Ultrasound GEL

What do we do with IVC's in kids?! The GEL Jr squad tackles a fascinating article that might have the answer. These authors looked at the Inferior Vena Cava collapse duration in children with dehydration. Will this novel measurement help with figuring out who needs IV fluids? https://www.ultrasoundgel.org/132 https://pubmed.ncbi.nlm.nih.gov/32530838/

Larry Istrail, author of the POCUS Manifesto, discusses the integration of point of care ultrasound in physical exams and its benefits. They explore the debate on whether it should be an independent diagnostic modality or integrated into the physical exam. They also address misconceptions about Pocus, its relationship to the physical exam, and its impact on patient care, including the non-invasive measurement of right atrial pressure.

Larry Istrail, physician and author, discusses his book on the challenges of implementing, teaching, and researching POCUS. They talk about frustrations in convincing residents, the importance of POCUS in accurate patient care, resistance towards ultrasound, and the potential of ultrasound to revolutionize healthcare.

Discussing the use of POCUS to confirm central catheter placement in neonates, exploring the benefits of ultrasound over x-rays, comparing accuracy, cost, and radiation exposure between ultrasound and non-ultrasound groups, and highlighting advantages like reduced radiation exposure, improved line positioning, and cost savings in neonatal line placement.

This clever study questions which cardiac view is best to obtain during a cardiac arrest. By using a simulated arrest scenario on living non-cardiac arrest patients, they compare the subxiphoid window and the parasternal long axis view in terms of speed and image quality. https://www.ultrasoundgel.org/128 https://pubmed.ncbi.nlm.nih.gov/35065867/

The podcast discusses using ultrasound to assess jugular venous pressure as a non-invasive way to evaluate right heart pressures. They explore the accuracy and reliability of ultrasound measurements, comparing it to traditional methods and showcasing statistical analysis. The complexities of assessing fluid status using different methods and integrating multiple assessments for a thorough evaluation are also emphasized.

This is a Special Edition podcast which features the winner of a competition at the recent SAEM Sonogames! The challenge was to create the best infographic for a POCUS article of the team's choice. The winning team was from Boston Medical Center. This podcast is a brief discussion of the article and the graphic this talented team created. https://www.ultrasoundgel.org/126 https://pubmed.ncbi.nlm.nih.gov/33795166/

In the first of our new series of author interviews, hosts Zach Risler and Mike Prats interview the illustrious Felipe Teran. They discuss Felipe's take on our coverage of the Quantitative LV Function in PEA article (ep 119) as well as thoughts on ultrasound and cardiac arrest research in general. https://www.ultrasoundgel.org/125

In this episode, Mike and Jacob dive into an important intersection of musculoskeletal and procedural ultrasound - the ultrasound-guided arthrocentesis. People have been doing arthrocentesis without the help of ultrasound for a while, and most would agree it is feasible. BUT what about those smaller joints - like the wrist, elbow, and ankle? Perhaps that is where the greatest benefit would be in making sure your needle gets to the right place. These authors performed a randomized trial of this specific population to investigate this question. https://www.ultrasoundgel.org/124 https://pubmed.ncbi.nlm.nih.gov/34608713/

Intussusception is a big deal and an area where POCUS can potentially make a difference. The literature has been promising, but there hasn't been any definitive studies...until now? The GEL Jr hosts dive into this impressive prospective, multicenter, non-inferiority study and (much like an air enema) they try to get to the bottom of this question to reduce our impacted uncertainty. https://www.ultrasoundgel.org/123 https://pubmed.ncbi.nlm.nih.gov/34226072/