This was the first Acute Care Ultrasound course in Romania tailored at critical care.
Presentations all attached.
HAVE A LOOK AT COSMIN’S CASE DISCUSSION AT THE END ……..
All in all, a very successful course. May it go from strength to strength.
We would love to hear from you and any feedback/questions would be welcomed. OR if you want to find out more about #POCUS fellowships……
Lichtenstein D, van Hooland S, Elbers P et al. Ten good reasons to practice ultrasound in critical care.
Lichtenstein D and Mezière G (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure. The BLUE-protocol.
Perera P, Mailhot T, Riley D et al. The RUSH exam: Rapid ultrasound in shock in the evaluation of the critically ill.
Lichtenstein D.A. Lung Ultrasound as the First Step of Management of a Cardiac Arrest: The SESAME-Protocol. In: Lung Ultrasound in the Critically Ill. Springer, 2016 Cham
Malbrain MLNG, De Tavernier B, Haverals S et al. Executive summary on the use of ultrasound in the critically ill: consensus report from the 3rd Course on Acute Care Ultrasound (CACU).
Mayo P, Beaulieu Y, Doelken P et al. American College of Chest Physicians/La Société de Réanimation de Langue Française statement on competence in critical care ultrasonography.
Expert Round Table on Ultrasound in ICU. International expert statement on training standards for critical care ultrasonography.
Wong A, Galarza L and Duska F. Critical Care Ultrasound: A systematic review of international training competencies and program.
Galarza L, Wong A and Malbrain M. The state of critical care ultrasound training in Europe: A survey of trainers and a comparison of available accreditation programmes.
Robba C, Goffi A, Geeraerts T et al. Brain ultrasonography: methodology, basic and advanced principles and clinical application. A narrative review.
Aitkinson P, Beckett N, French N et al. Does point-of-care ultrasound use impact resuscitation length, rates of intervention and clinical outcomes during cardiac arrest? A study from the Sonography in Hypotension and Cardiac Arrest in the Emergency Department (SHoC-ED) Investigators.
Feng M, McSparron JI, Kien Dt et al. Transthoraccic echocardiography and mortality in sepsis: analysis of MIMIC-III database.
If you are REALLY interested in pushing the limits of ultrasonography in critical care … https://thinkingcriticalcare.com/
Focused Intensive Care Ultrasound (Oxford Clinical Imaging Guides)
Bedside Ultrasound: A Primer for Clinical Integration, 2nd edition Paperback – 2019
Whole Body Ultrasonography in the Critically Ill 1st ed. 2010 Edition
Acute and Critical Care Echocardiography (Oxford Clinical Imaging Guides)
Had the privilege of being invited to talk to colleagues in PICU Great Ormond Street Hospital, London about #POCUS and the newly introduced….
Children’s ACuTe UltraSound (CACTUS)
Very hot off the press is the Training Document (competencies and pathways) which isn’t even on the Paediatric Intensive Care Society website yet (it will be). Have a look below…
CACTUS is being led by Mike Griksaitis (Southampton) and team.
My presentation is available here. I compare the adult programme in the UK (#FICE + #CUSIC = #FUSIC) to the new #CACTUS.
A controversial view perhaps??
Echography is mandatory for the initial management of critically ill patients: no
Transthoracic echocardiography and mortality in sepsis: analysis of the MIMIC-III database.
Sepsis and cardiac dysfunction is common
Strain echocardiography is useful BUT not very feasible as it is challenging to get good quality views
Elastase measurement in sepsis gives an idea of ventriculoarterial coupling and is easy to perform (apparently)
Lung ultrasound as a diagnostic tool for consolidations in patients under mechanical ventilation is sensitive (91.7-93%) but poor specificity (0-63.2%)
Lung Ultrasound for Early Diagnosis of Ventilator-Associated Pneumonia. AUC ROC 0.83 – link
Renal Resistive Index: not only kidney
Fascinating. Anyone calibrate #renal doppler analysis with splenic doppler analysis? #POCUS #SMARTmi2019
— Adrian Wong (@avkwong) May 8, 2019
1/ Yep. RRI is mostly info about macro hemodynamics, but there’s some local micro hemodynamic information in there. Improving RRI seems to improve renal outcomes. The question is if this is due to local or systemic flow patterns. If drop in RRI>SRI results inked AKI compared
— korbinhaycockmd (@khaycock2) May 9, 2019
Using contrast-enhanced ultrasound to study kidney perfusion – Acute kidney injury is associated with a decrease in cortical renal perfusion during septic shock
My personal opinion is that there are high inter- and intra- observer variation in measurements of diaphragm thickness.
Is there an ideal amount of ‘effort’ diaphragm thickening that impacts outcomes? If so, could you design a treatment pathway?
