Latest & greatest articles for ultrasound

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Top results for ultrasound

41. Point-of-Care Ocular Ultrasound for the Diagnosis of Retinal Detachment: A Systematic Review and Meta-Analysis

Point-of-Care Ocular Ultrasound for the Diagnosis of Retinal Detachment: A Systematic Review and Meta-Analysis Ocular complaints are common presentations to the emergency department (ED). Among these, retinal detachment can cause significant vision loss if not rapidly diagnosed and referred for appropriate treatment. Point-of-care ultrasound has been suggested to identify the diagnosis rapidly when the ocular examination is limited or the ophthalmology service is not readily available. However (...) , prior studies were limited by small sample sizes, resulting in wide ranges of potential accuracy. The primary outcome for this review was to determine the test characteristics of point-of-care ocular ultrasound for the diagnosis of retinal detachment.PubMed, CINAHL, Scopus, LILACS, the Cochrane Database of Systematic Reviews, the Cochrane Central Register of Controlled Trials, and bibliographies of selected articles were assessed for all prospective and randomized controlled trials assessing

2019 EvidenceUpdates

42. Point-of-Care Ultrasound in General Practice: A Systematic Review

Point-of-Care Ultrasound in General Practice: A Systematic Review Ultrasound examinations are currently being implemented in general practice. This study aimed to systematically review the literature on the training in and use of point-of-care ultrasound (POCUS) by general practitioners.We followed the Cochrane guidelines for conduct and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for reporting. We searched the databases MEDLINE (via PubMed (...) indications. The length of training programs varied from 2 to 320 hours. Competence in some types of focused ultrasound scans could be attained with only few hours of training. Focused POCUS scans were reported to have a higher diagnostic accuracy and be associated with less harm than more comprehensive scans or screening scans. The included studies were of a low quality, however, mainly because of issues with design and reporting.POCUS has the potential to be an important tool for the general

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2019 EvidenceUpdates

43. Disease Damage Influences Cardiovascular Risk Reclassification Based on Carotid Ultrasound in Patients with Systemic Lupus Erythematosus

Disease Damage Influences Cardiovascular Risk Reclassification Based on Carotid Ultrasound in Patients with Systemic Lupus Erythematosus Composite scores of cardiovascular (CV) risk factors underestimate the CV risk in patients with systemic lupus erythematosus (SLE). Carotid artery ultrasound (US) was found useful in identifying high CV-risk patients with inflammatory arthritis. We assessed the effect of carotid US assessments on the CV risk stratification of patients with SLE.This cross

2019 EvidenceUpdates

44. High-intensity focused ultrasound for symptomatic benign thyroid nodules

High-intensity focused ultrasound for symptomatic benign thyroid nodules High-intensity focused ultr High-intensity focused ultrasound for asound for symptomatic benign th symptomatic benign thyroid nodules yroid nodules Interventional procedures guidance Published: 27 February 2019 nice.org.uk/guidance/ipg643 Y Y our responsibility our responsibility This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement (...) ultrasound for symptomatic benign thyroid nodules raises no major safety concerns, however the current evidence on its efficacy is limited in quantity and quality. Therefore, this procedure should only be used with special arrangements for clinical © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 1 of 4governance, consent, and audit or research. 1.2 Clinicians wishing to do high-intensity focused ultrasound

2019 National Institute for Health and Clinical Excellence - Interventional Procedures

45. The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children. (PubMed)

The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children. The use of ultrasound guidance for regional anaesthesia has become popular over the past two decades. However, it is not recognized by all experts as an essential tool, perhaps because it is unclear whether ultrasound reduces the risk of severe neurological complications, and the cost of an ultrasound machine (USD 22,000) is substantially higher than the cost of other tools. This review (...) was published in 2016 and updated in 2019.To determine whether ultrasound guidance offers any clinical advantage when neuraxial and peripheral nerve blocks are performed in children in terms of decreasing failure rate or the rate of complications.We searched CENTRAL, MEDLINE, Embase, and two trial registers up to March 2018 together with reference checking to identify additional studies and contacted study authors to obtain additional trial information.We included all parallel randomized controlled trials

2019 Cochrane

46. Immediate Effects of Simultaneous Application of Transcutaneous Electrical Nerve Stimulation and Ultrasound Phonophoresis on Active Myofascial Trigger Points: A Randomized Controlled Trial. (PubMed)

Immediate Effects of Simultaneous Application of Transcutaneous Electrical Nerve Stimulation and Ultrasound Phonophoresis on Active Myofascial Trigger Points: A Randomized Controlled Trial. The aim of the study was to investigate the efficacy of phonophoresis with combined therapy on active myofascial trigger points.One hundred participants with acute mechanical neck pain and at least one active myofascial trigger point in the upper trapezius were randomly assigned into four equal groups.Groups (...) consisted of diclofenac phonophoresis with combined therapy, diclofenac phonophoresis, ultrasound (US) with coupling gel, and sham US and applied for 10 mins over myofascial trigger points.Measurements included pressure pain threshold and active cervical lateral flexion.There were statistically significant improvements in postintervention pressure pain threshold and range of motion values in treatment groups (P < 0.0001). As for the sham US, no significant difference was found between

2019 American journal of physical medicine & rehabilitation

48. Translabial ultrasound for diagnosing and assessing complications following vaginal mesh insertion

Translabial ultrasound for diagnosing and assessing complications following vaginal mesh insertion Page 1 of 4 TER007 December 2018 Topic Exploration Report Topic explorations are designed to provide a high-level briefing on new topics submitted for consideration by Health Technology Wales. The main objectives of this report are to: 1. Inform discussions on new topics received by HTW. 2. Determine the quantity and type of evidence available on a topic. 3. Assess the topic against HTW selection (...) criteria. Topic: Translabial ultrasound scanning Topic exploration report number: TER007 Referrer: Jonathan Williams, Welsh Government Topic exploration undertaken by: Health Technology Wales Aim of Search Health Technology Wales searched for evidence on the effectiveness of translabial ultrasound scanning for diagnosing and assessing complications following vaginal mesh insertion, or any UK-based guidelines of commissioning documents on the use of translabial ultrasound for this indication. Summary

2019 Health Technology Wales

49. Therapeutic Ultrasound for Pain Management in Chronic Low Back Pain and Chronic Neck Pain: A Systematic Review

Therapeutic Ultrasound for Pain Management in Chronic Low Back Pain and Chronic Neck Pain: A Systematic Review Low back pain (LBP) and neck pain are major causes of pain and disability that are experienced across all ages. The primary goals of treatment are to improve patient function and facilitate a return to the patient's desired level of daily activity. Therapeutic ultrasound is a noninvasive modality widely utilized in the management of musculoskeletal disorders, but there continues (...) to be controversy regarding its use due to insufficient evidence of effectiveness. The objective of this systematic review was to evaluate the effectiveness of therapeutic ultrasound in the management of patients with chronic LBP and neck pain.Using PRISMA guidelines, a search of the PubMed and CENTRAL (The Cochrane Library) databases was performed to retrieve randomized controlled trials (RCTs) that evaluated therapeutic ultrasound in patients with chronic LBP or neck pain.The search strategy identified 10

2019 EvidenceUpdates

50. A multicenter, randomized comparison between 2, 5, and 8 mg of perineural dexamethasone for ultrasound-guided infraclavicular block

A multicenter, randomized comparison between 2, 5, and 8 mg of perineural dexamethasone for ultrasound-guided infraclavicular block This multicenter, randomized trial compared 2, 5, and 8 mg of perineural dexamethasone for ultrasound-guided infraclavicular brachial plexus block. Our research hypothesis was that all three doses of dexamethasone would result in equivalent durations of motor block (equivalence margin=3.0 hours).Three hundred and sixty patients undergoing upper limb surgery (...) with ultrasound-guided infraclavicular block were randomly allocated to receive 2, 5, or 8 mg of preservative-free perineural dexamethasone. The local anesthetic agent (35 mL of lidocaine 1%-bupivacaine 0.25% with epinephrine 5 µg/mL) was identical in all subjects. Patients and operators were blinded to the dose of dexamethasone. During the performance of the block, the performance time, number of needle passes, procedural pain, and complications (vascular puncture, paresthesia) were recorded. Subsequently

2019 EvidenceUpdates

51. Guidelines for Cleaning and Preparing External- and Internal-Use Ultrasound Transducers Between Patients, Safe Handling, and Use of Ultrasound Coupling Gel

Guidelines for Cleaning and Preparing External- and Internal-Use Ultrasound Transducers Between Patients, Safe Handling, and Use of Ultrasound Coupling Gel Guidelines for Cleaning and Preparing External- and Internal-Use Ultrasound Transducers Between Patients, Safe Handling, and Use of Ultrasound Coupling Gel Summary Adequate transducer preparation is mandatory. The level of preparation depends on the type of examination performed. Routine high-level disinfection (HLD) of internal transducers (...) Relevant Guidelines Kac et al 1 examined endocavitary transducers and found them persistently contaminated despite the use of transducer covers. They concluded that transducers may carry pathogens, including human papillomavirus (HPV), unless properly disinfected between examination sessions. For disinfection, they recommend an antiseptic-impregnated towel as well as a type C ultraviolet light. Adhikari et al 2 compared infection rates between ultrasound-guided and traditionally placed peripheral

2019 American Institute of Ultrasound in Medicine

52. AIM Clinical Appropriateness Guidelines for Arterial Ultrasound.

AIM Clinical Appropriateness Guidelines for Arterial Ultrasound. Clinical Appropriateness Guidelines: Arterial Ultrasound Appropriate Use Criteria Effective Date: January 27, 2019 Proprietary Date of Origin: 08/27/2015 Last revised: 05/01/2018 Last reviewed: 05/01/2018 Copyright © 2019. AIM Specialty Health. All Rights Reserved 8600 W Bryn Mawr Avenue South Tower - Suite 800 Chicago, IL 60631 P . 773.864.4600 www.aimspecialtyhealth.comTable of Contents | Copyright © 2019. AIM Specialty Health (...) . All Rights Reserved. 2 Table of Contents Description and Application of the Guidelines 3 Arterial Ultrasound 4 Duplex Ultrasound Imaging of the Extracranial Arteries 4 Duplex Ultrasound Imaging of the Aorta, Inferior Vena Cava and Iliac Vessels 7 Duplex Ultrasound Imaging of the Arteries of the Upper Extremities 11 Duplex Ultrasound Imaging of the Arteries of the Lower Extremities 14 Physiologic Testing for Peripheral Arterial Disease (PAD) of the Upper and Lower Extremities 17Description

2019 AIM Specialty Health

53. Joint SOGC/CAR Policy Statement on Non-medical Use of Fetal Ultrasound

Joint SOGC/CAR Policy Statement on Non-medical Use of Fetal Ultrasound No. 304-Joint SOGC/CAR Policy Statement on Non-medical Use of Fetal Ultrasound - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 41, Issue 2, Pages e1–e3 No. 304-Joint SOGC/CAR Policy Statement on Non-medical Use of Fetal Ultrasound x Shia Salem , MD Toronto, ON x Kenneth Lim , MD Vancouver, BC x Michiel C Van den Hof , MD Halifax, NS No. 304

2019 Society of Obstetricians and Gynaecologists of Canada

54. Effect of local anesthetic volume (20 mL vs 30 mL ropivacaine) on electromyography of the diaphragm and pulmonary function after ultrasound-guided supraclavicular brachial plexus block: a randomized controlled trial

Effect of local anesthetic volume (20 mL vs 30 mL ropivacaine) on electromyography of the diaphragm and pulmonary function after ultrasound-guided supraclavicular brachial plexus block: a randomized controlled trial Diaphragmatic paralysis following supraclavicular brachial plexus block (SCBPB) is ascribed to phrenic nerve palsy. This study investigated the effect of 2 volumes of 0.375% ropivacaine on efficacy of block as a surgical anesthetic and as an analgesic and examined diaphragm compound (...) muscle action potentials (CMAPs) and pulmonary function before and after SCBPB.Eighty patients scheduled for removal of hardware for internal fixation after healing of an upper limb fracture distal to the shoulder were randomized to receive ultrasound-guided SCBPC for surgical anesthesia with 20 mL (Group A) or 30 mL (Group B) 0.375% ropivacaine. The latency and amplitude of diaphragm CMAPs and forced vital capacity (FVC), FVC% predicted, and forced expiratory volume in 1 s (FEV1) were measured

2019 EvidenceUpdates

55. A clinical trial comparing ultrasound-guided ilioinguinal/iliohypogastric nerve block to transversus abdominis plane block for analgesia following open inguinal hernia repair

A clinical trial comparing ultrasound-guided ilioinguinal/iliohypogastric nerve block to transversus abdominis plane block for analgesia following open inguinal hernia repair To compare the efficacy of ilioinguinal/iliohypogastric (IINB) nerve block to transversus abdominis plane (TAP) block in controlling incisional pain after open inguinal hernia repair.This was a prospective randomized clinical trial of 90 patients who received either IINB (N=45) or TAP block (N=45) using 0.2% bupivacaine 15 (...) mL under ultrasound (US) guidance based on a random assignment in the postanesthesia care unit after having an open repair of inguinal hernia. Numeric Rating Scale (NRS) scores were recorded immediately following, 4, 8, 12, and 24 hours after completion of the block. NRS scores at rest and during movement were recorded 24, 36, and 48 hours after surgery. Analgesic satisfaction level was also evaluated by a Likert-based patient questionnaire.NRS scores were lower in the IINB group compared

2019 EvidenceUpdates

56. Ultrasound could help diagnose giant cell arteritis

Ultrasound could help diagnose giant cell arteritis Ultrasound could help diagnose giant cell arteritis Discover Portal Discover Portal Ultrasound could help diagnose giant cell arteritis Published on 14 February 2017 doi: Ultrasound may aid giant cell arteritis diagnosis in people referred from the community. It is less invasive than biopsy and might provide quicker results than a biopsy, but its role and place in the diagnostic pathway remain unclear. Giant cell arteritis is a disease (...) of medium to large sized arteries and can lead to a range of eye, brain and other complications. Sudden or gradual blindness is a real risk and anyone with suspected giant cell arteritis is referred to hospital for a biopsy and started on high dose steroids. This NIHR-funded study found that ultrasound correctly picks up more cases than biopsies, but also falsely identifies some people who do not have the condition. Biopsies falsely diagnose giant cell arteritis in fewer people without the condition

2019 NIHR Dissemination Centre

57. Ultrasound therapy doesn’t speed healing of leg fracture after surgery

Ultrasound therapy doesn’t speed healing of leg fracture after surgery Ultrasound therapy doesn’t speed healing of leg fracture after surgery Discover Portal Discover Portal Ultrasound therapy doesn’t speed healing of leg fracture after surgery Published on 7 February 2017 doi: Low intensity pulsed ultrasound (LIPUS), sometimes used to encourage bone fractures to heal after surgery, makes no difference to how soon people can get back to their normal activities or to the speed at which bones (...) ? A broken tibia is the most common long bone fracture. These fractures can take six months or longer to heal and are particularly vulnerable to non-union, when the broken pieces of bone fail to grow back together. LIPUS is commonly used in North America after fracture surgery with the intention of speeding up healing and preventing non-union and is available in the UK. LIPUS involves applying ultrasound waves to skin over the fracture using a wand or probe and gel, similar to those used for pregnancy

2019 NIHR Dissemination Centre

58. MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities

MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities Discover Portal Discover Portal MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities Published on 4 April 2017 doi: If fetal brain abnormality is suspected on a pregnancy ultrasound, following this with in-utero MRI (iuMRI) improves diagnostic accuracy. This sequence could allow more informed discussions and decision-making around (...) whether to continue with or terminate a pregnancy. The NIHR funded study included 565 women of 18 weeks’ pregnancy or more who received ultrasound followed by iuMRI. Diagnoses were confirmed either by postnatal imaging of the baby or at post-mortem examination. Overall iuMRI gave the correct diagnosis for 93% of scans compared to only 68% of ultrasounds. The accuracy of ultrasound declined above 24 weeks of pregnancy, whereas iuMRI performed well at all times. Clinicians reported that iuMRI scan

2019 NIHR Dissemination Centre

59. Ultrasound shows potential for confirming the diagnosis of pneumonia in children

Ultrasound shows potential for confirming the diagnosis of pneumonia in children Diagnosis of pneumonia in children may be confirmed by ultrasound Discover Portal Discover Portal Ultrasound shows potential for confirming the diagnosis of pneumonia in children Published on 24 July 2018 doi: Ultrasound scans of the lungs can be more accurate than chest X-rays for diagnosing pneumonia in children in some circumstances. A review of the published evidence found that lung ultrasound was more (...) sensitive (missed fewer cases) and about as specific (gave about the same number of false alarms) as chest X-ray, when used to confirm suspected community-acquired pneumonia in children. While pneumonia is a clinical diagnosis, X-ray is often used for confirmation. Ultrasound also spares the child from the radiation associated with X-ray imaging. Many emergency departments already use ultrasound, so it might be practical to train paediatric staff to use it as a first-line test. However, the study found

2019 NIHR Dissemination Centre

60. Ultrasound Guidance for Pediatric Central Venous Catheterization: A Meta-analysis

Ultrasound Guidance for Pediatric Central Venous Catheterization: A Meta-analysis : media-1vid110.1542/5828324804001PEDS-VA_2018-1719Video Abstract CONTEXT: Central venous catheterization is routinely required in patients who are critically ill, and it carries an associated morbidity. In pediatric patients, the procedures can be difficult and challenging, predominantly because of their anatomic characteristics.To determine whether ultrasound-guided techniques are associated with a reduced (...) incidence of failures and complications when compared with the anatomic landmark technique.We conducted a systematic search of PubMed and Embase.We included randomized controlled trials and nonrandomized studies in which researchers compare ultrasound guidance with the anatomic landmark technique in children who underwent central venous catheterization.Study characteristics, sample sizes, participant characteristics, settings, descriptions of the ultrasound technique, puncture sites, and outcomes were

2019 EvidenceUpdates