62 results match your criteria: "Bedside Ultrasonography Abdominal Aortic Aneurysm"
Point-of-care ultrasonography for cardiovascular conditions in family practice: between risk and opportunity.
Fam Pract
September 2024
Department of Internal Medicine and Geriatry, University of Campania "Luigi Vanvitelli", Piazza L. Miraglia 2, 80100 Naples, Italy.
Article Synopsis
- Point-of-care ultrasound is a bedside diagnostic tool that can assess various conditions like aortic aneurysms and heart function.
- Primary care physicians are well-positioned to use ultrasound for both diagnosing and actively screening patients, even with basic training.
- A few trained physicians can effectively use this technology to screen a large population, making it a practical option in general practice.
Abdominal ultrasound and VExUS score in critical care.
Med Intensiva (Engl Ed)
November 2023
UGC Cuidados Intensivos, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Article Synopsis
- - The use of ultrasound in intensive care has rapidly increased and is now vital for managing critically ill patients.
- - Abdominal ultrasound, though established in other medical fields, is gaining recognition for its importance in intensive care, especially for diagnosing various conditions.
- - The primary bedside application of abdominal ultrasound is detecting free fluid in trauma cases, but it also aids in diagnosing abdominal pain, hypovolemia, anuria, and assists in certain medical procedures.
An Approach to Point-Of-Care Ultrasound Evaluation of the Abdominal Aorta.
J Vis Exp
September 2023
Department of Emergency Medicine, University of Illinois College of Medicine, University of Illinois Hospital.
Disorders of the abdominal aorta, including aneurysms and dissection, have potentially high rates of morbidity and mortality. While computed tomography (CT) is the current gold standard to image the abdominal aorta, the process of obtaining a CT may be time-consuming, requires the use of intravenous contrast dye, and involves exposure to ionizing radiation. Point-of-care Ultrasound (POCUS) can be performed at the bedside and has excellent sensitivity and specificity for the diagnosis of abdominal aortic aneurysm and excellent specificity for the diagnosis of abdominal aortic dissection.
View Article and Find Full Text PDFAccuracy of Point-of-Care Ultrasound in Follow Up Abdominal Aortic Aneurysm Imaging.
Vasc Endovascular Surg
April 2022
Department of Surgery, Sacramento Veterans Affairs Medical Center, Mather, CA, USA.
Article Synopsis
- Point-of-care ultrasound (POCUS) shows promise for monitoring abdominal aortic aneurysms (AAA), with research investigating its accuracy compared to standard measurements by healthcare professionals or CT scans.* -
- In a study of 81 patients, POCUS measurements (average 4.1 cm) were similar to standard care measurements (average 4.0 cm), indicating POCUS is a reliable alternative for assessing AAA size.* -
- The findings suggest that POCUS could enhance patient follow-up for AAA management, making the process more efficient and possibly reducing the burden on healthcare systems.*
Application of Point-of-Care Ultrasound for Family Medicine Physicians for Abdominopelvic and Soft Tissue Assessment.
Cureus
August 2020
Department of Emergency Medicine, George Washington University School of Medicine and Health Sciences, Washington DC, USA.
Article Synopsis
- * It is particularly beneficial in outpatient clinics, urgent care, and emergency departments, reducing the delays often associated with traditional ultrasound imaging.
- * The goal is to promote the use of POCUS in primary care by highlighting six ultrasound topics where it can significantly aid physicians in outpatient settings.
Point-of-Care Ultrasonography.
Am Fam Physician
March 2020
Naval Hospital Jacksonville, Jacksonville, FL, USA.
Article Synopsis
- Point-of-care ultrasonography (POCUS) is a bedside imaging technique widely used in fields like obstetrics and emergency medicine, demonstrating accuracy in diagnosing conditions such as deep venous thrombosis and pneumonia.
- While POCUS is effective in ruling out ectopic pregnancies and diagnosing certain conditions like urolithiasis, it is not as precise as CT scans for some issues like pulmonary embolism.
- Various medical organizations provide POCUS training, but while some residency programs have defined standards, credentialing practices remain less established.
The Strongest Risk Factor for Operative Mortality in Acute Type A Aortic Dissection is Acidosis: Validation of Risk Model.
Semin Thorac Cardiovasc Surg
March 2021
Division of Cardiac Surgery, Johns Hopkins Hospital, Baltimore, Maryland. Electronic address:
Article Synopsis
- - The study investigates factors affecting operative mortality in patients with acute type A aortic dissection (ATAAD) and confirms that severe acidosis and organ malperfusion significantly increase the risk of mortality post-surgery.
- - A retrospective review of 298 patients showed that those with severe acidosis had an operative mortality rate of 37%, with even higher risks noted in cases of abdominal malperfusion.
- - The research supports previous findings that severe acidosis is a critical predictor of mortality, recommending that base deficit measurements be used clinically and documented in aortic dissection databases.
Point-of-care Ultrasound Trumps Computed Tomography in a Case of Abdominal Aortic Aneurysm Assessment.
Cureus
October 2019
Emergency Medicine, University of the Witwatersrand, Johannesburg, ZAF.
Article Synopsis
- * Bedside ultrasonography is typically seen as a preliminary screening tool, particularly effective for unstable patients, while CT angiography is preferred for confirming abdominal aortic aneurysm (AAA) diagnoses.
- * In a specific case, ultrasound findings gave more detailed information about the structure and stability of an abdominal aortic aneurysm compared to CT results, challenging the conventional imaging approach.
Article Synopsis
- A 79-year-old patient with prostate cancer was discovered to have a significant abdominal aortic aneurysm (AAA) that led to kidney issues, requiring urgent surgery.
- Despite having eaten recently, which increased his risk during anesthesia, a bedside ultrasound confirmed his stomach was empty.
- The procedure was successfully carried out under monitored anesthesia care without complications, and a stent was placed to alleviate his kidney problems and facilitate further AAA treatment.
Unexpected renal hemorrhage after endovascular repair of complicated type B aortic dissection: two cases report.
BMC Surg
November 2018
Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Article Synopsis
- Thoracic endovascular aortic repair (TEVAR) is the preferred treatment for type B aortic dissection, but it can lead to rare yet severe complications like renal hemorrhage, which has low incidence but high mortality rates.
- The study presents two cases of renal hemorrhage post-TEVAR, one in a 67-year-old woman who recovered with normal kidney function after embolization, and another in a 69-year-old man who suffered fatal complications despite intervention.
- The findings suggest that renal hemorrhage may arise from both iatrogenic and idiopathic factors, emphasizing the need for close monitoring and prompt diagnosis along with effective treatment techniques like renal angiography and selective embolization.
[Cardiac congestion due to compression of the left atrium by an endoleak following endovascular aortic repair (EVAR)].
Med Klin Intensivmed Notfmed
March 2020
Klinik für Innere Medizin und Internistische Intensivmedizin, St.-Antonius-Hospital, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland.
Article Synopsis
- - In rare instances, global cardiac decompensation can indicate a significant endoleak after EVAR therapy for a thoracic aortic aneurysm caused by left atrium compression.
- - The case report highlights an atypical progression of illness where this complication manifested.
- - It emphasizes the critical role of early bedside echocardiography in emergency settings for timely diagnosis and treatment planning.
Traditional and ultrasound physical examinations: a hybrid approach to improve clinical care.
Rev Assoc Med Bras (1992)
May 2018
Faculty of Medicine of the Barbacena, Barbacena/MG, Brasil.
Article Synopsis
- Point-of-care ultrasonography is an innovative and portable imaging technique that allows non-specialist physicians to conduct ultrasound exams directly at the patient's bedside while maintaining high image quality.
- Its growing adoption across various medical specialties enhances physical examinations, enables timely clinical decisions, and contributes to the safety of medical procedures.
- The review illustrates three clinical cases that demonstrate the effectiveness of point-of-care ultrasonography and suggests that combining physical exams with this technology is transforming healthcare practices and improving patient care quality.
Point-of-Care Ultrasound Performed by a Medical Student Compared to Physical Examination by Vascular Surgeons in the Detection of Abdominal Aortic Aneurysms.
Ann Vasc Surg
October 2018
Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada; Division of Vascular and Endovascular Surgery, The Ottawa Hospital, Ottawa, ON, Canada.
Article Synopsis
- - The study investigates the effectiveness of point-of-care ultrasound (POCUS) performed by medical students in detecting abdominal aortic aneurysms (AAAs), comparing it with traditional physical examinations by vascular surgeons and a gold standard reference scan.
- - Conducted with 57 patients, the research found that while surgeons detected 11 out of 16 AAAs, physicians had some false positives; students were trained beforehand by experts to ensure accuracy in their assessments.
- - The results highlight the potential for incorporating POCUS training into medical curricula, aiming to enhance medical students' diagnostic skills at the bedside for conditions like AAAs.
Point-of-care ultrasound leads to diagnostic shifts in patients with undifferentiated hypotension.
Am J Emerg Med
December 2017
Department of Radiology, George Washington University Medical Center, United States.
Article Synopsis
- The study investigates how an ultrasound protocol for hypotensive patients in the Emergency Department can uncover life-threatening conditions that may have been overlooked during initial evaluations.* -
- Utilizing a standardized approach, ultrasound-guided assessments led to critical diagnoses such as Takotsubo cardiomyopathy and pulmonary embolism, significantly changing the management plans for these patients.* -
- The findings suggest that using ultrasound in cases of undifferentiated hypotension is essential for quickly identifying and addressing serious threats to patient health, highlighting its effectiveness in emergency care.*
Sonographic Changes in Optic Nerve Sheath Diameter Associated with Supra- versus Infrarenal Aortic Aneurysm Repair.
J Neuroimaging
March 2017
Department of Surgery, Vascular and Endovascular Surgery, University of Regensburg, Franz-Josef-Strauss Allee 11, 93053, Regensburg, Germany.
Article Synopsis
- - The study investigates the changes in optic nerve sheath diameter (ONSD) as a way to gauge intracranial and intraspinal pressure in patients undergoing aortic aneurysm repair (AAR), focusing on suprarenal (sAAR) versus infrarenal (iAAR) cases.
- - Thirty patients with infrarenal AAR were compared with 28 patients from a previous study with suprarenal AAR, using ocular sonography to track ONSD changes at five different time points post-surgery.
- - Results showed a significant difference in ONSD changes: sAAR patients experienced a slight increase, while iAAR patients had a minor decrease, both returning to baseline during hospitalization, indicating
A majority of rural emergency departments in the province of Quebec use point-of-care ultrasound: a cross-sectional survey.
BMC Emerg Med
December 2015
Department of Family and Emergency Medicine, Université Laval, Quebec City, QC, Canada.
Article Synopsis
- Point-of-care ultrasound (POCUS) is a valuable tool in rural Quebec for quickly addressing critical medical issues, but access and usage rates among local physicians remain uncertain.
- A survey of 206 rural emergency department physicians revealed a 52.4% participation rate, with most respondents being family physicians and a majority regularly using POCUS.
- The main barriers to POCUS use included a lack of training programs, while respondents indicated high availability of ultrasound devices and identified specific clinical scenarios, like abdominal aortic aneurysm evaluation, as primary use cases.
Bedside ultrasound to evaluate abdominal pain.
JAAPA
November 2015
Clare Scott practices emergency medicine at Johns Hopkins Hospital in Baltimore, Md. The author has disclosed no potential conflicts of interest, financial or otherwise.
Contrast-enhanced ultrasound: clinical applications in patients with atherosclerosis.
Int J Cardiovasc Imaging
January 2016
Division of Angiology, Department of Internal Medicine, University Hospital Basel, Basel, Switzerland.
Article Synopsis
- - CEUS (Contrast-enhanced ultrasound) enhances imaging of atherosclerosis by using microbubble contrast agents, resulting in better image quality and providing insights that standard ultrasound can't give.
- - This noninvasive and safe technique is effective in evaluating coronary, carotid, and aortic atherosclerosis, helping to detect high-risk plaque features and assessing heart function in real-time.
- - Emerging advancements in CEUS could lead to improved understanding and treatment options for cardiovascular diseases, making it a valuable tool in managing patients with atherosclerosis.
Accuracy of bedside emergency physician performed ultrasound in diagnosing different causes of acute abdominal pain: a prospective study.
Clin Imaging
November 2015
Emergency Department, Iran University of Medical Sciences (IUMS).
Article Synopsis
- The study focuses on the use of bedside ultrasound by emergency physicians to diagnose the cause of abdominal pain, which is a frequent issue in emergency departments.
- Results showed that emergency physicians had a 78% accuracy rate in their diagnoses, performing better for certain conditions like abdominal aortic aneurysm and renal stones.
- The conclusion highlights that trained emergency physicians can effectively use bedside ultrasound to determine the cause of acute nontraumatic abdominal pain, potentially improving patient outcomes.
Emergency bedside ultrasound in a case of chest pain and collapse.
Br J Hosp Med (Lond)
October 2014
Acute Medical Registrar in the Department of Acute Medicine, Bristol Royal Infirmary, Bristol BS2 8HW.
[Focused surgical bedside ultrasound: E-FAST (focused assessment with sonography in trauma) - abdominal aortic aneurysm - cholecystolithiasis - acute appendicitis].
Praxis (Bern 1994)
June 2014
Chirurgische Klinik, Spitalnetz Bern, Tiefenau.
Article Synopsis
- Ultrasound is a valuable and user-friendly diagnostic tool that enhances clinical evaluations and quick decision-making in emergency settings.
- Surgeons frequently face urgent decisions about whether a patient requires emergency treatment or additional tests, highlighting the importance of ultrasound training.
- The initiative ICAN aims to enhance the educational resources and training for surgeons in Switzerland regarding focused emergency ultrasound, addressing common surgical issues encountered in emergency rooms.
Emergency bedside ultrasound diagnosis of superior mesenteric artery dissection complicating acute aortic dissection.
J Emerg Med
December 2013
Department of Emergency Medicine, University of Colorado School of Medicine, Denver, Colorado.
Article Synopsis
- - A timely diagnosis of aortic dissection is crucial for reducing mortality, and bedside ultrasound has shown potential in identifying this condition, although its use for superior mesenteric artery dissection is not well-documented.
- - The case report details a 46-year-old male with abdominal pain who, upon ultrasound, was found to have a superior mesenteric artery dissection associated with an intimal flap in the aorta, leading to expedited surgical intervention.
- - The study concludes that detecting superior mesenteric artery dissection using bedside ultrasound is essential due to its high-risk nature as a complication of aortic dissection.
Systematic review: emergency department bedside ultrasonography for diagnosing suspected abdominal aortic aneurysm.
Acad Emerg Med
February 2013
Department of Emergency Medicine, SUNY Downstate Medical Center, Brooklyn, NY, USA.
Article Synopsis
- The study reviews the effectiveness of bedside ultrasound (US) in emergency departments for diagnosing abdominal aortic aneurysms (AAA), an area not thoroughly explored in emergency medicine.
- An extensive literature search resulted in seven quality studies involving 655 patients, showing a 23% prevalence of AAA among symptomatic individuals over 50 years old.
- The findings indicate that emergency department US has a high sensitivity (99%) and specificity (98%) for detecting AAA, demonstrating its strong diagnostic capabilities.