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Bedside Ultrasonography for Lumbar Puncture

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Point-of-Care Ultrasonography.

Michael J Arnold, Christopher E Jonas, Rachel E Carter,

Point-of-care ultrasonography (POCUS) is performed by a physician at the bedside and is standard practice in obstetric, emergency, and musculoskeletal medicine. When compared with formal sonography, POCUS is equivalent in screening for abdominal aortic aneurysm and as accurate in diagnosing deep venous thrombosis. POCUS has high accuracy for diagnosing pneumonia ... Read more >>

Am Fam Physician (American family physician)
[2020, 101(5):275-285]

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Seeing Is Believing: Ultrasound in Pediatric Procedural Performance.

María V Fraga, Jason Z Stoller, Christie L Glau, Daniele De Luca, Rachel G Rempell, Jesse L Wenger, Chor Yek Kee, Wallis T Muhly, Karen Boretsky, Thomas W Conlon,

Point-of-care ultrasound is currently widely used across the landscape of pediatric care. Ultrasound machines are now smaller, are easier to use, and have much improved image quality. They have become common in emergency departments, ICUs, inpatient wards, and outpatient clinics. Recent growth of supportive evidence makes a strong case for ... Read more >>

Pediatrics (Pediatrics)
[2019, 144(5):]

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Development of a Homemade Spinal Model for Simulation to Teach Ultrasound Guidance for Lumbar Puncture.

Madison Odom, Jonathan R Gomez, Kerry Ann Danelson, Aarti Sarwal,

BACKGROUND:Spinal procedures such as lumbar punctures (LPs), epidurals, and spinal blocks are essential components to clinical practice but are challenging to teach, learn, or practice on real patients due to patient safety and comfort limiting the number of attempts. Resident physicians traditionally learn these spinal procedural skills through observation of ... Read more >>

Neurocrit Care (Neurocritical care)
[2019, 31(3):550-558]

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Billing I-AIM: a novel framework for ultrasound billing.

Daralee Hughes, Michelle M Corrado, Irene Mynatt, Michael Prats, Nelson A Royall, Creagh Boulger, David P Bahner,

BACKGROUND:Point-of-care ultrasound (POCUS) has an ever-growing footprint in medicine. With this growth POCUS billing and reimbursement has become an area gaining quite a bit of attention as a means of funding and sustaining quality and education programs. Standardization across providers is needed to improve the financial viability of POCUS. RESULTS:We ... Read more >>

Ultrasound J (The ultrasound journal)
[2020, 12(1):8]

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Ultrasonographic optic nerve sheath diameter monitoring of elevated intracranial pressure: two case reports.

Li-Juan Wang, Hong-Xiu Chen, Lan Tong, Li-Min Chen, Ya-Nan Dong, Ying-Qi Xing,

Ultrasonography assessments of optic nerve sheath diameter (ONSD) is a non-invasive method that may help identify elevated intracranial pressure (ICP). However, this technique was used to evaluate the elevated ICP caused by traumatic brain injury. The objective of this study was to examine clinical cases of the changes in ICP ... Read more >>

Ann Transl Med (Annals of translational medicine)
[2020, 8(1):20]

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Cerebral venous congestion correlates to acute aneurysm rupture: An illustrative case with Doppler ultrasonography study.

Virginia Annese, Claudia Frau, Noemi Murdeu, Massimo Gregorio, Sandro Sanguigni,

Background:The objective of our description is to shed light on some new hemodynamic and clinical characteristics in the unstable cerebral aneurysm Case: We describe a 54 year old woman who presented a tension headache, that increasing for several days. A CT scan performed in ER suggests a possible arterial ectasia ... Read more >>

eNeurologicalSci (eNeurologicalSci)
[2020, 19:100231]

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Prediction of Symptomatic Vasospasm in Patients with Aneurysmal Subarachnoid Hemorrhage Using Early Transcranial Doppler.

Claudio E Scherle Matamoros, Edgar A Samaniego, Kimberly Sam, Jorge A Roa, Jesús Pérez Nellar, Danny Rivero Rodríguez,

Background:Symptomatic vasospasm (sVSP) is a common complication during the course of aneurysmal subarachnoid hemorrhage (aSAH). We aimed to evaluate the efficacy and accuracy of transcranial Doppler ultrasound (TCD), performed within the first 3 days of aSAH to predict the development of sVSP. Methods:We performed a retrospective analysis of our institutional ... Read more >>

J Vasc Interv Neurol (Journal of vascular and interventional neurology)
[2020, 11(1):19-26]

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Utilization of Ocular Ultrasound in the Evaluation of Posterior Reversible Encephalopathy Syndrome: A Case Report.

David H Cisewski, Alfred J Astua,

Posterior reversible encephalopathy syndrome (PRES) is an infrequently encountered cause of altered mental status and seizure activity in the emergency setting. Diagnosis is often delayed by extensive testing and failure to consider PRES in the differential. Though MRI remains the gold standard for diagnosis, ultrasound-guided measurement of intra-ocular pressure is a safe, ... Read more >>

Cureus (Cureus)
[2019, 11(5):e4646]

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Detection of Optic Disc Drusen in Children Using Ultrasound through the Lens and Avoiding the Lens-Point of Care Ultrasound Technique of Evaluation Revisited.

Renuka Rajagopal, Ellen Mitchell, Christin Sylvester, Lea Ann Lope, Ken Kanwal Nischal,

AIM:To assess whether the detection rate of optic disc drusen (ODD) in children with swollen optic discs varies if the ultrasound scan (USS) is performed through the lens or avoiding the lens. METHODS:Retrospective review of the ultrasound machine database for all patients who underwent USS for swollen discs in the ... Read more >>

J Clin Med (Journal of clinical medicine)
[2019, 8(9):]

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Point-of-care ultrasound in primary care: a systematic review of generalist performed point-of-care ultrasound in unselected populations.

Bjarte Sorensen, Steinar Hunskaar,

BACKGROUND:Both the interest and actual extent of use of point-of-care ultrasound, PoCUS, among general practitioners or family physicians are increasing and training is also increasingly implemented in residency programs. However, the amount of research within the field is still rather limited compared to what is seen within other specialties in ... Read more >>

Ultrasound J (The ultrasound journal)
[2019, 11(1):31]

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State-of-the-art neonatal cerebral ultrasound: technique and reporting.

Jeroen Dudink, Sylke Jeanne Steggerda, Sandra Horsch, ,

In the past three decades, cerebral ultrasound (CUS) has become a trusted technique to study the neonatal brain. It is a relatively cheap, non-invasive, bedside neuroimaging method available in nearly every hospital. Traditionally, CUS was used to detect major abnormalities, such as intraventricular hemorrhage (IVH), periventricular hemorrhagic infarction, post-hemorrhagic ventricular ... Read more >>

Pediatr. Res. (Pediatric Research)
[2020, 87(Suppl 1):3-12]

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Point of care ultrasound in recognising papilloedema and raised intracranial pressure on the acute medical unit.

Gurmukh Chandan, Namita Matthews, Sarbjit Clare,

Clin Med (Lond) (Clinical medicine (London, England))
[2019, 19(Suppl 2):110-110]

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A cohort study of anatomical landmark-guided midline versus pre-procedure ultrasound-guided midline technique of spinal anesthesia in elderly patients undergoing orthopedic surgery.

Harsha Hemraj Narkhede, Deepa Kane, Viral Parekh, Indrani Hemantkumar,

Background and Aims:The primary objective of the study was to compare the number of attempts and number of passes of spinal needle insertion and secondary objective was to compare complications, bloody tap, and patient discomfort in anatomical landmark-guided versus pre-procedure USG-guided midline technique of spinal anesthesia in elderly patients posted ... Read more >>

J Anaesthesiol Clin Pharmacol (Journal of anaesthesiology, clinical pharmacology)
[2019, 35(4):522-527]

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Xpert MTB/RIF Ultra for the diagnosis of HIV-associated tuberculous meningitis: a prospective validation study.

Fiona V Cresswell, Lillian Tugume, Nathan C Bahr, Richard Kwizera, Ananta S Bangdiwala, Abdu K Musubire, Morris Rutakingirwa, Enock Kagimu, Edwin Nuwagira, Edward Mpoza, Joshua Rhein, Darlisha A Williams, Conrad Muzoora, Daniel Grint, Alison M Elliott, David B Meya, David R Boulware, ,

INTRODUCTION:Tuberculous meningitis accounts for 1-5% of tuberculosis cases. Diagnostic delay contributes to poor outcomes. We evaluated the performance of the new Xpert MTB/RIF Ultra (Xpert Ultra) for tuberculous meningitis diagnosis. METHODS:In this prospective validation study, we tested the cerebrospinal fluid (CSF) of adults presenting with suspected meningitis (ie, headache or ... Read more >>

Lancet Infect Dis (The Lancet. Infectious diseases)
[2020, 20(3):308-317]

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Ultrasound imaging versus palpation method for diagnostic lumbar puncture in neonates and infants: a systematic review and meta-analysis.

Abiola Olowoyeye, Opeyemi Fadahunsi, Jerome Okudo, Oluwakare Opaneye, Charles Okwundu,

Importance:Lumbar puncture (LP) failure rates vary and can be as high as 65%. Ultrasound guidance could increase the success of performing LP. Objective:To summarise the evidence on the use of ultrasound guidance versus palpation method for LP. Data sources:We searched computerised databases and published indexes, registries and references identified from ... Read more >>

BMJ Paediatr Open (BMJ Paediatrics Open)
[2019, 3(1):e000412]

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"Acute onset tetraplegia associated with immune-mediated thrombocytopenia and suspected secondary intraspinal hemorrhage in a dog".

Jasmine S Lee, Tara Jane Bellis, Adam S Yoskowitz, Boaz Levitin,

Neurologic manifestations of immune-mediated thrombocytopenia are uncommon, and limited reports exist in human and veterinary medicine. This report documents acute onset of tetraplegia in a dog with immune-mediated thrombocytopenia and suspected secondary intraspinal hemorrhage with subsequent recovery of neurologic function following treatment. ... Read more >>

Clin Case Rep (Clinical case reports)
[2019, 7(9):1673-1679]

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Two-dimensional ultrasound measurements vs. magnetic resonance imaging-derived ventricular volume of preterm infants with germinal matrix intraventricular haemorrhage.

Casper Beijst, Jeroen Dudink, Rens Wientjes, Isabel Benavente-Fernandez, Floris Groenendaal, Margaretha J Brouwer, Ivana Išgum, Hugo W A M de Jong, Linda S de Vries,

BACKGROUND:Post-haemorrhagic ventricular dilatation can be measured accurately by MRI. However, two-dimensional (2-D) cranial US can be used at the bedside on a daily basis. OBJECTIVE:To assess whether the ventricular volume can be determined accurately using US. MATERIALS AND METHODS:We included 31 preterm infants with germinal matrix intraventricular haemorrhage. Two-dimensional cranial ... Read more >>

Pediatr Radiol (Pediatric radiology)
[2020, 50(2):234-241]

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Ultrasound-guided Bedside Core Needle Biopsy: A Hospitalist Procedure Team's Experience.

Sanjay A Patel, Krzysztof Pierko, Ricardo Franco-Sadud,

Tissue pathology is integral for the diagnosis of various conditions, especially malignancy. Traditionally, biopsy procedures, including core needle biopsy (CNB), are performed by surgeons or radiologists. With the increasing utilization of point of care ultrasound (POCUS) skills and competence in bedside procedures by general internists, CNB can be safely moved to the ... Read more >>

Cureus (Cureus)
[2019, 11(1):e3817]

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Reliability of Assessing Non-severe Elevation of Intracranial Pressure Using Optic Nerve Sheath Diameter and Transcranial Doppler Parameters.

Li-Min Chen, Li-Juan Wang, Lin Shi, Hong-Xiu Chen, Xiao-Han Jiang, Qian-Qian Chen, Ying-Qi Xing,

Background/Aims: Non-invasive measurement of intracranial pressure (ICP) using ultrasound has garnered increasing attention. This study aimed to compare the reliability of ultrasonographic measurement of optic nerve sheath diameter (ONSD) and transcranial Doppler (TCD) in detecting potential ICP elevations. Methods: Patients who needed lumbar puncture (LP) in the Department of Neurology ... Read more >>

Front Neurol (Frontiers in neurology)
[2019, 10:1091]

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Retropharyngeal abscess presenting as acute airway obstruction in a 66-year-old woman: A case report.

Jian Lin, Xiao-Mai Wu, Jia-Xi Feng, Mei-Fang Chen,

BACKGROUND:Adult retropharyngeal abscess (RPA) is extremely rare, and most cases reported in the literature were related to tuberculous infection. We present a case of RPA with acute airway obstruction as the main manifestation in a 66-year-old woman that was considered to be non-tubercular suppurative inflammation in the retropharyngeal space. CASE ... Read more >>

World J Clin Cases (World journal of clinical cases)
[2019, 7(22):3838-3843]

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Ultrasound assessment of the anatomic landmarks for spinal anesthesia in elderly patients with hip fracture: A prospective observational study.

Hyerim Kim, Dongwook Won, Jee-Eun Chang, Jung-Man Lee, Jung-Hee Ryu, Seong-Won Min, Kwanghoon Jun, Hyung Sang Row, Jin-Young Hwang,

Tuffier line is a common landmark for spinal anesthesia. The 10th rib line has been suggested as a new landmark to predict the intervertebral levels. We evaluated the accuracy of these 2 anatomic landmarks for identifying the L4-L5 intervertebral space using ultrasonography in elderly patients with hip fracture.Seventy-nine elderly patients ... Read more >>

Medicine (Baltimore) (Medicine)
[2019, 98(27):e16388]

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Point-of-Care Ultrasound in Established Settings.

Dustin Morrow, Julia Cupp, David Schrift, Robert Nathanson, Nilam J Soni,

The original and most widely accepted applications for point-of-care ultrasound (POCUS) are in the settings of trauma, shock, and bedside procedures. Trauma was the original setting for the introduction of POCUS and has been standardized under the four-plus view examination called the Focused Assessment with Sonography in Trauma (FAST). This ... Read more >>

South. Med. J. (Southern medical journal)
[2018, 111(7):373-381]

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Point of care ultrasonography in the pediatric emergency department.

Julien Le Coz, Silvia Orlandini, Luigi Titomanlio, Victoria Elisa Rinaldi,

IMPORTANCE:Point-of-care ultrasonography (POCUS) allows to obtain real-time images to correlate with the patient's presenting signs and symptoms. It can be used by various specialties and may be broadly divided into diagnostic and procedural applications. OBJECTIVE:We aimed at reviewing current knowledge on the use of POCUS in Pediatric Emergency Departments (PEDs). ... Read more >>

Ital J Pediatr (Italian journal of pediatrics)
[2018, 44(1):87]

Cited: 1 time

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Role of Orbital Ultrasound in the Assessment of Clinically Detected Papilledema.

Khaleel Ibraheem Mohson, Noor Auday,

Background:Increased intracranial pressure (ICP) is frequently seen, and it is considered a serious problem that needs a careful assessment and management, especially by easy and least invasive modalities. Objective:The objective of the study is to assess the optic nerve sheath diameter (ONSD) using transorbital ultrasound (US) as a marker and ... Read more >>

J Med Ultrasound (Journal of medical ultrasound)
[2019, 27(3):135-140]

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Anesthetic considerations for extracranial injuries in patients with associated brain trauma.

Ankur Khandelwal, Parmod Kumar Bithal, Girija Prasad Rath,

Patients with severe traumatic brain injury often presents with extracranial injuries, which may contribute to fatal outcome. Anesthetic management of such polytrauma patients is extremely challenging that includes prioritizing the organ system to be dealt first, reducing on-going injury, and preventing secondary injuries. Neuroprotective and neurorescue measures should be instituted ... Read more >>

J Anaesthesiol Clin Pharmacol (Journal of anaesthesiology, clinical pharmacology)
[2019, 35(3):302-311]

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