Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part I

Levitov, Alexander; Frankel, Heidi L.; Blaivas, Michael; Kirkpatrick, Andrew W.; Su, Erik; Evans, David P.; Summerfield, Douglas T.; Slonim, Anthony D.; Breitkreutz, Raoul; Price, Susanna; McLaughlin, Margaret; Marik, Paul E.; Elbarbary, Mahmoud

doi:10.1097/ccm.0000000000001216

Cited by 363 publications

(239 citation statements)

References 99 publications

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“…Several major societies have issued guidelines and established courses and certifications [3,[21][22][23]. The need for standardized training, a defined curriculum, and clear definitions of competency has clearly been recognized, but little consensus exists on the exact hours of training required.…”

Section: Requirements Training and Certification In Echocardiographymentioning

confidence: 99%

Transesophageal echocardiography in the evaluation of the trauma patient: A trauma resuscitation transesophageal echocardiography exam

Leichtle

Singleton

Singh

et al. 2017

Journal of Critical Care

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Section: Requirements Training and Certification In Echocardiographymentioning

confidence: 99%

Transesophageal echocardiography in the evaluation of the trauma patient: A trauma resuscitation transesophageal echocardiography exam

Leichtle

Singleton

Singh

et al. 2017

Journal of Critical Care

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“…Some significant large studies are not free of such imprecision [35]. The misuse of the appropriate ana tomical nomenclature hinders the comparison of different techniques of cannulation and the creation of guidelines [20,21]. Despite growing evidence, the recommendations of experts still do not include access via the axillary vein in their guidelines.…”

Section: Real-time Ultrasound Guidancementioning

confidence: 99%

“…For this reason, many experts and guidelines from professional societies recommend performing catheterization with ultrasound equipment [12,21,22].…”

Section: Application Of Ultrasonographymentioning

confidence: 99%

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Infraclavicular access to the axillary vein — new possibilities for the catheterization of the central veins in the intensive care unit

Gawda¹,

Czarnik²,

Łysenko

2016

Anaesthesiol Intensive Ther

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Central vein cannulation is one of the most commonly performed procedures in intensive care. Traditio nally, the jugular and subclavian vein are recommended as the first choice option. Nevertheless, these attempts are not always obtainable for critically ill patients. For this reason, the axillary vein seems to be a rational alternative approach. In this narrative review, we evaluate the usefulness of the infraclavicular access to the axillary vein. The existing evidence suggests that infraclavicular approach to the axillary vein is a reliable method of central vein catheterization, especially when performed with ultrasound guidance.

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“…Appropriate imaging training is required in order to reduce operator errors. Clinical evidence gathered for the past 15 years has allowed the inclusion of US examinations into the diagnostic and treatment algorithms for acute appendicitis, aortic aneurysms, acute heart failure, closed abdominal trauma, etc [1][2][3][4][5]. All these led to the introduction of basic training in US for the management of clinical problems in diagnostic and treatment algorithms [6].…”

Section: Introductionmentioning

confidence: 99%

Ultrasonography as an integrated tool in clinical decision-making in the Emergency Department

et al. 2016

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The aim of this retrospective study was to identify the role of ultrasonography as a decision-making and screening tool in emergency patients with pathological changes. Material and method: The study was carried out for 28 months in the Emergency Department of the County Emergency University Hospital, Cluj-Napoca. An ultrasound examination was performed as part of the clinical algorithm within the first hour of treating non-critical patients after they had been triaged. The diagnostic decision based on the results of the ultrasound examination was compared with the final diagnosis on discharge from the Emergency Department. Results: In study were included 1565 patients with a mean age of 50.61±19.21 years. Ultrasound changes were detected in a statistically significant number of patients from all the examined subgroups (p≤0.002). The concordance between clinical and ultrasound findings was of 54.06%. Of all the examined patients, 20.63% were referred to surgery department based on the results of the ultrasound examination. Surgery was the final therapeutic decision in 5.06% of all the patients with normal ultrasound findings. Conclusions: Ultrasonography as an integrated tool in the clinical examination algorithm allowed the identification of non-critical patients who required emergency surgery (20.63%). The integration of point-of-care ultrasound into the clinical examination allows the management of emergency patients through the ranking of decisions: hospital admission for surgery and medical treatment, other diagnostic investigations, referral to outpatient care and family physician.

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Guidelines for the Appropriate Use of Bedside General and Cardiac Ultrasonography in the Evaluation of Critically Ill Patients—Part I

Cited by 363 publications

References 99 publications

Transesophageal echocardiography in the evaluation of the trauma patient: A trauma resuscitation transesophageal echocardiography exam

Transesophageal echocardiography in the evaluation of the trauma patient: A trauma resuscitation transesophageal echocardiography exam

Infraclavicular access to the axillary vein — new possibilities for the catheterization of the central veins in the intensive care unit

Ultrasonography as an integrated tool in clinical decision-making in the Emergency Department

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