Ocular Examination For Trauma; Clinical Ultrasound Aboard The International Space Station

Chiao, Leroy; Sharipov, Salizhan; Sargsyan, Ashot E.; Melton, Shannon; Hamilton, Douglas R.; McFarlin, Kellie; Dulchavsky, Scott A.

doi:10.1097/01.ta.0000162456.37962.01

Cited by 107 publications

(44 citation statements)

References 12 publications

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“…However, the method can be used even when visual access to the pupil is impossible, and interpreting its results is straightforward [74]. Consensual pupillary light reflex is elicited with contralateral transillumination through the eyelids with both eyes closed (Figures 5(c) and 5(d)).…”

Section: Ultrasound Neuromonitoringmentioning

confidence: 99%

Ultrasound for the Anesthesiologists: Present and Future

Terkawi

Karakitsos

Elbarbary

et al. 2013

The Scientific World Journal

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Ultrasound is a safe, portable, relatively inexpensive, and easily accessible imaging modality, making it a useful diagnostic and monitoring tool in medicine. Anesthesiologists encounter a variety of emergent situations and may benefit from the application of such a rapid and accurate diagnostic tool in their routine practice. This paper reviews current and potential applications of ultrasound in anesthesiology in order to encourage anesthesiologists to learn and use this useful tool as an adjunct to physical examination. Ultrasound-guided peripheral nerve blockade and vascular access represent the most popular ultrasound applications in anesthesiology. Ultrasound has recently started to substitute for CT scans and fluoroscopy in many pain treatment procedures. Although the application of airway ultrasound is still limited, it has a promising future. Lung ultrasound is a well-established field in point-of-care medicine, and it could have a great impact if utilized in our ORs, as it may help in rapid and accurate diagnosis in many emergent situations. Optic nerve sheath diameter (ONSD) measurement and transcranial color coded duplex (TCCD) are relatively new neuroimaging modalities, which assess intracranial pressure and cerebral blood flow. Gastric ultrasound can be used for assessment of gastric content and diagnosis of full stomach. Focused transthoracic (TTE) and transesophageal (TEE) echocardiography facilitate the assessment of left and right ventricular function, cardiac valve abnormalities, and volume status as well as guiding cardiac resuscitation. Thus, there are multiple potential areas where ultrasound can play a significant role in guiding otherwise blind and invasive interventions, diagnosing critical conditions, and assessing for possible anatomic variations that may lead to plan modification. We suggest that ultrasound training should be part of any anesthesiology training program curriculum.

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Section: Ultrasound Neuromonitoringmentioning

confidence: 99%

Ultrasound for the Anesthesiologists: Present and Future

Terkawi

Karakitsos

Elbarbary

et al. 2013

The Scientific World Journal

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show abstract

“…For the local providers, becoming familiar with telesonography equipment and learning ultrasound basics and scanning techniques greatly help to provide experts with the images necessary for accurate diagnoses and reduce the time and effort necessary. The initial studies conducted from the International Space Station (ISS) involved briefing the astronauts months before the mission and thereafter with [13, 14], and without [15], a prestudy refresher modules and cue cards to assist the astronauts inflight. Without being able to especially visualize the on-site examiners hands, the NASA investigators made extensive use and reference to the cue cards which provided standard terminology and facilitated accurate communications [15].…”

Section: Principles Of Real-time Mentored Tele-ultrasoundmentioning

confidence: 99%

“…This same team evaluated the ability of nonphysician crewmembers to obtain diagnostic-quality musculoskeletal ultrasonographic (US) data of the shoulder by following a just-in-time training algorithm and using real-time remote guidance [13]. Further, a comprehensive, high quality ultrasound examination of the eye was performed with a multipurpose imager aboard the ISS by a nonexpert operator using remote guidance [14]. Finally, with preparation and planning, increasingly complex examinations have been addressed.…”

Section: Demonstrated Applications In Underresourced and Remote Sementioning

confidence: 99%

Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings

Pian

Gillman

McBeth

et al. 2013

Emergency Medicine International

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Mortality and morbidity from traumatic injury are twofold higher in rural compared to urban areas. Furthermore, the greater the distance a patient resides from an organized trauma system, the greater the likelihood of an adverse outcome. Delay in timely diagnosis and treatment contributes to this penalty, regardless of whether the inherent barriers are geographic, cultural, or socioeconomic. Since ultrasound is noninvasive, cost-effective, and portable, it is becoming increasingly useful for remote/underresourced (R/UR) settings to avoid lengthy patient travel to relatively inaccessible medical centers. Ultrasonography is a user-dependent, technical skill, and many, if not most, front-line care providers will not have this advanced training. This is particularly true if care is being provided by out-of-hospital, “nontraditional” providers. The human exploration of space has forced the utilization of information technology (IT) to allow remote experts to guide distant untrained care providers in point-of-care ultrasound to diagnose and manage both acute and chronic illness or injuries. This paradigm potentially brings advanced diagnostic imaging to any medical interaction in a setting with internet connectivity. This paper summarizes the current literature surrounding the development of teleultrasound as a transformational technology and its application to underresourced settings.

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“…Further investigations are required to evaluate potential other specific ultrasound-based techniques in the environment of spaceflight. As ultrasound is a technology with some user-dependent aspects, some current initiatives relate to guiding less experienced users from earth using skilled subject experts to remotely mentor the on-board astronauts [17, 18]. Such techniques have much to potentially offer remote patients on earth, and are good examples of the value of “space spinoffs” [19, 20].…”

Section: Resultsmentioning

confidence: 99%

Surgery in space: Where are we at now?

et al. 2012

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In the coming decades, as we continue our path of space exploration beyond Earth's orbit, we will be required to provide sound medical and surgical care for the safety of space travellers and space flight participants. A few investigations have taken place in the field of surgery in space. In this paper, the authors review the present literature in order to identify possible limitations that currently exist and that could impair our ability to provide surgical care during spaceflight, from the pre-operative to the post-operative period.

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Ocular Examination For Trauma; Clinical Ultrasound Aboard The International Space Station

Cited by 107 publications

References 12 publications

Ultrasound for the Anesthesiologists: Present and Future

Ultrasound for the Anesthesiologists: Present and Future

Potential Use of Remote Telesonography as a Transformational Technology in Underresourced and/or Remote Settings

Surgery in space: Where are we at now?

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