Machines that save lives in the intensive care unit: the ultrasonography machine

Mayo, Paul H.; Chew, Michelle; Douflé, Ghislaine; Mekontso-Dessap, Armand; Narasimhan, Mangala; Vieillard‐Baron, Antoine

doi:10.1007/s00134-022-06804-z

Cited by 16 publications

(5 citation statements)

References 52 publications

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“…In this way, POCUS has its great advantage, the speed in demonstrating physiological data in real-time, making it possible to consider dynamic changes carried out due to medical treatments [19]. In intensive care units, they are extremely useful equipment [20]. Images obtained of the chest with POCUS without pneumothorax demonstrate vertical lines called B lines (uniform acoustic reverberations) and in the equipment's M mode, the "beach sign", demonstrating the sliding of the pleura.…”

Section: Major Approaches and Resultsmentioning

confidence: 99%

Current evidence on the use of pocus in the diagnosis of pneumothorax in emergency rooms: a systematic review

Nani,

Servin,

Reis

et al. 2024

MedNEXT

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Introduction: Point of Care Ultrasound (POCUS) is currently recognized as useful and, in some cases, mandatory, such as during invasive procedures. Its bedside application includes differential diagnosis and therapeutic management of complex clinical conditions during hemodynamic instability. The emergence of portable devices with superior image quality and their applicability in emergency rooms and intensive care units has demonstrated high diagnostic effectiveness. Objective: It was to highlight the use of POCUS in the diagnosis of pneumothorax in emergency rooms, through a systematic review of meta-analytic articles, systematic reviews, and observational studies from the last 11 years (2012 to 2023). Methods: The PRISMA Platform systematic review rules were followed. The search was carried out from October to December 2023 in the Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 127 articles were found, 43 articles were evaluated in full and 31 were included and developed in the present systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 22 studies with a high risk of bias and 26 studies that did not meet GRADE and AMSTAR-2. Most studies did not show homogeneity in their results, with X2=61.5%<50%. It was concluded that the POCUS method is operator-dependent and has greater sensitivity (78 to 90%) and specificity greater than 98% in chest radiography. However, when performed correctly by trained professionals, following protocols, it proved to be useful for identifying and treating pneumothorax. POCUS is a portable, fast, and low-cost bedside examination that does not involve ionizing radiation, in addition to identifying a precise location for performing thoracentesis in cases of pneumothorax, which assists clinical physicians in urgent and emergency rooms, as well as in external environments such as rescue helicopters. There is a consensus among the authors researched that, to obtain clinical evidence on the use of POCUS in the diagnosis of pneumothorax, more randomized controlled studies are necessary, which reinforce the use of this versatile equipment in different urgent and emergency scenarios

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Section: Major Approaches and Resultsmentioning

confidence: 99%

Current evidence on the use of pocus in the diagnosis of pneumothorax in emergency rooms: a systematic review

Nani,

Servin,

Reis

et al. 2024

MedNEXT

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“…Advances in digital image processing have resulted in a proliferation of hand-held devices that provide good 2D spatial resolution as well as colour and spectral Doppler modalities. Along with increasing affordability, this has transformed US into a truly bedside assessment tool that can be routinely used by physicians [9] across the world and in a variety of healthcare settings.…”

Section: Device and Technological Advancementmentioning

confidence: 99%

“…Ultrasound (US) imaging has undoubtedly changed the practice of intensive care medicine (ICM). With the use of ultrasound for diagnosis, monitoring and as a procedural aid becoming more established and refined, there have been several publications tracing its history and identifying its role and the research priorities within ICM [1,2]. We reflect on advancements in technique and devices to highlight important recent publications and how they may define the future of critical care ultrasound (CCUS).…”

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confidence: 99%

Using ultrasound in ICU

2023

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“…23 For example, systemic blood pressure probably does not provide precise cerebral blood flow information. A growing body of literature indicates that critical care ultrasound (CCUS) (also known as point-of-care ultrasound) has become the optimal tool for evaluation, diagnosis, monitoring and guidance for invasive procedures in sick neonates, [24][25][26][27] which can help clinicians treat patients based on physiology and pathophysiology. 9 It is characterised as a real-time bedside assessment tool used by frontline clinicians.…”

Section: What This Study Addsmentioning

confidence: 99%

A study protocol for investigating the sonographic characteristics of neonates with critical illness: an observational cohort study

Xiao

et al. 2023

bmjpo

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BackgroundHaemodynamic instability and hypoxaemia are common and serious threats to the survival of neonates. A growing body of literature indicates that critical care ultrasound has become the optimal evaluation tool for sick neonates. However, few studies have described sonographic characteristics of haemodynamics systematically in the neonates with critical illness. This protocol describes a prospective observational cohort study aimed at (1) characterising the sonographic characteristics of the neonates with critical diseases; and (2) assessing the mortality, significant morbidity, utility of vasoactive medications, fluid resuscitation, duration of ventilation, etc.Methods and analysisThis is a single-centre, prospective and observational study conducted in Chengdu Women’s and Children’s Central Hospital from 1 December 2022 to 31 December 2027. Neonates admitted to the neonatal intensive care unit will be recruited. After inclusion, the neonates will undergo the neonatal critical care ultrasound. The data collected via case report forms include clinical variables and sonographic measures. The primary outcome is to identify the sonographic characteristics of sick neonates with different diseases, and the secondary outcome is to describe the mortality, significant morbidity, utility of vasoactive medications, fluid resuscitation and duration of ventilation.DiscussionOur study provided an organised neonatal critical care ultrasound workflow, which can be applied in practice. Accordingly, this study will first set up large data on the sonographic description of the neonates with critical illness, which can help to understand the pathophysiology of the critical illness, potentially titrating the treatment.Trial registration numberChinese Clinical Trial Registry (ChiCTR2200065581;https://www.chictr.org.cn/com/25/showproj.aspx?proj=184095).

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Machines that save lives in the intensive care unit: the ultrasonography machine

Cited by 16 publications

References 52 publications

Current evidence on the use of pocus in the diagnosis of pneumothorax in emergency rooms: a systematic review

Current evidence on the use of pocus in the diagnosis of pneumothorax in emergency rooms: a systematic review

Using ultrasound in ICU

A study protocol for investigating the sonographic characteristics of neonates with critical illness: an observational cohort study

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