Emergency Imaging in Pregnancy and Lactation

Mathur, Shobhit; Maheshwarappa, Ravishankar Pillenahalli; Fouladirad, Saman; Metwally, Omar; Mukherjee, Pratik; Lin, Amy; Bharatha, Aditya; Nicolaou, Savvas; Ditkofsky, Noah

doi:10.1177/0846537120906482

Cited by 20 publications

(14 citation statements)

References 48 publications

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“…While approximately 80% of patients will have benign disease, it is important that EPs have the knowledge and ability to screen for more ominous processes in the ED setting. [20][21][22][23] In our study, the breast POCUS examination findings in postpartum and lactating patients may have assisted in the medical decision-making process. Consultations were called on 83% of these patients.…”

Section: Discussionmentioning

confidence: 99%

Point-of-care Ultrasound to Evaluate Breast Pathology in the Emergency Department

et al. 2021

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Introduction: As physician-performed point-of-care ultrasound (POCUS) becomes more prevalent in the evaluation of patients presenting with various complaints in the emergency department (ED), one application that is significantly less used is breast ultrasound. This study evaluates the utility of POCUS for the assessment of patients with breast complaints who present to the ED and the impact of POCUS on medical decision-making and patient management in the ED. Methods: This was a retrospective review of ED patients presenting with breast symptoms who received a POCUS examination. An ED POCUS database was reviewed for breast POCUS examinations. We then reviewed electronic health records for demographic characteristics, history, physical examination findings, ED course, additional imaging studies, and impact of the POCUS study on patient care and disposition. Results: We included a total of 40 subjects (36 females, 4 males) in the final analysis. Most common presenting symptoms were breast pain (57.5%) and a palpable mass (37.5%). "Cobblestoning," ie, dense bumpy appearance, was the most common finding on breast POCUS, seen in 50% of the patients. Simple fluid collections were found in 37.5% of patients. Conclusion: Our study findings illustrate the utility of POCUS in the evaluation of a variety of breast complaints in the ED.

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Section: Discussionmentioning

confidence: 99%

Point-of-care Ultrasound to Evaluate Breast Pathology in the Emergency Department

et al. 2021

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“…Any prenatal test, particularly one which may not be part of routine clinical care, may provoke a heightened sense of maternal, family and health care team anxiety. 77 It is recommended that a detailed explanation of the purpose, course, and risk-benefits be conveyed to the patient 78 to reduce anxiety and emphasize the medical value of MRI and how the information from MRI will directly influence a patient care decision. 79 The referring physician can do this through a leaflet provided to the patient in advance of the MRI, so that the patients have enough time to review and ask questions; 79 however, a detailed explanation regarding how MRI will be useful for a particular patient is advised.…”

Section: (Continued)mentioning

confidence: 99%

Canadian Association of Radiologists Recommendations for the Safe Use of MRI During Pregnancy

et al. 2021

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The use of magnetic resonance imaging (MRI) during pregnancy is associated with concerns among patients and health professionals with regards to fetal safety. In this work, the Canadian Association of Radiologists (CAR) Working Group on MRI in Pregnancy presents recommendations for the use of MRI in pregnancy, derived from literature review as well as expert panel opinions and discussions. The working group, which consists of academic subspecialty radiologists and obstetrician-gynaecologists, aimed to provide updated, evidence-based recommendations addressing safety domains related to energy deposition, acoustic noise, and gadolinium-based contrast agent use based on magnetic field strength (1.5T and 3T) and trimester scanned, in addition to the effects of sedative use and occupational exposure.

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“…Магнитно-резонансная томография без использования внутривенного введения контраста гадолиния может быть выполнена на любом сроке беременности [364,365,368,369]. Рекомендация 233.…”

Section: комментарий в настоящее время нет никаких доказательств что диагностическое ультразвуковое исследование во время беременности окunclassified

Anesthesia and intensive care for patients with COVID-19. Russian Federation of anesthesiologists and reanimatologists guidelines

Zabolotskikh

Kirov

Лебединский

et al. 2021

Annals of Critical Care

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The article provides the main statements of the guidelines for the anesthesia and intensive care of patients with the coronavirus disease (COVID-19), developed by the Federation of Anesthesiologists and Reanimatologists of Russia. In the process of developing the recommendations, the publications of the official websites of the Russian Federation, the electronic databases of the RSCI, PubMed, MEDLINE, EMBASE and the Cochrane Central Register of Controlled Trials (CENTRAL) were analyzed by the developers independently of each other. The date of the last search query was February 01, 2021. To develop the recommendations for the Guidelines, were used documents directly describing the features of the management of patients with NCI COVID-19 (guidelines - 34; randomized clinical trials and Cochrane Reviews - 13; observational and comparative studies - 107; other documents, notes and comments - 64), and documents describing anesthesia and intensive care in the general population of patients. Compared to the previous 4th version of the guidelines, the recommendations in 8 sections have been corrected; new subsections “Chronic kidney disease”, “Rehabilitation treatment of patients with COVID-19 in the intensive care unit”, “Routing of patients with COVID-19 to the stages of rehabilitation” were created; revised 1 Appendix, additionally developed 7 Appendices; the section “Quality criteria” has been supplemented. The provisions of the current version of the guidelines highlight the specifics of anesthesia, intensive care, rehabilitation, resuscitation measures, manipulation, transportation, prevention of the spread of COVID-19 in the implementation of these activities. Methods of protecting personnel from infection with COVID-19 during manipulations, anesthesia and intensive care are considered. The features of respiratory support, extracorporeal detoxification, extracorporeal membrane oxygenation, thromboprophylaxis, drug interactions are described. The features of management of pregnant women, children of different age groups, patients with concomitant diseases, the principles of the formation of stocks of drugs and consumables are considered.

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Emergency Imaging in Pregnancy and Lactation

Cited by 20 publications

References 48 publications

Point-of-care Ultrasound to Evaluate Breast Pathology in the Emergency Department

Point-of-care Ultrasound to Evaluate Breast Pathology in the Emergency Department

Canadian Association of Radiologists Recommendations for the Safe Use of MRI During Pregnancy

Anesthesia and intensive care for patients with COVID-19. Russian Federation of anesthesiologists and reanimatologists guidelines

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