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Point-of-Care Ultrasound in Critically Ill Patients

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Acute Care Surgery Handbook

Abstract

The use of point-of-care (POC) ultrasound has dramatically expanded during the last two decades. Using bedside ultrasound by non-radiologists as a critical decision-making tool in the management of life-threatening conditions proved to be very useful. More acute care physicians are currently eager to learn and practice POC ultrasound.

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References

  1. Wells PNT. Physics and bioeffects. In: McGahan JP, Goldberg BB, editors. Diagnostic ultrasound, a logical approach. Philadelphia: Lppincott-Raven Publishers; 1998. p. 1–19.

    Google Scholar 

  2. Hangiandreou NJ. AAPM/RSNA physics tutorial for residents. Topics in US: B-mode US: basic concepts and new technology. Radiographics. 2003;23:1019–33.

    Article  PubMed  Google Scholar 

  3. Rose JS. Ultrasound physics and knobology. In: Simon BC, Snoey ER, editors. Ultrasound in emergency and ambulatory medicine. St Louis: Mosby-Year book Inc.; 1997. p. 10–38.

    Google Scholar 

  4. Rose JS, Bair AE. Fundamentals of ultrasound. In: Cosby KS, Kendall JL, editors. Practical guide to emergency ultrasound. Philadelphia: Lippincott Willaims and Wilkins; 2006. p. 27–41.

    Google Scholar 

  5. Schuler A. Image artifacts and pitfalls. In: Mathis G, editor. Chest sonography. 2nd ed. New York: Springer; 2008. p. 175–82.

    Google Scholar 

  6. Abu-Zidan FM. Basic ultrasound physics, instrumentation, and knobology. In: Zago M, editor. Essential US for trauma: E-FAST. 1st ed. Milan: Springer-Verlag Italia; 2014. p. 1–13.

    Chapter  Google Scholar 

  7. Abu-Zidan FM, Hefny AF, Corr P. Clinical ultrasound physics. J Emerg Trauma Shock. 2011;4:501–3.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Whittingham TA. Medical diagnostic applications and sources. Prog Biophys Mol Biol. 2007;93:84–110.

    Article  CAS  PubMed  Google Scholar 

  9. Harris T, Davenport R, Hurst T, Jones J. Improving outcome in severe trauma: trauma systems and initial management: intubation, ventilation and resuscitation. Postgrad Med J. 2012;88:588–94.

    Article  PubMed  Google Scholar 

  10. Mohammad A, Hefny AF, Abu-Zidan FM. Focused Assessment Sonography for Trauma (FAST) training: a systematic review. World J Surg. 2014;38:1009–18.

    Article  PubMed  Google Scholar 

  11. McKenney MG, McKenney KL, Compton RP, Namias N, Fernandez L, Levi D, Arrillaga A, Lynn M, Martin L. Can surgeons evaluate emergency ultrasound scans for blunt abdominal trauma. J Trauma. 1998;44:649–53.

    Article  CAS  PubMed  Google Scholar 

  12. Radwan MM, Abu-Zidan FM. Focussed Assessment Sonograph Trauma (FAST) and CT scan in blunt abdominal trauma: surgeon’s perspective. Afr Health Sci. 2006;6:187–90.

    PubMed  PubMed Central  Google Scholar 

  13. Rajabzadeh Kanafi A, Giti M, Gharavi MH, Alizadeh A, Pourghorban R, Shekarchi B. Diagnostic accuracy of secondary ultrasound exam in blunt abdominal trauma. Iran J Radiol. 2014;11:e21010.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Dittrich K, Abu-Zidan FM. Role of ultrasound in mass-casualty situations. Int J Dis Med. 2004;2:18–23.

    Article  Google Scholar 

  15. Abu-Zidan FM, Al-Zayat I, Sheikh M, Mousa I, Behbehani A. Role of ultrasonography in blunt abdominal trauma, aprospective study. Eur J Surg. 1996;162:361–5.

    CAS  PubMed  Google Scholar 

  16. Smith J. Focused assessment with sonography in trauma (FAST): should its role be reconsidered? Postgrad Med J. 2010;86:285–91.

    Article  PubMed  Google Scholar 

  17. Snoey ER. Echocardiography. In: Simon BC, Snoey ER, editors. Ultrasound in emergency and ambulatory medicine. St Louis: Mosby-Year book Inc.; 1997. p. 221–49.

    Google Scholar 

  18. Lichtenstein DA. Simple emergency cardiac sonography. In: Lichtenstein DA, editor. Whole body ultrasonography in the critically ill. 1st ed. Berlin/Heidelberg: Springer; 2010. p. 211–21.

    Chapter  Google Scholar 

  19. Noble VE, Nelson B, SutingcoAN. Echocardiography. In: Noble VE, Nelson B, SutingcoAN, editors. Emergency and critical care ultrasound. 1st ed. Cambridge University Press: Cambridge, UK; 2007. p. 53–84.

    Google Scholar 

  20. Corl K, Napoli AM, Gardiner F. Bedside sonographic measurement of the inferior vena cava caval index is a poor predictor of fluid responsiveness in emergency department patients. Emerg Med Australas. 2012;24:534–9.

    Article  PubMed  Google Scholar 

  21. Dipti A, Soucy Z, Surana A, Chandra S. Role of inferior vena cava diameter in assessment of volume status: a meta-analysis. Am J Emerg Med. 2012;30:1414–9.

    Article  PubMed  Google Scholar 

  22. Abu-Zidan FM. Optimizing the value of measuring inferior vena cava diameter in shocked patients. World J Crit Care Med. 2016;5(1):7–11.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Seif D, Mailhot T, Perera P, Mandavia D. Caval sonography in shock: a noninvasive method for evaluating intravascular volume in critically ill patients. J Ultrasound Med. 2012;31:1885–90.

    Article  PubMed  Google Scholar 

  24. Abu-Zidan FM, Idris K. Sonographic Measurement of the IVC Diameter as an Indicator for Fluid Resuscitation: Beware of the Intra-abdominal Pressure. World J Surg. 2015;39:2608–9.

    Article  PubMed  Google Scholar 

  25. Lichtenstein DA. Pneumothorax. In: Lichtenstein DA, editor. Whole body ultrasonography in the critically ill. 1st ed. Berlin/Heidelberg: Springer; 2010. p. 163–79.

    Chapter  Google Scholar 

  26. Frazee BW. The abdominal aorta. In: Simon BC, Snoey ER, editors. Ultrasound in emergency and ambulatory medicine. St Louis: Mosby-Year book Inc.; 1997. p. 190–202.

    Google Scholar 

  27. Noble VE, Nelson B, SutingcoAN. Abdominal aortic aneurysm. In: Noble VE, Nelson B, Sutingco AN, editors. Emergency and critical care ultrasound. 1st ed. Cambridge University Press: Cambridge, UK; 2007. p. 105–18.

    Google Scholar 

  28. Lichtenstein DA. Aorta. In: Lichtenstein DA, editor. Whole body ultrasonography in the critically ill. 1st ed. Berlin/Heidelberg: Springer; 2010. p. 83–8.

    Chapter  Google Scholar 

  29. Lensing AW, Prandoni P, Brandjes D, Huisman PM, Vigo M, Tomasella G, Krekt J, Wouter Ten Cate J, Huisman MV, Büller HR. Detection of deep-vein thrombosis by real-time B-mode ultrasonography. N Engl J Med. 1989;320:342–5.

    Article  CAS  PubMed  Google Scholar 

  30. Cronan JJ, Dorfman GS. Advances in ultrasound imaging of venous thrombosis. Semin Nucl Med. 1991;21:297–312.

    Article  CAS  PubMed  Google Scholar 

  31. Tan M, van Rooden CJ, Westerbeek RE, Huisman MV. Diagnostic management of clinically suspected acute deep vein thrombosis. Br J Haematol. 2009;146:347–60.

    Article  PubMed  Google Scholar 

  32. Perera P, Mailhot T, Riley D, Mandavia D. The RUSH exam: rapid ultrasound in SHock in the evaluation of the critically ill. Emerg Med Clin North Am. 2010;28:29–56.

    Article  PubMed  Google Scholar 

  33. Zago M. Introduction and focused questions. In: Zago M, editor. Essential US for trauma: E-FAST. 1st ed. Milan: Springer-Verlag Italia; 2014. p. 15–8.

    Chapter  Google Scholar 

  34. Coppolino F, Gatta G, Di Grezia G, Reginelli A, Iacobellis F, Vallone G, Giganti M, Genovese E. Gastrointestinal perforation: ultrasonographic diagnosis. Crit Ultrasound J. 2013;5 Suppl 1:S4.

    PubMed  PubMed Central  Google Scholar 

  35. Hefny AF, Abu-Zidan FM. Sonographic diagnosis of intraperitoneal free air. J Emerg Trauma Shock. 2011;4:511–3.

    PubMed  PubMed Central  Google Scholar 

  36. Chen SC, Wang HP, Chen WJ, Lin FY, Hsu CY, Chang KJ, Chen WJ. Selective use of ultrasonography for the detection of pneumoperitoneum. Acad Emerg Med. 2002;9:643–5.

    Article  PubMed  Google Scholar 

  37. Chadha D, Kedar RP, Malde HM. Sonographic detection of pneumoperitoneum: an experimental and clinical study. Australas Radiol. 1993;37:182–5.

    Article  CAS  PubMed  Google Scholar 

  38. Blaivas M, Kirkpatrick AW, Rodriguez-Galvez M, Ball CG. Sonographic depiction of intraperitoneal free air. J Trauma. 2009;67:675.

    Article  PubMed  Google Scholar 

  39. Kim SY, Park KT, Yeon SC, Lee HC. Accuracy of sonographic diagnosis of pneumoperitoneum using the enhanced peritoneal stripe sign in Beagle dogs. J Vet Sci. 2014;15:195–8.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Grassi R, Romano S, Pinto A, Romano L. Gastro-duodenal perforations: conventional plain film, US and CT findings in 166 consecutive patients. Eur J Radiol. 2004;50:30–6.

    Article  PubMed  Google Scholar 

  41. Jang TB, Schindler D, Kaji AH. Bedside ultrasonography for the detection of small bowel obstruction in the emergency department. Emerg Med J. 2011;28:676–8.

    Article  PubMed  Google Scholar 

  42. Ogata M, Mateer JR, Condon RE. Prospective evaluation of abdominal sonography for the diagnosis of bowel obstruction. Ann Surg. 1996;223:237–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  43. Roccarina D, Garcovich M, Ainora ME, Caracciolo G, Ponziani F, Gasbarrini A, Zocco MA. Diagnosis of bowel diseases: the role of imaging and ultrasonography. World J Gastroenterol. 2013;19:2144–53.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Nylund K, Ødegaard S, Hausken T, Folvik G, Lied GA, Viola I, Hauser H, Gilja OH. Sonography of the small intestine. World J Gastroenterol. 2009;15:1319–30.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Lim JH. Ultrasound examination of gastrointestinal tract diseases. J Korean Med Sci. 2000;15:371–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Silva AC, Pimenta M, Guimarães LS. Small bowel obstruction: what to look for. Radiographics. 2009;29:423–39.

    Article  PubMed  Google Scholar 

  47. Grassi R, Romano S, D’Amario F, Giorgio Rossi A, Romano L, Pinto F, Di Mizio R. The relevance of free fluid between intestinal loops detected by sonography in the clinical assessment of small bowel obstruction in adults. Eur J Radiol. 2004;50:5–14.

    Article  PubMed  Google Scholar 

  48. Hefny AF, Corr P, Abu-Zidan FM. The role of ultrasound in the management of intestinal obstruction. J Emerg Trauma Shock. 2012;5:84–6.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Abu-Zidan FM, Dittrich K, Czechowski J, Kazzam E. Establishment of a “Focused Assessment Sonography for Trauma” (FAST) Course. Saudi Med J. 2005;26:806–11.

    PubMed  Google Scholar 

  50. Abu-Zidan FM, Freeman P, Mandivia D. The first Australian workshop on bedside ultrasound in the emergency department. N Z Med J. 1999;112:322–4.

    CAS  PubMed  Google Scholar 

  51. Abu-Zidan FM. Point-of-care ultrasound in critically ill patients: where do we stand? J Emerg Trauma Shock. 2012;5:70–1.

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, College of Medicine and Health Sciences, UAE University, 17666, Al-Ain, UAE

    Fikri M. Abu-Zidan MD, FACS, FRCS, PhD

  2. Department of Surgery, Al Rahba Hospital, Abu Dhabi, UAE

    Ashraf F. Hefny MS, MRCS, FACS

Authors
  1. Fikri M. Abu-Zidan MD, FACS, FRCS, PhD
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  2. Ashraf F. Hefny MS, MRCS, FACS
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Corresponding author

Correspondence to Fikri M. Abu-Zidan MD, FACS, FRCS, PhD .

Editor information

Editors and Affiliations

  1. Emergency and Trauma Surgery Service, C.A. Pizzardi Maggiore Hospital AUSL Bologna, Bologna, Italy

    Salomone Di Saverio

  2. Emergency and Trauma Surgery, Maggiore Hospital of Parma, Parma, Italy

    Fausto Catena

  3. General, Emergency and Trauma Surgery Papa Giovanni XXIII Hospital, Bergamo, Italy

    Luca Ansaloni

  4. General, Emergency and Trauma Surgery Papa Giovanni XXIII Hospital, Bergamo, Italy

    Federico Coccolini

  5. Trauma, Emergency Medicine Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA

    George Velmahos

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Abu-Zidan, F.M., Hefny, A.F. (2017). Point-of-Care Ultrasound in Critically Ill Patients. In: Di Saverio, S., Catena, F., Ansaloni, L., Coccolini, F., Velmahos, G. (eds) Acute Care Surgery Handbook. Springer, Cham. https://doi.org/10.1007/978-3-319-15341-4_19

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  • DOI: https://doi.org/10.1007/978-3-319-15341-4_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15340-7

  • Online ISBN: 978-3-319-15341-4

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