Ultrasound GEL

Exploring innovative use of ultrasound for carotid pulse assessment during CPR, debating necessity of pulse checks, and discussing new CPR approach with carotid compression and ECG monitoring for improved brain and heart perfusion.

Amy Zhou, Pediatric Emergency Medicine specialist, discusses a study on IVC collapse duration and the correlation with IV fluid need in children. Topics include clinical outcomes, correlation coefficients, and the use of ultrasound in assessing pediatric IVC collapse.

Pneumoperitoneum is usually bad news for patients, and it would be great to have a quick way to make this diagnosis. These authors ingeniously used ultrasound contrast software (without any contrast) to boost the accuracy of ultrasound for this pathology! https://www.ultrasoundgel.org/135 https://pubmed.ncbi.nlm.nih.gov/35204492/

Exploring the use of ultrasound to guide nasogastric tube placement, comparing its efficacy with x-ray methods in a randomized trial. Analysis of study results shows improved success rates, but caution is advised. Examining the accuracy of ultrasound in confirming tube placement to improve patient outcomes and reduce risks.

In our second in the series of Bonus Cuts, Zach and Mike interview the illustrious Ryan Gibbons for his take on arthrocentesis and a discussion of his research in the field. What an exciting joint venture! https://www.ultrasoundgel.org/133

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/