Ultrasound in the Intensive Care Unit by Matthew Jankowich, Eric Gartman

By Matthew Jankowich, Eric Gartman

Ultrasound within the extensive Care Unit explores the present kingdom of proof helping use of bedside ultrasound for procedural assistance and for the serious care-focused overview of quite a few organ structures. this article covers general perform parts, equivalent to ultrasound information for vascular entry within the ICU, in addition to novel, much less recognized functions comparable to using ultrasound for evaluation of diaphragm functionality in sufferers with respiration failure. As present ultrasound schooling is frequently depending on broadly various neighborhood services, this e-book serves as a typical reference in what's at this time a fragmented and not easy box of research for busy clinicians. via delivering a finished evaluate of the present nation of severe care ultrasonography, with content material contributed via specialists within the box, this article will function a invaluable source that may permit schooling in serious care ultrasound to maintain velocity with the swift technological development that has pushed this important sector of severe care medication. Ultrasound within the in depth Care Unit is vital analyzing for pulmonologists, practitioners in inner, hospitalist, and significant care medication; educators and teachers in serious care ultrasound; and scientific scholars, citizens, and demanding care trainees.

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Additionally, over the past decade, peripherally inserted central catheters (PICC) have gained popularity and have been increasingly used in patients needing prolonged central venous access. Ultrasound guidance has been used to augment successful placement of peripheral intravenous lines and arterial catheters – especially in patients with difficult anatomic landmarks or in the very young. 3 37 Ultrasound for Vascular Access Technical and Patient Considerations Vein Selection A pre-procedural scan is strongly recommended to guide the selection of an optimal target vessel [6].

Akhtar S, Theodoro D, Gaspari R, Tayal V, Sierzenski P, Lamantia J, et al. Resident training in emergency ultrasound: consensus recommendations from the 2008 Council of Emergency Medicine Residency Directors Conference. Acad Emerg Med. 2009;16 Suppl 2:S32–6. 16. Jang TB, Ruggeri W, Dyne P, Kaji AH. Learning curve of emergency physicians using emergency bedside sonography for symptomatic first-trimester pregnancy. J Ultrasound Med. 2010;29(10):1423–8. 17. Gaspari RJ, Dickman E, Blehar D. Learning curve of bedside ultrasound of the gallbladder.

Conclusions In conclusion, as the use of goal-directed ultrasound becomes widespread in the care of critically ill patients, formally educating providers is crucial to ensuring quality care. The continued development of effective standardized program requirements and curricula is very important, as is further developing and defining issues of certification and accreditation. All educational efforts should incorporate a variety of different modalities, including web-based curriculums, didactic training, the use of medical simulation, and image review by teachers experienced in critical care ultrasound.

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