha Normahani, Bilal Khan, Viknesh Sounderajah, Sepideh Poushpas, Muzaffar Anwar and Usman Jaffer

The effect of pelvic pathology on uterine vein diameters

Transvaginal ultrasound (TVS) is a sensitive tool for detecting various conditions that contribute to pelvic pain. TVS can be also used to assess blood flow and measure the size of pelvic veins. Pelvic venous ...

Authors: T. N. Amin, M. Wong, X. Foo, S.-L. Pointer, V. Goodhart and D. Jurkovic

Innovations with tele-ultrasound in education sonography: the use of tele-ultrasound to train novice scanners

Point-of-care ultrasound (POCUS) has become increasingly integrated into medical education given the growing role of evaluative and procedural techniques in practice today. Tele-ultrasound is a new and promisi...

Authors: Anne E. Drake, Jonathan Hy, Gordon A. MacDougall, Brendan Holmes, Lauren Icken, Jon W. Schrock and Robert A. Jones

Bedside lung ultrasonography by emergency department residents as an aid for identifying heart failure in patients with acute dyspnea after a 2-h training course

Ultrasonographic B-lines have recently emerged as a bedside imaging tool for the differential diagnosis of acute dyspnea in the Emergency Department (ED). However, despite its simplicity, LUS has not fully pen...

Authors: Mohamed Amine Msolli, Adel Sekma, Maryem Ben Marzouk, Wael Chaabane, Khaoula Bel Haj Ali, Lotfi Boukadida, Nasri Bzeouich, Imen Gannoun, Imen Trabelssi, Kamel Laaouiti, Mohamed Habib Grissa, Kaouthar Beltaief, Zohra Dridi, Asma Belguith, Mehdi Methamem, Wahid Bouida…

The role of ultrasound imaging in vascular compression syndromes

Vascular compression syndromes are rare alterations that have in common the compression of an arterial and/or venous vessel by contiguous structures and can be congenital or acquired. The best known are the Th...

Authors: Renato Farina, Pietro Valerio Foti, Andrea Conti, Francesco Aldo Iannace, Isabella Pennisi, Luigi Fanzone, Corrado Inì, Federica Libra, Francesco Vacirca, Giovanni Failla, Davide Baldanza, Stefano Palmucci, Serafino Santonocito and Antonio Basile

Renal resistive index is associated with acute kidney injury in COVID-19 patients treated in the intensive care unit

Renal resistive index (RRI) is a promising tool for the assessment of acute kidney injury (AKI) in critically ill patients in general, but its role and association to AKI among patients with Coronavirus diseas...

Authors: Mårten Renberg, Olof Jonmarker, Naima Kilhamn, Claire Rimes-Stigare, Max Bell and Daniel Hertzberg

The role of point-of-care ultrasound in the diagnosis of pericardial effusion: a single academic center retrospective study

Symptomatic pericardial effusion (PCE) presents with non-specific features and are often missed on the initial physical exam, chest X-ray (CXR), and electrocardiogram (ECG). In extreme cases, misdiagnosis can ...

Authors: Matthew G. Hanson and Barry Chan

Teaching limited compression ultrasound to general practitioners reduces referrals of suspected DVT to a hospital: a retrospective cross-sectional study

The aim of this study was to retrospectively determine whether teaching limited compression ultrasound (LCUS) to general practitioners (GP) would reduce the number of patients with a suspected lower extremity ...

Authors: Ossi Hannula, Ritva Vanninen, Suvi Rautiainen, Kalle Mattila and Harri Hyppölä

Venous Doppler ultrasound in critically Ill COVID-19 patients: game changer in anticoagulation therapy

COVID-19 infection has been associated with a high rate of thrombotic events, such as deep vein thrombosis (DVT) and acute pulmonary embolism (APE).

Authors: Marta Alfageme, Jorge González Plaza, Santiago Méndez, Juan A. Gómez Patiño, María L. Collado, José M. Abadal, Rocío González Costero, Teresa Fontanilla and Agustín García Suárez

Evaluation of a novel handheld point-of-care ultrasound device in an African emergency department

Many point-of-care ultrasound devices are now “pocket-sized” or handheld, allowing easy transport during travel and facilitating use in crowded spaces or in austere low-resource settings. Concerns remain about...

Authors: Samuel L. Burleson, Jonathan F. Swanson, Erin F. Shufflebarger, Douglas W. Wallace, Matthew A. Heimann, James C. Crosby, David C. Pigott, John P. Gullett, Maxwell A. Thompson and Christopher J. Greene

Diagnosis at gut point: rapid identification of pneumoperitoneum via point-of-care ultrasound

Undifferentiated abdominal pain is a common presentation often requiring immediate medical or surgical intervention. Providing an accurate diagnosis involves a detailed patient history and thorough physical ex...

Authors: Matthew A. Taylor, Christopher H. Merritt, Philip J. Riddle Jr., Carter J. DeGennaro and Keith R. Barron

Point-of-care ultrasound for evaluating intra-abdominal calcification in the pediatric emergency department: case series and review of literature

The presence of intra-abdominal calcification in the pediatric population can be due to a wide range of conditions. Calcification in the abdomen can be seen in normal or abnormal anatomical structures. In some...

Authors: Vigil James, John Samuel, Chor Yek Kee and Gene Yong-Kwang Ong

Point-of-care lung ultrasound imaging in pediatric COVID-19

There has been limited data regarding the usefulness of lung ultrasound (US) in children with COVID-19.

Authors: Eliana P. C. Giorno, Milena De Paulis, Yoshino T. Sameshima, Kirstin Weerdenburg, Paulo Savoia, Danilo Y. Nanbu, Thomaz B. Couto, Fernanda V. M. Sa, Sylvia C. L. Farhat, Werther B. Carvalho, Marcela Preto-Zamperlini and Claudio Schvartsman

Feasibility of using a handheld ultrasound device to detect and characterize shunt and deep vein thrombosis in patients with COVID-19: an observational study

Coronavirus disease 2019 (COVID-19) causes an atypical acute respiratory distress syndrome associated with thromboembolism and high shunt fraction. Shunt may be intrapulmonary, or extrapulmonary. Handheld devi...

Authors: Rajkumar Rajendram, Arif Hussain, Naveed Mahmood and Mubashar Kharal

Systematic Sonography Looking for Occult Wounds: accuracy of an abdominal ultrasound adjunct in penetrating trauma

Systematic Sonography Looking for Occult Wounds (SSLOW) in trauma is a novel technique for the evaluation of intra-abdominal wounds in penetrating trauma. No data exist regarding the effectiveness. The objecti...

Authors: Sri Devi Jagjit, Jordan Rupp, Robinson M. Ferre, Mary Kate Jordan and Brian Bales

Optic nerve sheath diameter sonography during the acute stage of intracerebral hemorrhage: a potential role in monitoring neurocritical patients

Optic nerve sheath diameter (ONSD) sonography has been proposed as a reliable bedside tool for the detection of increased intracranial pressure (ICP). ONSD reacts almost simultaneously to oscillations in ICP. ...

Authors: M. Bender, S. Lakicevic, N. Pravdic, S. Schreiber and B. Malojcic

Screening for aneurysms of the abdominal aorta using a simple screening device

Several countries advocate screening for aneurysms of the abdominal aorta (AAA) in selected patients. In the Netherlands, routine screening is currently under review by the National Health Council. In any scre...

Authors: J. W. Brakel, T. A. Berendsen, P. M. C. Callenbach, J. van der Burgh, R. J. Hissink and M. van den Berg

Abstracts from the Veterinary Emergency and Critical Care Ultrasound Society

Authors:

Emergency department-based 3D echocardiogram use: a case series

Three-dimensional echocardiography (3DE) with real-time volumetric imaging can be a vital modality in clinical practice. Despite its potential, it remains underutilized in the acute care setting.

Authors: Sajith Matthews and Phillip D. Levy

Life after a point-of-care ultrasound course: setting up the right conditions!

Point-of-care Ultrasound (POCUS) is becoming an important diagnostic tool for internal medicine and ultrasound educational programs are being developed. An ultrasound course is often included in such a curricu...

Authors: T. J. Olgers, N. Azizi, H. R. Bouma and J. C. ter Maaten

Development of supraspinatus imaging guidance for primary care physicians with a focus on patient selection

Primary care physicians frequently encounter patients with supraspinatus pathology and face a difficult task of managing this subset of patients using limited imaging resources. The purpose of this study was t...

Authors: Anurag Dalai, Leanne Langford, Cole Beavis and Haron Obaid

Vertical displacement of pleura: a new method for bronchospasm evaluation?

Lung ultrasonography has been increasingly recognized has a valuable diagnostic tool. In adult patients with asthma/chronic obstructive pulmonary disease and wheezing, LUS usually presents as an A/nude profile...

Authors: Sara Raquel Martins and Ramon Nogué

Transesophageal echocardiography (TEE) in cardiac arrest: results of a hands-on training for a simplified TEE protocol

Integration of transesophageal echocardiography (TEE) with Focused Cardiac Ultrasound (FoCUS) can impact decision-making, assist in the diagnosis of reversible etiologies and help guiding resuscitation of pati...

Authors: Peiman Nazerian, Giuliano De Stefano, Giovanni Albano, Vera Gaspari, Sergio Bevilacqua, Valter Campagnolo, Pierluigi Stefàno and Stefano Grifoni

The “pandemic” increase in lung ultrasound use in response to Covid-19: can we complement computed tomography findings? A narrative review

Coronavirus disease of 2019 (COVID-19) is a highly infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which has rapidly spread to a global pandemic in March 2020. This e...

Authors: Luigi Vetrugno, Marco Baciarello, Elena Bignami, Andrea Bonetti, Francesco Saturno, Daniele Orso, Rossano Girometti, Lorenzo Cereser and Tiziana Bove

Comparison of ultrasonographic versus infrared pupillary assessment

To evaluate the correlation between ultrasonographic and infrared pupillary assessments in critically ill patients, including neurocritically ill patients.

Authors: Christian D. Yic, Gabriel Prada, Sergio I. Paz, Leandro Moraes, Julio C. Pontet, Marcos E. Lasso and Alberto Biestro

Novel role of focused airway ultrasound in early airway assessment of suspected laryngeal trauma

Upper airway injury secondary to blunt neck trauma can lead to upper airway obstruction and potentially cause a life-threatening condition. The most important aspect in the care of laryngeal trauma is to estab...

Authors: Osman Adi, Kok Meng Sum, Azma Haryaty Ahmad, Mahathar Abd. Wahab, Luca Neri and Nova Panebianco

Value of point-of-care ultrasonography compared with computed tomography scan in detecting potential life-threatening conditions in blunt chest trauma patients

Ultrasonography is a suitable modality that can potentially improve patient care, saving time and lives.

Authors: Amirhosein Jahanshir, Shida Mohajer Moghari, Ayat Ahmadi, Pejman Z. Moghadam and Maryam Bahreini

POCUS and POCDUS: essential tools for the evaluation and management of carotid artery pseudoaneurysms after a gunshot wound

Evaluation of asymptomatic penetrating vascular injuries can be done with Point-of-care ultrasound (POCUS) and Point-of-care Doppler ultrasound (POCDUS).

Authors: Lisandro Montorfano, Marianna Sarkissyan, Matthew Wolfers, Federico Rodríguez, Fernando Pla and Miguel Montorfano

Feasibility of postural lung recruitment maneuver in children: a randomized, controlled study

Pulmonary atelectasis in anesthetized children is easily reverted by lung recruitment maneuvers. However, the high airways pressure reached during the maneuver could negatively affect hemodynamics. The aim of ...

Authors: Cecilia M. Acosta, Giovanni Volpicelli, Nadia Rudzik, Nicolás Venturin, Sebastián Gerez, Lila Ricci, Marcela Natal and Gerardo Tusman

Offshore telementored ultrasound: a quality assessment study

Telementored ultrasound (US) connects experts to novices through various types of communication and network technologies with the overall aim to bridge the medical imaging gap between patients’ diagnostic need...

Authors: Victoria Vatsvåg, Kjetil Todnem, Torvind Næsheim, John Cathcart, Daniel Kerr and Nils Petter Oveland

Stab wound of the superficial femoral artery early diagnosed by point-of-care Doppler ultrasound

Traumatic vascular injury of the limbs has the potential to cause substantial patient morbidity and mortality, and therefore, early recognition and treatment are crucial to improve outcomes. While patients wit...

Authors: Pablo Blanco and María Fernanda Menéndez

Point-of-care ultrasound for the detection of hydronephrosis in emergency department patients with suspected renal colic

Point-of-care ultrasound (PoCUS) by emergency physicians for renal colic has been proposed as an alternative to computed tomography (CT) to avoid ionizing radiation exposure and shorten emergency department le...

Authors: Stephanie Sibley, Nathan Roth, Charles Scott, Louise Rang, Heather White, Marco L. A. Sivilotti and Eric Bruder

Role of point-of-care ultrasound during the COVID-19 pandemic: our recommendations in the management of dialytic patients

COVID-19 is a viral disease due to the infection of the novel Corona virus SARS-CoV-2, that has rapidly spread in many countries until the World Health Organization declared the pandemic from March 11, 2020. E...

Authors: Ana Luisa Silveira Vieira, José Muniz Pazeli Júnior and Marcus Gomes Bastos

Point-of-care ultrasound to complete physical exam and to reach the diagnosis in a young man with syncope

Cardiac syncope can result from an atrial myxoma due to outflow obstruction. Myxoma is the most common primary cardiac tumor that may cause sudden death and the nonspecific symptoms may make early diagnosis di...

Authors: Fatemeh Rasooli, Mehrnoosh Aligholi Zahraie and Maryam Bahreini

Feasibility of renal resistive index measurements performed by an intermediate and novice sonographer in a volunteer population

The Doppler-derived renal resistive index (RRI) is emerging as a promising bedside tool for assessing renal perfusion and risk of developing acute kidney injury in critically ill patients. It is not known what...

Authors: Mårten Renberg, Naima Kilhamn, Kent Lund, Daniel Hertzberg, Claire Rimes-Stigare and Max Bell

Combined ultrasound–CT approach to monitor acute exacerbation of interstitial lung disease

Lung ultrasound is a bedside non-irradiating tool for assessment and monitoring of lung diseases. A lung ultrasound score based on visualized artefacts allows reliable quantification of lung aeration, and is u...

Authors: Silvia Mongodi, Andrea Colombo, Anita Orlando, Lorenzo Cavagna, Bélaid Bouhemad, Giorgio Antonio Iotti and Francesco Mojoli

Ultrasound measurement of optic nerve sheath diameter pre- and post-lumbar puncture

To test the hypothesis that optic nerve sheath diameter (ONSD) correlates with real-time changes in intracranial pressure, we performed ultrasound measurements of the ONSD in ambulatory patients undergoing ele...

Authors: Christopher K. Schott, Mohammad I. Hirzallah, Rock Heyman, Daniel N. Lesky, Emily B. Brant and Clifton W. Callaway

Real-time ultrasound-guided thoracentesis in the intensive care unit: prevalence of mechanical complications

The use of thoracic ultrasound during thoracentesis reduces complications. The aim of this study was to determine the prevalence of complications for real-time ultrasound-guided thoracentesis performed by inte...

Authors: David Rene Rodriguez Lima, Andrés Felipe Yepes, Claudia Inés Birchenall Jiménez, Mario Andrés Mercado Díaz and Darío Isaías Pinilla Rojas

Sonographic exploration for fascial exploration (SEFE) in necrotizing fasciitis: a case report

Necrotizing skin and soft tissue infections are life-threatening conditions. Reliance on gas in tissue planes leads to worsened outcomes in patients with non-gas forming types of necrotizing fasciitis (NF).

Authors: Jessica Fozard, Krystle Shafer and Thompson Kehrl

Ultrasound-guided insertion of intra-aortic balloon counterpulsation in intensive care: description of the technique

Intra-aortic balloon counterpulsation (IAoBC) is a mechanical circulatory support device that has been used for more than 50 years, mainly for cardiogenic shock. Although its effect on mortality is controversi...

Authors: David Rene Rodriguez Lima, Ever Julián Duran, Ever Leonardo Rojas Díaz, Darío Isaías Pinilla Rojas, Mario Andrés Mercado Díaz and Yury Forlán Bustos Martínez

Sonographic signs and patterns of COVID-19 pneumonia

The pandemic of COVID-19 is seriously challenging the medical organization in many parts of the world. This novel corona virus SARS-CoV-2 has a specific tropism for the low respiratory airways, but causes seve...

Authors: Giovanni Volpicelli and Luna Gargani

Rationale for using the velocity–time integral and the minute distance for assessing the stroke volume and cardiac output in point-of-care settings

Stroke volume (SV) and cardiac output (CO) are basic hemodynamic parameters which aid in targeting organ perfusion and oxygen delivery in critically ill patients with hemodynamic instability. While there are s...

Authors: Pablo Blanco

The effectiveness of a longitudinal ultrasound curriculum for general pediatricians working in a Puerto Rican emergency department: a pilot study

The Hospital Pediatrico Universitario (HOPU) is the principal institution in Puerto Rico offering medical services to the children of the island and the Caribbean. There is limited use of point-of-care ultraso...

Authors: Veronica Sepulveda-Ortiz, Fred Warkentine, Rebecca Starr-Seal and Anna Rominger

Barriers to learning and using point-of-care ultrasound: a survey of practicing internists in six North American institutions

Point-of-care ultrasound (POCUS) is increasingly used in internal medicine, but a lack of trained faculty continues to limit the spread of POCUS education. Using a framework based on organizational change theo...

Authors: Jonathan Wong, Steven Montague, Paul Wallace, Kay Negishi, Andrew Liteplo, Jennifer Ringrose, Renee Dversdal, Brian Buchanan, Janeve Desy and Irene W. Y. Ma

Tablet vs. station-based laptop ultrasound devices increases internal medicine resident point-of-care ultrasound performance: a prospective cohort study

Point-of-care ultrasound (POCUS) is becoming an important part of internal medicine (IM) residency training. Achieving competency requires performing a large volume of clinical exams which can be difficult wit...

Authors: Matt Glogoza, Jonathan Urbach, Terry K. Rosborough, Susan Olet, Catherine A. St. Hill, Claire S. Smith and David M. Tierney

Quantifying systemic congestion with Point-Of-Care ultrasound: development of the venous excess ultrasound grading system

Organ congestion is a mediator of adverse outcomes in critically ill patients. Point-Of-Care ultrasound (POCUS) is widely available and could enable clinicians to detect signs of venous congestion at the bedsi...

Authors: William Beaubien-Souligny, Philippe Rola, Korbin Haycock, Josée Bouchard, Yoan Lamarche, Rory Spiegel and André Y. Denault