•Journal•ISSN: 2036-3176
Critical Ultrasound Journal
Springer Nature
About: Critical Ultrasound Journal is an academic journal. The journal publishes majorly in the area(s): Interventional radiology & Emergency department. It has an ISSN identifier of 2036-3176. It is also open access. Over the lifetime, 320 publications have been published receiving 4381 citations.
Topics: Interventional radiology, Emergency department, Emergency ultrasound, Ultrasound, Transcranial Doppler
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TL;DR: It is concluded that ultrasound is a well received, valuable teaching tool across all 4 years of medical school, and students learn ultrasound well, and they feel their ultrasound experience enhances their medical education.
Abstract: A review of the development and implementation of a 4-year medical student integrated ultrasound curriculum is presented. Multiple teaching and assessment modalities are discussed as well as results from testing and student surveys. Lessons learned while establishing the curriculum are summarized. It is concluded that ultrasound is a well received, valuable teaching tool across all 4 years of medical school, and students learn ultrasound well, and they feel their ultrasound experience enhances their medical education.
292 citations
TL;DR: This study shows that in a cohort of patients, the assessment of DTF by diaphragm ultrasound may perform similarly to other weaning indexes, and if validated by other studies, this method may be used in clinical practice.
Abstract: Predictive indexes of weaning from mechanical ventilation are often inaccurate. Among the many indexes used in clinical practice, the rapid shallow breathing index is one of the most accurate. We evaluated a new weaning index consisting in the diaphragm thickening fraction (DTF) assessed by ultrasound. Forty-six patients were prospectively enrolled. All patients were ventilated in pressure support through a tracheostomy tube. Patients underwent a spontaneous breathing trial (SBT) when they met all the following criteria: FiO2 200, respiratory rate 36% was associated with a successful SBT with a sensitivity of 0.82, a specificity of 0.88, a positive predictive value (PPV) of 0.92, and a negative predictive value (NPV) of 0.75. By comparison, RSBI <105 had a sensitivity of 0.93, a specificity of 0.88, a PPV of 0.93, and a NPV of 0.88 for determining SBT success. This study shows that in our cohort of patients, the assessment of DTF by diaphragm ultrasound may perform similarly to other weaning indexes. If validated by other studies, this method may be used in clinical practice.
217 citations
TL;DR: The vertical curriculum in ultrasound at The Ohio State University College of Medicine is a novel evidenced-based training regimen at the medical school level which integrates ultrasound training into medical education and serves as a model for future integrated ultrasound curricula.
Abstract: Background
Physician-performed focused ultrasonography is a rapidly growing field with numerous clinical applications. Focused ultrasound is a clinically useful tool with relevant applications across most specialties. Ultrasound technology has outpaced the education, necessitating an early introduction to the technology within the medical education system. There are many challenges to integrating ultrasound into medical education including identifying appropriately trained faculty, access to adequate resources, and appropriate integration into existing medical education curricula. As focused ultrasonography increasingly penetrates academic and community practices, access to ultrasound equipment and trained faculty is improving. However, there has remained the major challenge of determining at which level is integrating ultrasound training within the medical training paradigm most appropriate.
172 citations
TL;DR: Health care providers in the developing world identify lack of training as a primary barrier to regular use of ultrasound in their practice, and future research is warranted on best practices for training methods, including telesonography and distance learning to enhance ultrasound use in low-resource settings.
Abstract: Background
Access to ultrasound has increased significantly in resource-limited settings, including the developing world; however, there remains a lack of sonography education and ultrasound-trained physician support in developing countries. To further investigate this potential knowledge gap, our primary objective was to assess perceived barriers to ultrasound use in resource-limited settings by surveying care providers who practice in low- and middle-income settings.
154 citations
Boston Children's Hospital1, Children's National Medical Center2, Maimonides Medical Center3, New York Methodist Hospital4, Hospital for Sick Children5, The Queen's Medical Center6, University of California, Davis7, Morgan Stanley Children's Hospital8, University of California, San Diego9, Boston Medical Center10, Harvard University11, Columbia University Medical Center12, Mount Sinai St. Luke's and Mount Sinai Roosevelt13, Montefiore Medical Center14, Newark Beth Israel Medical Center15, Mount Sinai Hospital16, Cornell University17, University of Colorado Boulder18
TL;DR: This document serves as an initial step in the detailed “how to” and description of individual point-of-care ultrasound examinations for pediatric emergency medicine providers.
Abstract: The utility of point-of-care ultrasound is well supported by the medical literature. Consequently, pediatric emergency medicine providers have embraced this technology in everyday practice. Recently, the American Academy of Pediatrics published a policy statement endorsing the use of point-of-care ultrasound by pediatric emergency medicine providers. To date, there is no standard guideline for the practice of point-of-care ultrasound for this specialty. This document serves as an initial step in the detailed “how to” and description of individual point-of-care ultrasound examinations. Pediatric emergency medicine providers should refer to this paper as reference for published research, objectives for learners, and standardized reporting guidelines.
146 citations