Ultrasound for Intubation Confirmation: A Randomized Controlled Study among Emergency Medicine Residents

Hossein‐Nejad, Hooman; Mehrjerdi, Mohammad-Hassan Sadroldini; Abdollahi, Atefeh; Loesche, Michael A.; Schulwolf, Sara; Ghadipasha, Masoud; Mohammadinejad, Payam; Ataeinia, Bahar; Shokoohi, Hamid

doi:10.1016/j.ultrasmedbio.2020.10.012

Cited by 3 publications

(4 citation statements)

References 19 publications

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“…There were 91.7% correct identifications made with B-mode and 86.9% with B-mode plus color-Doppler (p-value = 0.007). Finally, a correlation between the year of training and higher accuracy in ultrasound-guided ETT placement identification was observed [9].…”

Section: Endotracheal Tube (Ett) Positioning Assessmentmentioning

confidence: 84%

“…In a meta-analysis by Asmara et al in which 4 studies were analyzed for a total of 820 patients, BLUE protocol showed a sensitivity of 84% (76-89%), a specificity of 98% (93-99%), LR+ 42 , LR− 0.12 (0.07-0.2) and odds ratio 252 (81-788) for pneumonia and sensitivity 89% (95% CI, 81-93%), specificity 94% (89-96%), LR+ 14 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25), LR− 0.165 (0.11-0.24), and DOR 116 (42-320) for pulmonary edema [24].…”

Section: B: Us and Breathingmentioning

confidence: 97%

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The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

Sartini,

Ferrari,

Cutuli

et al. 2024

JCM

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Acute respiratory failure (ARF) is a challenging condition that clinicians, especially in emergency settings, have to face frequently. Especially in emergency settings, many underlying diseases can lead to ARF and life-threatening conditions have to be promptly assessed and correctly treated to avoid unfavorable outcomes. In recent years, point-of-care ultrasound (POCUS) gained growing consideration due to its bedside utilization, reliability and reproducibility even in emergency settings especially in unstable patients. Research on POCUS application to assess ARF has been largely reported mainly with observational studies showing heterogeneous results from many different applications. This narrative review describes the wide potentiality of POCUS to face airways and breathing life-threatening conditions such as upper airway management, pulmonary and pleural pathologies and diaphragm impairment. We conducted extensive research of the literature to report from major studies to case reports deemed useful in practical clinical utilization of POCUS in ARF. Due to the huge amount of the literature found, we focused on airways and breathing assessment trying to systematize the evidence according to clinical care of ARF in emergency settings. Further studies, possibly trials, should determine how POCUS is crucial in clinical practice in terms of standard of care improvements, patient safety and cost-benefit analysis.

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Section: Endotracheal Tube (Ett) Positioning Assessmentmentioning

confidence: 84%

Section: B: Us and Breathingmentioning

confidence: 97%

The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

Sartini,

Ferrari,

Cutuli

et al. 2024

JCM

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“… 3 , 8 After this, we conducted a comprehensive literature review of all clinical applications of ultrasound with the assistance of a librarian to develop a final comprehensive list of applications in Fall 2020. 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 The specific search terms are presented in Figure 1 . The final list included topics such as physics and general principles as well as normal anatomy and pathology in the following categories: trauma, aorta, thoracic, cardiac, obstetrics and gynecology (OBGYN), testicular, ocular, neurology, venous, biliary, renal, soft tissue and musculoskeletal (MSK), head and neck, bowel, procedural guidance, and airway.…”

Section: Methodsmentioning

confidence: 99%

“…We developed an extensive list of relevant topics within EUS using the ACEP list of ultrasound guidelines and CORD‐AEUS consensus recommendations and input from a group of educationally focused ultrasound faculty (including one program director, EUS fellowship director, and EUS director) and EUS fellows at a large academic EM residency in the central region of the United States 3,8 . After this, we conducted a comprehensive literature review of all clinical applications of ultrasound with the assistance of a librarian to develop a final comprehensive list of applications in Fall 2020 15–55 . The specific search terms are presented in Figure 1.…”

Section: Methodsmentioning

confidence: 99%

A consensus list of ultrasound competencies for graduating emergency medicine residents

Haidar

Peterson

Minges

et al. 2022

AEM Education and Training

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Objectives Emergency ultrasound (EUS) is a critical component of emergency medicine (EM) resident education. Currently, there is no consensus list of competencies for EUS training, and graduating residents have varying levels of skill and comfort. The objective of this study was to define a widely accepted comprehensive list of EUS competencies for graduating EM residents through a modified Delphi method. Methods We developed a list of EUS applications through a comprehensive literature search, the American College of Emergency Physicians list of core EUS benchmarks, and the Council of Emergency Medicine Residency‐Academy of Emergency Ultrasound consensus document. We assembled a multi‐institutional expert panel including 15 faculty members from diverse practice environments and geographical regions. The panel voted on the list of competencies through two rounds of a modified Delphi process using a modified Likert scale (1 = not at all important, 5 = very important) to determine levels of agreement for each application—with revisions occurring between the two rounds. High agreement for consensus was set at >80%. Results Fifteen of 15 panelists completed the first‐round survey (100%) that included 359 topics related to EUS. After the first round, 195 applications achieved high agreement, four applications achieved medium agreement, and 164 applications achieved low agreement. After the discussion, we removed three questions and added 13 questions. Fifteen of 15 panelists completed the second round of the survey (100%) with 209 of the 369 applications achieving consensus. Conclusion Our final list represents expert opinion on EUS competencies for graduating EM residents. We hope to use this consensus list to implement a more consistent EUS curriculum for graduating EM residents and to standardize EUS training across EM residency programs.

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Promoting the ozone-liquid mass transfer through external physical fields and their applications in wastewater treatment: A review

Wang

Wen

Zhang

et al. 2021

Journal of Environmental Chemical Engineering

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Ultrasound for Intubation Confirmation: A Randomized Controlled Study among Emergency Medicine Residents

Cited by 3 publications

References 19 publications

The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

The Role of Pocus in Acute Respiratory Failure: A Narrative Review on Airway and Breathing Assessment

A consensus list of ultrasound competencies for graduating emergency medicine residents

Promoting the ozone-liquid mass transfer through external physical fields and their applications in wastewater treatment: A review

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