Abstract
Ultrasound-guided procedures in the ICU have increased due to critical-care providers’ interest and expertise, the portability of newer ultrasound machines, and the availability of user-friendly percutaneous catheter kits. In addition, with the increasing demands for proper documentation – both for patient safety and financial reimbursement – ultrasound has emerged as an ideal imaging modality for several reasons. First, ultrasound is a portable imaging modality; with the advent of compact, hand-held machines, ultrasound is user-friendly and readily available, especially when caring for critically ill and injured patients. Second, ultrasound provides safe and painless imaging that may be readily utilized in pediatric and pregnant patients. Third, ultrasound imaging is easily repeatable; for example, residents, fellows, and nonphysician health-care providers (physician assistants and advanced practice nurses) within an academic environment can image, record, and submit copies for operator critique. The same idea holds true for a physician practicing in the private sector. Given our commitment to life-long learning in medicine, educational alliances with identified, local ultrasound experts may prove to be extremely rewarding.
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References
Nicolaou S, Talsky A, Khashoggi K, Venu V. Ultrasound-guided interventional radiology in critical care [review]. Crit Care Med. 2007;35(suppl 5):S186–S197.
Habib FA, McKenney MG. Surgeon-performed ultrasound in the ICU setting. Surg Clin N Am. 2004;84:1151–1179.
Vignon P, Chastagner C, Berkane V, et al. Quantitative assessment of pleural effusion in critically ill patients by means of ultrasonography. Crit Care Med. 2005;33(8):1757–1763.
Roch A, Bojan M, Michelet P. Usefulness of ultrasonography in predicting pleural effusions >500 mls in patients receiving mechanical ventilation. Chest. 2005;127:224–232.
Sisley AC, Rozycki GS, Ballard RB, Namias N, Salomone JP, Feliciano DV. Rapid detection of traumatic effusion using surgeon-performed ultrasonography. J Trauma. 1998;44:291–296.
Rozycki GS, Pennington SD, Feliciano DV. Surgeon-performed ultrasound in the critical care setting: its use as an extension of the physical examination to detect pleural effusion. J Trauma. 2001;50:636–642.
Pihlajamaa K, Bode MK, Puumalainen T, Lehtimäki A, Marjelund S, Tikkakoski T. Pneumothorax and the value of chest radiography after ultrasound-guided thoracocentesis. Acta Radiol. 2004;45(8):828–832.
Mynarek G, Brabrand K, Jakobsen JA, Kolbenstvedt A. Complications following ultrasound-guided thoracocentesis. Acta Radiol. 2004;45(5):519–522.
Tu C-Y, Hsu W-H, Hsia T-C, et al. Pleural effusions in febrile medical ICU patients: chest ultrasound study. Chest. 2004;126:1274–1280.
Mayo PM, Goltz HR, Tafreshi M, Doelken P. Safety of ultrasound-guided thoracentesis in patient receiving mechanical ventilation. Chest. 2004;125:1059–1062.
Beck C. Two cardiac compression triads. JAMA. 1935;104:714–716.
Spodocl DH. Acute cardiac tamponade. N Engl J Med. 2003;349:648–690.
Seferovic PM, Ristic AD, Imazio M, et al. Management strategies in pericardial emergencies. Herz. 2006;31:891–900.
Rozycki GS, Feliciano DV, Schmidt JA, Cushman JG, Sisley AC, Ingram W. The role of surgeon-performed ultrasound in patients with possible cardiac wounds. Ann Surg. 1996;223:737–746.
Tayal VS, Kline JA. Emergency echocardiography to detect pericardial effusion in patients in PEA and near-PEA states. Resuscitation. 2003;59(3):315–318.
Tsang TS. Rescue echocardiography guided pericardiocentesis for cardiac performation complications catheter-based procedures: the Mayo Clinic Experience. J Am Coll Cardiol. 1998;32:1345–1350.
Tsang TS, Enriquez-Sarano M, Freeman WK, et al. Consecutive 1127 therapeutic echocardiographically guided pericardiocentesis: clinical profile, practice patterns, and outcomes spanning 21 years. Mayo Clin Proc. 2002;77:429–436.
Price S, Via G, Sloth E, World Interactive Network Focused on Critical UltraSound ECHO-ICU Group, et al. Echocardiography practice, training and accreditation in the intensive care: document for the World Interactive Network Focused on Critical Ultrasound (WINFOCUS). Cardiovasc Ultrasound. 2008;6:49.
Hanbidge AE, Lynch D, Wilson SR. US of the peritoneum. Radiographics. 2003;23:663–685.
Mallory A, Schaefer JF. Complications of diagnostic paracentesis in patients with liver diseases. JAMA. 1978;239:628–630.
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Tchorz, K.M. (2010). Ultrasound-Guided Drainage Procedures for the Intensivist. In: Frankel, H., deBoisblanc, B. (eds) Bedside Procedures for the Intensivist. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79830-1_6
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