752 results match your criteria: "Bedside Ultrasonography Cardiac Evaluation"
Changes in Cerebral Hemodynamics During Pediatric Cardiac Surgery with Cardiopulmonary Bypass for Congenital Heart Disease.
Pediatr Cardiol
December 2024
Department of Anesthesiology and Critical Care Medicine, Hokkaido University Graduate School of Medicine, N15 W7, Sapporo, 0608638, Japan.
During pediatric cardiac surgery with cardiopulmonary bypass (CPB) for congenital heart disease, systemic hemodynamics dramatically change, which also causes changes in the cerebral hemodynamics. One of the representative methods in bedside monitoring for the estimation of cerebral hemodynamics during pediatric cardiac surgery is transcranial Doppler ultrasonography (TCD). However, there seem to be few reports on the changes in TCD findings in such operations, especially in cyanotic children.
View Article and Find Full Text PDFPhysicians' clinical experience and perspectives following a pilot, blended learning, point of care ultrasound course in Ghana- a mixed methods analysis.
BMC Med Educ
December 2024
Worldwide Radiology, Liverpool, UK.
Article Synopsis
- Point of Care ultrasound (POCUS) is increasingly being used in resource-limited areas like Ghana, and training physicians properly is essential for its effective implementation.* -
- A pilot blended learning program was developed for physicians in acute care, and participants reported using POCUS techniques frequently, benefitting many patients who otherwise couldn't afford tests.* -
- Challenges included access to equipment and lack of a formal evaluation system, but participants saw the value in ongoing support, further training, and felt that POCUS improved their clinical decision-making.*
Heart and lung point-of-care ultrasonography tutoring in internal medicine: a randomized controlled trial.
J Ultrasound
December 2024
Division of General Internal Medicine, Department of Medicine, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1205, Geneva, Switzerland.
Article Synopsis
- Point-of-care ultrasonography (POCUS) is increasingly used in internal medicine, but proficiency often declines after initial training without ongoing practice.
- This study tested a structured tutoring program for internal medicine residents to see if it improved their ability to perform and retain POCUS skills over six months following a practical course.
- The results showed that residents with tutoring significantly increased their POCUS exams and proficiency, especially in heart imaging, compared to those without tutoring.
Assessment of Kidney Function Discrepancies in Pediatric CAKUT Patients Using Bedside Schwartz Equation and Renal Scintigraphy.
Diseases
October 2024
Department of Urology, Emergency County Hospital Oradea, Strada Gheorghe Doja 65, 410169 Oradea, Romania.
Article Synopsis
- - The research investigates the relationship between estimated glomerular filtration rates (eGFR), measured with the Schwartz equation, and renal scintigraphy in children with congenital kidney and urinary tract abnormalities (CAKUT), aiming to improve understanding of kidney function in this population.
- - A study of 94 pediatric CAKUT patients revealed significant differences in eGFR between the right and left kidneys, particularly in relation to body surface area, indicating a potential bias in standard measurements.
- - The findings suggest that current bedside eGFR methods may not be fully reliable for children with CAKUT, highlighting the need for more accurate diagnostic tools tailored for pediatric patients.
Advanced Cardiac Point-of-Care Ultrasound: A Systematic Review of Select Cardiac Diseases.
Med Clin North Am
January 2025
Cardiac Anesthesia and Intensive Care, Istituto Cardiocentro Ticino, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Article Synopsis
The effects of thoracic epidural blockade on ventilation-perfusion matching during one-lung ventilation: An exploratory study.
J Clin Anesth
December 2024
Department of Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai, China; Shanghai Institute of Infectious Disease and Biosecurity, School of Public Health, Fudan University, Shanghai, China; Shanghai Key Laboratory of Lung Inflammation and Injury, Shanghai, China. Electronic address:
Article Synopsis
- The study explored the use of electrical impedance tomography (EIT) to evaluate the impact of thoracic epidural blockade (TEB) combined with general anesthesia on lung function during one-lung ventilation (OLV) in patients undergoing thoracic surgery.
- Thirty patients were randomly assigned to either a control group or a TEB group, where EIT measurements and blood gas analysis were performed to assess pulmonary perfusion distribution and ventilation-perfusion (V/Q) matching at different stages of the procedure.
- Results indicated that TEB significantly decreased mean arterial pressure and worsened arterial oxygen levels and shunt percentages during OLV, suggesting it adversely affected respiratory function in these patients.
Hemodynamic monitoring during weaning from mechanical ventilation in critically ill pediatric patients: a prospective observational study.
BMC Pediatr
October 2024
Department of Pediatric Intensive Care Unit, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Article Synopsis
- Cardiovascular dysfunction can lead to failure in weaning mechanically ventilated children, making it crucial to monitor heart function during this process.
- A study observing 50 pediatric patients found significant hemodynamic improvements during spontaneous breathing trials, with specific metrics indicating better cardiac performance.
- Lower cardiac index and TAPSE were linked to unsuccessful extubation attempts, suggesting these measures could help predict cardiac-related weaning failures.
Early diaphragm dysfunction assessed by ultrasonography after cardiac surgery: a retrospective cohort study.
Front Cardiovasc Med
October 2024
Department of Epidemiology, Center for Global Health, School of Public Health, Nanjing Medical University, Nanjing, China.
Article Synopsis
- After cardiac surgery, 10%-70% of patients may experience diaphragmatic dysfunction, impacting recovery times and leading to respiratory complications, necessitating further investigation into its effects and risk factors.
- A study analyzed the diaphragmatic function of 177 patients using ultrasound, defining dysfunction based on specific movement and thickness metrics, while considering various medical data.
- The results indicated a 40.7% rate of early postoperative diaphragmatic dysfunction, with affected patients requiring more oxygen and showing trends toward longer ICU and hospital stays compared to those without dysfunction.
A practical approach to the diagnosis and initial management of acute right ventricular failure during pregnancy using point-of-care ultrasound.
Am J Obstet Gynecol MFM
December 2024
Department of Obstetrics and Gynecology and Department of Anesthesiology, University of Texas Medical Branch, Galveston, TX (Pacheco).
Article Synopsis
- - Acute right ventricular failure (ARVF) in pregnancy poses serious risks to both mother and baby, necessitating quick and effective diagnosis and management, particularly through Point-of-Care Ultrasound (POCUS).
- - POCUS allows real-time assessment of the right ventricle and fluid status, aiding in the detection of conditions like pulmonary embolism and helping tailor immediate treatment strategies to manage ARVF in pregnant patients.
- - While POCUS offers significant benefits in emergency situations, effective use requires specialized training and integration into standard obstetric care protocols for optimal outcomes.
Warning of severe pulmonary embolism after cerebral angiography: A case report and literature review.
Medicine (Baltimore)
September 2024
Department of Respiratory, The Ningbo Beilun District People's Hospital, Ningbo, China.
Article Synopsis
- A 47-year-old man went to the hospital for surgery to fix an eye issue but had a serious problem after a brain test called cerebral angiography, which caused a life-threatening blood clot in his lungs (PE).
- Doctors acted quickly with special medicines and CPR, and the man was able to recover and go home.
- The doctors learned that even though PE is rare after this brain test, it can be very dangerous, so they need to be more careful and try to prevent it from happening to others.
Article Synopsis
- - The study aimed to compare the accuracy of a rapid semi-quantitative test for NT-proBNP levels against a laboratory quantitative test in diagnosing congestive heart failure (CHF) and to analyze how these results relate to CHF severity.
- - Researchers tested NT-proBNP levels in 44 patients using both testing methods and found a high sensitivity of 95% for both; however, the quantitative test had better specificity (100%) compared to the semi-quantitative test (92%).
- - The findings suggest that while the rapid NT-proBNP test is useful for quick CHF diagnosis in various settings, it may be less reliable for monitoring treatment effects or predicting disease worsening compared to traditional quantitative assessments.
Hemodynamic monitoring and echocardiographic evaluation in cardiogenic shock.
Med Intensiva (Engl Ed)
October 2024
Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
Article Synopsis
- Cardiogenic shock (CS) is a serious condition where the heart can't pump blood effectively, leading to insufficient blood flow to tissues.
- To diagnose and treat CS, healthcare providers use hemodynamic monitoring, with the pulmonary artery catheter being the most common tool for measuring vital heart functions.
- Echocardiography is also essential as it provides real-time structural and functional heart data, creating a comprehensive approach to managing CS through various monitoring methods.
Next-generation monitoring in obstetrics: Assessing the accuracy of non-piezo portable ultrasound technology.
Acta Obstet Gynecol Scand
October 2024
Department of Obstetrics and Prenatal Medicine, University Hospital Bonn, Bonn, Germany.
Article Synopsis
- - The advancement of handheld ultrasound devices that connect to smartphones offers a new way to conduct immediate ultrasound examinations, especially in obstetrics, enhancing patient care with fetal assessments in various environments.
- - A study involving 100 pregnant women compared the accuracy of conventional ultrasound with portable ultrasound devices in measuring fetal weight and other metrics; results showed excellent agreement between the two types, though some differences were noted in specific measurements.
- - The study concludes that handheld ultrasound devices are highly reliable for basic obstetric evaluations, suggesting their potential for routine use in clinical practice, but emphasizes the need for further research to optimize their effectiveness in different patient groups.
Right Ventricular Pressure Waveform Analysis-Clinical Relevance and Future Directions.
J Cardiothorac Vasc Anesth
October 2024
Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Yale New Haven Hospital and Yale School of Medicine, New Haven, CT.
Article Synopsis
- - Continuous monitoring of pressure in the right atrium and pulmonary artery is a common method for assessing right ventricular function in critically ill patients, relying on the assumption that these pressures accurately reflect heart filling and pressure levels.
- - Recent studies suggest that directly measuring right ventricular pressure at the bedside can provide more accurate insights into heart function, especially when considering not just the pressure values but also the shape of the pressure waveform.
- - Combining traditional right ventricular pressure measurements with waveform analysis and additional tools like stroke volume measurement or 3D echocardiography can lead to a more thorough and continuous evaluation of cardiac function, with potential applications in advanced computational models.
Evaluation of the role of repeated inferior vena cava sonography in estimating first 24 h fluid requirement in resuscitation of major blunt trauma patients in emergency department Suez Canal University Hospital.
BMC Emerg Med
July 2024
General SurgeryFaculty of medicine, Suez Canal University, Ismailia, Egypt.
Article Synopsis
- * It involved 120 major blunt trauma patients, divided into a shocked group (60) showing signs of shock and a non-shocked group (60) with stable vital signs.
- * The research aimed to evaluate changes in IVC diameter and collapsibility before and after resuscitation to determine fluid needs over the first 24 hours.
Sound waves and solutions: Point-of-care ultrasonography for acute kidney injury in cirrhosis.
World J Crit Care Med
June 2024
Department of Nephrology, Medical College of Wisconsin, Milwaukee, WI 53226, United States.
Article Synopsis
- - The article addresses the complex issues of acute kidney injury (AKI) in patients with cirrhosis, which is associated with significant health risks due to overlapping factors like portal hypertension.
- - It introduces the concept of "hepatocardiorenal syndrome," highlighting the interconnections between liver, heart, and kidney functions, especially noting the role of cirrhotic cardiomyopathy in AKI cases.
- - The authors critique standard treatment methods for hepatorenal syndrome and propose a more tailored approach using point-of-care ultrasonography (POCUS) to better evaluate fluid status and cardiac health in affected patients.
Assessing the oral and suprahyoid muscles in healthy adults using muscle ultrasound to inform the swallowing process: a proof-of-concept study.
Sci Rep
June 2024
Adult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, London, E1 1BB, UK.
Article Synopsis
- The study investigated the use of bedside ultrasound to measure the mass and function of oral and suprahyoid muscles involved in swallowing among 40 healthy participants.
- Results showed low variability in muscle mass measurements, with significant differences in geniohyoid muscle size based on sex, and relationships between tongue size and factors like weight and height.
- The thickness of the geniohyoid muscle layer changed with larger bolus sizes, and while velocity increased with bolus size, swallow time and slope distance remained constant, suggesting ultrasound could offer valuable insights into swallowing muscle dynamics.
Unlocking the Potential of VExUS in Assessing Venous Congestion: The Art of Doing It Right.
Cardiorenal Med
July 2024
Division of Nephrology, Hypertension and Renal Transplantation, University of Florida, Gainesville, Florida, USA.
Article Synopsis
- Congestion in heart failure and critical illness can increase patient morbidity and mortality, and traditional evaluation methods often fall short, leading to frequent hospital readmissions.
- Point-of-care ultrasound (POCUS), specifically the Venous Excess Ultrasound (VExUS) score, helps quantify systemic venous congestion, improving management of fluid overload situations.
- Recent studies highlight VExUS's effectiveness in enhancing decongestion rates and its prognostic value across various ICU populations, while underscoring the importance of understanding its technical nuances to avoid clinical errors.
The Bronchopulmonary Dysplasia score: A predictive model for bronchopulmonary dysplasia or death in high-risk preterm infants.
Acta Paediatr
August 2024
INFANT Research Centre, University College Cork, Cork, Ireland.
Article Synopsis
- The study focuses on creating an early predictive model for bronchopulmonary dysplasia (BPD) or death in premature infants at risk due to patent ductus arteriosus (PDA).
- Researchers evaluated 99 infants born before 29 weeks of gestation or weighing under 1500g, using echocardiographic data collected shortly after birth.
- The developed model includes birth weight, respiratory severity score, and PDA flow pattern, showing high predictive accuracy (AUC 0.98) and can serve as a practical bedside tool for early risk assessment.
Point-of-Care Bedside Brain Magnetic Resonance Imaging Is Safe in Extracorporeal Membrane Oxygenation Patients With Swan Ganz Catheters: A Phantom Experiment and Single Center Experience.
J Surg Res
July 2024
Department of Neurology, Johns Hopkins University, Baltimore, Maryland. Electronic address:
Article Synopsis
- Over 1.2 million pulmonary artery catheters (PACs) are used annually in cardiac patients in the U.S., but these devices can't be used during traditional MRI scans, prompting research into their safety in this imaging technique.
- Two experiments tested the safety of PACs in MRI settings, ensuring that the electromagnetic field exposure stayed within the FDA's safety limits while assessing potential adverse effects.
- The study showed that low-field MRI was safe and effective for patients with PACs, allowing for quality imaging to detect acute brain injuries that might be missed with standard CT scans.
Coronary artery disease severity and risk stratification of patients with non ST-elevation acute coronary syndrome using CHADS-VASc-HSF score.
BMC Cardiovasc Disord
May 2024
Cardiovascular Medicine Department, Assiut University Heart Hospital, Assiut University, Assiut, 71526, Egypt.
Article Synopsis
- - This study investigated how well the CHADS-VASc-HSF score can predict the severity of coronary artery disease (CAD) and the risk of major adverse cardiovascular events (MACE) in patients with non-ST elevation acute coronary syndrome (NSTE ACS) who don't have atrial fibrillation.
- - It included 200 patients, primarily male, and categorized them into groups based on their CHADS-VASc-HSF scores; higher scores were associated with more severe CAD as measured by the Syntax score (SS).
- - The findings showed that the CHADS-VASc-HSF score is a strong predictor for both severe CAD and MACE, with certain cutoff points demonstrating high sensitivity and specificity, highlighting its potential clinical
Emergency Ultrasound Unveils Intermediate-High Risk Saddle Pulmonary Embolism with Extensive Bilateral Clot Burden, Masquerading as Micturition Syncope: A Case Report.
J Emerg Med
June 2024
Department of Emergency Medicine, HCA Florida Aventura Hospital, Aventura, Florida.
Article Synopsis
- Isolated syncope caused by pulmonary embolism (PE) is rare and difficult to diagnose, often leading to delayed treatment and increased risks for patients.
- Current medical guidelines do not provide clear procedures for diagnosing PE in patients presenting with syncope, underscoring a need for improved diagnostic practices.
- Utilizing bedside echocardiography can help emergency physicians identify important signs of PE, enhancing their ability to make timely and accurate diagnoses in these challenging cases.
Article Synopsis
- The study aimed to investigate how different patterns of blood flow in the kidneys, assessed through Doppler ultrasound, can indicate the severity of venous congestion and predict kidney function impairment in patients suffering from acute decompensated chronic heart failure (ADCHF).
- Conducted on 75 ICU patients, the study analyzed the blood flow patterns (normal, biphasic, monophasic) and measured sodium concentration in urine after diuretic treatment to monitor kidney injury and other complications.
- Results revealed that patients with a monophasic blood flow pattern had a significantly higher incidence of acute kidney injury (100%) and were more likely to experience in-hospital death and diuretic resistance compared to those with normal or biphasic patterns
Perspectives on the diagnosis and management of functional cognitive disorder: An international Delphi study.
Eur J Neurol
January 2025
Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.
Article Synopsis
- The study examined how cognitive specialists diagnose and manage functional cognitive disorder (FCD) compared to neurodegenerative diseases, using clinical vignettes for assessment.
- Forty-five experts from 12 countries effectively distinguished between FCD and neurodegeneration, accurately diagnosing all neurodegenerative cases, but only 75%-88% of FCD cases were correctly classified due to varied terminology.
- The findings highlight the need for improved agreement on FCD terminology and more research into validation and diagnostic tools, while suggesting that management strategies should include diagnostic communication and referrals for psychotherapy.
Monitoring the venous circulation: novel techniques and applications.
Curr Opin Crit Care
June 2024
Department of Pulmonary and Critical Care Medicine, Denver Health Medical Center, Denver, CO, USA.
Article Synopsis
- Venous pressure is an important but often overlooked factor in patient health, especially in critically ill individuals, and assessing it at the bedside is difficult.
- Traditional methods for measuring venous pressure have limitations, which leads to the introduction of the VExUS Score, a new technique using doppler ultrasound to evaluate venous congestion by analyzing vein measurements.
- Initial research indicates that the VExUS Score correlates well with standard methods and may help improve patient outcomes related to kidney injury and fluid management, but more comprehensive studies are needed to validate its effectiveness across different patient groups.