• The subclavian vein may be less preferred for stiff catheters (because of difficulty achieving the sharp turn into the superior van cava) or large-bore hemodialysis catheters (which can cause venous stenosis that renders the ipsilateral arm unsuitable for arteriovenous shunt placement). (merckmanuals.com)
  • Haemodynamic monitoring may include arterial and central venous catheters, pulmonary artery catheters and transpulmonary thermodilution/pulse wave analysis. (esicm.org)
  • 3] Pereira S, Preto C, Pinho C, Vasconcelos P. (2016) When one port does not return blood:two case reports of rare causes for misplaced central venous catheters . (imagejournals.org)
  • The use of ultrasound (US) guidance to place peripheral intravenous (IV) catheters in patients who have undergone unsuccessful attempts at traditional IV access has been adopted as an alternative method in some emergency departments (ED). The type of vascular access selected for an ED patient can be affected by numerous factors, including patient-centered characteristics such as previous history of intravenous drug abuse and obesity. (westjem.com)
  • At the same time, consideration of predicted ultimate disposition may affect this decision process: for example, critically ill patients may require central venous catheters (CVC), whereas CVCs are usually avoided in patients expected to be discharged home. (westjem.com)
  • METHODS: This was a subgroup analysis of a prospective, multicentre, observational cohort study conducted between March 2019 and December 2020 including 8 586 patients ≥ 16 years receiving central venous catheters at four emergency care hospitals. (lu.se)
  • Emergency ultrasound employing point-of-care ultrasound (POCUS) is the application of ultrasound at the point of care to make immediate patient-care decisions. (wikipedia.org)
  • Point of care ultrasound has been used in a wide variety of specialties and has increased in use in the last decade as ultrasound machines have become more compact and portable. (wikipedia.org)
  • In contrast to a comprehensive ultrasound examination, which is typically performed by a sonographer and interpreted by a specialist, point-of-care ultrasound examinations are performed and interpreted by the same clinician and are typically narrower in scope. (wikipedia.org)
  • Point of care ultrasound is sometimes the only option in the evaluation of injured persons who are too ill for transport to other imaging modalities (i.e. computed tomography, or CT scan) or whose illness is so acute that medical decisions in their care need to be made in seconds to minutes. (wikipedia.org)
  • Dr. Lawson Clinical question: Does point of care ultrasound (POCUS) of the internal jugular vein accurately predict central venous pressure? (the-hospitalist.org)
  • Point of Care Assessment of Hydration Status & Fluid Responsiveness Training Video is designed to review the use of point of care ultrasound to assess a patients hydration status and volume responsiveness. (gcus.com)
  • Customized scanning assignments are provided based upon whether learners are pursuing diagnostic medical sonography (DMS) or point-of-care ultrasound (POCUS) training. (sonosim.com)
  • Sixty-two percent reported a history of central venous catheter placement. (westjem.com)
  • These patients reported high rates of both difficult IV access and central venous catheter placement in the past. (westjem.com)
  • this provides a picture of chronic cerebrospinal venous insufficiency (CCSVI) with four different patterns of distribution of stenosis and substitute circle. (bmj.com)
  • Chronic cerebrospinal venous insufficiency and iron deposition on susceptibility-weighted imaging in patients with multiple sclerosis: a pilot case-control study. (mcmaster.ca)
  • Screening for chronic cerebrospinal venous insufficiency (CCSVI) using ultrasound--recommendations for a protocol. (mcmaster.ca)
  • 11. Absence of central venous stenosis downstream from implant site confirmed with ultrasound and/or venogram. (who.int)
  • Principles of ultrasound ventricular hypertrophy, valvular stenosis), usually takes only a few minutes to perform3. (bvsalud.org)
  • A person who has hypotension and a bedside ultrasound showing hyperdynamic left heart with a flat, collapsible IVC indicates low blood volume. (wikipedia.org)
  • Demonstrate the value of bedside ultrasound in assessing volume responsiveness. (gcus.com)
  • The diagnostic options available to clinicians hoping to discern mild from significant, or moderate or severe, dehydration include non-invasive measures such as physician gestalt and clinical scales derived from signs and symptoms, invasive hemodynamic monitoring, laboratory values, and bedside ultrasound techniques newly described in the literature. (springeropen.com)
  • With bedside ultrasound, a few scanning conventions merit brief discussion. (medscape.com)
  • Emergency department bedside ultrasonographic measurement of the caval index for noninvasive determination of low central venous pressure. (ehced.org)
  • Venous excess ultrasound (VExUS) is a growing bedside ultrasound-based approach that aims to provide a more comprehensive assessment of venous congestion. (sjrhem.ca)
  • Does Central Venous Pressure Predict Fluid Responsiveness? (ipfs.io)
  • Some tests of fluid responsiveness rely on the effect of respiration-induced changes in pleural pressure on the circulation. (resus.me)
  • Inferior vena cava (IVC) size and degree of inspiratory collapse correlate with central venous pressure (CVP) , but CVP is not a reliable predictor of volume status or responsiveness. (resus.me)
  • Skinny, collapsing IVCs detected on ultrasound suggest volume responsiveness, but the lack of this finding does not exclude fluid responsiveness. (resus.me)
  • Respiratory pulse pressure variation derived from an arterial line trace in mechanically ventilated patients who are adequately sedated and receiving large tidal volumes can predict fluid responsiveness too. (resus.me)
  • A 15 second expiratory occlusion is performed and an increase in pulse pressure or (if you can measure it) cardiac index predicts fluid responsiveness with a high degree of accuracy. (resus.me)
  • How can an ultrasound examination assess volume responsiveness? (mhmedical.com)
  • Most of these traditional parameters, however, poorly predict volume responsiveness because Frank-Starling forces, cardiopulmonary interactions, and changes in systolic, diastolic, intra-abdominal, and intrathoracic pressures influence the patient's response to volume loading. (mhmedical.com)
  • In the POCUS community, while Inferior Vena Cava (IVC) measurements have promise in assessing central venous pressure, the subsequent translation towards "volume responsiveness" has been met with many other limitations. (sjrhem.ca)
  • Contrast computed tomographic angiogram showing the central venous catheter puncturing through the left internal jugular vein, exiting medially (black arrow). (hkmj.org)
  • Under local anesthesia and ultrasound guidance, a catheter introducer sheath is placed in the right internal jugular vein. (jove.com)
  • Pericardiocentesis, a procedure in which a needle is used to drain the effusion, can utilize ultrasound guidance of a needle to decrease the risk of hitting lungs, heart or other vital organs Emergency ultrasound can not only diagnose, but also monitor a person's response to therapeutic interventions. (wikipedia.org)
  • Using ultrasound guidance to approach the subclavian vein infraclavicularly requires that the axillary vein (distal continuance of the subclavian vein) is imaged and cannulated because the clavicle blocks ultrasound imaging of the proximal vein. (merckmanuals.com)
  • Cannulating the axillary vein may be difficult to do with or without ultrasound guidance, and ultrasound guidance, if available, is mandatory. (merckmanuals.com)
  • Currently, ultrasound guidance by experienced operators is recommended for reducing the risk of mechanical complications during central venous catheter (CVC) insertion. (hkmj.org)
  • A new CVC for temporary haemodialysis was inserted via her right IJV by interventional radiologists under fluoroscopic and real-time ultrasound guidance. (hkmj.org)
  • Ultrasound guidance is commonly used to removing fluid from the chest cavity (thoracocentesis) and abdominal cavity (abdominocentesis). (vcahospitals.com)
  • Alternatively, fluid management can be based solely on the clinical assessment of hemodynamic variables such as heart rate, systolic blood pressure, central venous pressure (CVP), and urine output, with no attempt to measure blood flow. (cms.gov)
  • Physicians, PA's, nurse practitioners, sonographers and other medical professionals who have a desire to expand their skills to integrate advanced ultrasound applications into clinical practice. (gcus.com)
  • Our all-encompassing training platform fuels every learner's journey toward mastering hands-on vascular ultrasound training in diverse clinical situations. (sonosim.com)
  • The location of venous obstructions plays a key role in determining the clinical course of the disease. (bmj.com)
  • Here we provide a detailed protocol describing the clinical procedure of hepatic venous pressure gradient (HVPG) measurement in patients with advanced chronic liver disease followed by an instruction for transjugular biopsy. (jove.com)
  • Honing your clinical and technical skills Clinic Spotlights: Small Animal GP, wellness, rechecks, and sick pet exams Surgery Dentistry Laser Therapy Digital X-Ray Ultrasound Fear Free Contact us for more information! (wisc.edu)
  • Anticoagulation strategies and clinical outcomes after bleeding events during anticoagulation therapy for venous thromboembolism in the practice-based Japanese registry. (uzh.ch)
  • Central venous catheterisation is a common procedure that allows venous access for delivering medications, infusing fluids or blood products, and monitoring volume status. (hkmj.org)
  • BACKGROUND: A previous study on mechanical complications after central venous catheterisation demonstrated differences in complication rates between male and female operators. (lu.se)
  • CMS will amend the NCD Ultrasound Diagnostic Procedures at section 220.5 of the NCD manual by adding "Monitoring of cardiac output (Esophageal Doppler) for ventilated patients in the ICU and operative patients with a need for intra-operative fluid optimization" to Category I, and deleting "Monitoring of cardiac output (Doppler)" from Category II. (cms.gov)
  • SonoSim's hands-on vascular ultrasound training material is expertly designed to bolster the skills and knowledge of learners in vascular ultrasound, including Doppler ultrasound applications. (sonosim.com)
  • Every ultrasound training topic includes a course, virtual scanning cases with Doppler simulation, knowledge assessments, scanning assignments, guided imaging protocols, and a Mastery Exam. (sonosim.com)
  • Doppler ultrasound is central to performing vascular ultrasound examinations. (sonosim.com)
  • Advanced courses and cases further develop vascular ultrasound skills, specifically by applying Doppler ultrasound imaging towards a diverse series of applications. (sonosim.com)
  • DMS imaging protocols provide in-depth guided training that instructs learners how to perform vascular ultrasound using Doppler, as indicated. (sonosim.com)
  • Learners get the chance to practice acquiring & interpreting vascular Doppler ultrasound images & identifying vascular anomalies. (sonosim.com)
  • Sixty-five patients affected by CDMS, and 235 controls composed, respectively, of healthy subjects, healthy subjects older than CDMS patients, patients affected by other neurological diseases and older controls not affected by neurological diseases but scheduled for venography (HAV-C) blindly underwent a combined transcranial and extracranial colour-Doppler high-resolution examination (TCCS-ECD) aimed at detecting at least two of five parameters of anomalous venous outflow. (bmj.com)
  • Twenty-nine consecutive patients referred by the urologist to the radiology department of the aforementioned institution for penile ultrasound were evaluated using triplex Doppler sonography with high-frequency linear array transducer. (wajradiology.org)
  • BF Ab can be determined theoretically using Doppler ultrasound by subtracting BF in the bilateral proximal femoral arteries (FAs) from BF in the upper abdominal aorta (Ao) above the coeliac trunk. (biomedcentral.com)
  • The drainage through the extracranial venous outflow routes has not previously been investigated in MS patients. (bmj.com)
  • Venous drainage is carried out through the acygos system, and the superior diaphragmatic veins, while the lymphatics are a tributary of tracheobronchial phrenic chains and infradiaphragmatic nodes. (semiologiaclinica.com)
  • Prior research suggests that the ratio of the ultrasound-measured diameter of the inferior vena cava to the aorta correlates with the level of dehydration in children. (springeropen.com)
  • Learn the relationship of traditional illustrative and sonographic anatomy of the aorta and inferior vena cava (IVC) and how to interpret ultrasound imaging of the aorta & IVC. (sonosim.com)
  • Learn sonographic techniques and scanning approaches used in ultrasound imaging to assess the aorta and inferior vena cava. (sonosim.com)
  • While there is often no need for invasive monitoring using central venous pressure (CVP) in pediatric patients presenting with dehydration, measurement of CVP until recently had been the invasive measure of choice to determine severity of volume depletion for patients with undifferentiated shock. (springeropen.com)
  • According to the TCCS-ECD screening, patients and HAV-C further underwent selective venography of the azygous and jugular venous system with venous pressure measurement. (bmj.com)
  • IVC size and measurement can be affected by patient position, probe position, and a variety of health states from athleticism to increased abdominal pressure. (resus.me)
  • IVC measurement for the noninvasive evaluation of central venous pressure. (ehced.org)
  • Here, we present a protocol for measurement of hepatic venous pressure gradient (HVPG),the gold standard to diagnose clinically significant portal hypertension. (jove.com)
  • Measurement of the hepatic venous pressure gradient (HVPG) is the gold standard to estimate portal venous pressure in patient with cirrhosis, i.e. assessing the severity of sinusoidal portal hypertension 4 . (jove.com)
  • The SimPad Blood Pressure Training Arm allows for practice of non-invasive blood pressure (NIBP) measurement. (laerdal.com)
  • Differences in duration of anticoagulation after pulmonary embolism and deep vein thrombosis: Findings from the SWIss Venous ThromboEmbolism Registry (SWIVTER). (uzh.ch)
  • More recent evidence suggests that ultrasound assessment of more "peripheral" veins (e.g., subclavian, femoral, internal jugular) may also be helpful in estimating intravascular volume status in the absence of IVC visualization. (wikipedia.org)
  • Most patients' needs for IV fluid and drugs can be met with a percutaneous peripheral venous catheter. (merckmanuals.com)
  • To assess characteristics, satisfaction, and disposition of emergency department (ED) patients who successfully received ultrasound (US)-guided peripheral intravenous (IV) access. (westjem.com)
  • Ultrasound-guided peripheral IV access can provide a less-invasive vascular-access option for these patients. (westjem.com)
  • We sought to characterize further the patient population at our institution who successfully received ultrasound-guided peripheral IV access. (westjem.com)
  • Some pathological changes in the central or peripheral nervous system? (vin.com)
  • Systemic blood pressure in cardiac tamponade is temporarily maintained by the sympathetic nervous system via tachycardia and peripheral vasoconstriction. (emdocs.net)
  • Peripheral vasoconstriction and pooling of blood in the venous system causes an increase in central venous pressure that is routinely noted with pericardial effusions. (emdocs.net)
  • Ultrasound-guided cannulation of the subclavian vein uses real-time (dynamic) ultrasound to guide venipuncture and a guidewire (Seldinger technique) to thread a central venous catheter through the subclavian vein and into the superior vena cava. (merckmanuals.com)
  • How To Do Infraclavicular Subclavian Vein Cannulation Percutaneous cannulation of the subclavian vein uses anatomic landmarks to guide venipuncture and a Seldinger technique to thread a central venous catheter through the subclavian vein and into. (merckmanuals.com)
  • 2] Bannon MP, Heller SF and Rivera M. (2011) Anatomic considerations for central venous cannulation . (imagejournals.org)
  • Awareness of venous thromboembolism among patients with cancer: Preliminary findings from a global initiative for World Thrombosis Day. (uzh.ch)
  • 3 Placing CVCs in patients without indications for central-line placement unnecessarily puts these patients at risk for complications such as bacteremia, pneumothorax, thrombosis, and arterial puncture. (westjem.com)
  • 3) severe dysfunction of one or more nine patients reported to CDC, seven from published case extrapulmonary organ systems (e.g., hypotension or shock, reports, and summarizes the findings in 11 patients described cardiac dysfunction, arterial or venous thrombosis or throm- in three case series in peer-reviewed journals ( 4-6 ). (cdc.gov)
  • Practitioners may use the ultrasound to see if the heart is moving, beating in organized fashion or if it has a pericardial effusion or fluid around it. (wikipedia.org)
  • Ultrasound can be utilized to assess a person's intravascular volume status and response to intravenous fluid therapy by measuring the size and respiratory change in the diameter of the IVC, including the assessment of central venous collapsibility as a more standardized measure of intravascular volume status. (wikipedia.org)
  • If the cardiac output does not increase after such administration (a fluid challenge,) this may indicate that the upper limit of beneficial fluid administration has been achieved and that further fluid administration could lead to fluid overload manifest by venous congestion and possible post-operative pulmonary edema (RNAO, 2006). (cms.gov)
  • For central venous pressure monitoring, venous blood collection, and intravenous fluid and drug administration, a 5-French, 60 cm, polyurethane catheter (Instech Laboratories, Plymouth Meeting, PA) is placed in the brachiocephalic vein using a percutaneous, ultrasound-guided, through the needle technique. (vin.com)
  • Adult literature suggests CVP may not be a reliable indicator of volume depletion as the cause of hypotension and suggest CVP is unhelpful in predicting which patients will be 'fluid responders' and which patients may need other methods of blood pressure support [ 18 ],[ 19 ]. (springeropen.com)
  • It is important to remember that the ultrasound is screening for the presence of free fluid and is not a reliable tool for visualizing the actual injury (such as liver or spleen laceration, especially in adults). (medscape.com)
  • Fluid resuscitation in septic shock: a positive fluid balance and elevated central venous pressure are associated with increased mortality. (ehced.org)
  • In the peritoneal cavity, 200 ml of fluid can be detected via ultrasound in the ideal patient. (iem-student.org)
  • Fortunately, ultrasound is very sensitive for the detection of pericardial fluid. (iem-student.org)
  • As little as 100 mL of pericardial fluid can increase intrapericardial pressure enough to develop cardiac tamponade in the acute setting. (emdocs.net)
  • For those presenting with acute shortness of breath, ultrasound assessment of the lung, heart, and IVC can evaluate for potentially life-threatening diseases, including pneumothorax, significant pleural effusions, congestive heart failure, pulmonary edema, pericardial effusion, and some large pulmonary emboli. (wikipedia.org)
  • Following assessment of an organ and the surrounding structures, ultrasound imaging is used to guide needle placement into a selected tissue or cavity. (vcahospitals.com)
  • [ 3 ] for evaluation and monitoring of central venous filling as a surrogate for central venous pressure, and for assessment of abdominal wall pathology (eg, abscess or hernia). (medscape.com)
  • Volume assessment aided by dynamic parameters, in contrast to static measurements, recognizes the characteristic respirophasic changes that occur as a patient's intrathoracic pressure changes with positive-pressure ventilation ( Figures 30-1 and 30-2 ). (mhmedical.com)
  • Using ultrasound and Seldinger technique, the insertion of the central venous catheter was achieved in one attempt [ 1 , 2 ]. (imagejournals.org)
  • CVP is often a good approximation of right atrial pressure (RAP), [1] although the two terms are not identical, as a pressure differential can sometimes exist between the venae cavae and the right atrium. (ipfs.io)
  • Before removing the catheter, pressure readings obtained in the IVC at the same level, as well as the right atrial pressure are recorded. (jove.com)
  • Cardiac output can be maintained, provided the right ventricular pressure exceeds the right atrial pressure. (emdocs.net)
  • Lung ultrasound is a simple, non-ionising and non-invasive method of detecting pulmonary congestion and pleural effusions. (esicm.org)
  • For one, it did not account for venous congestion at other organ levels such as the pulmonary, renal, or hepatic systems. (sjrhem.ca)
  • 4 The protocol serves to assess multiple sites of venous congestion, including the IVC, hepatic veins, portal veins and intrarenal veins. (sjrhem.ca)
  • CDMS is strongly associated with CCSVI, a scenario that has not previously been described, characterised by abnormal venous haemodynamics determined by extracranial multiple venous strictures of unknown origin. (bmj.com)
  • Similarly, emergency ultrasound can also evaluate the lungs for hemothorax (bleeding in the chest), and pneumothorax (a puncture resulting in air trapped in the chest and lung collapse). (wikipedia.org)
  • Lung ultrasound scores (LUS) will be performed at T0 and T3. (researchsquare.com)
  • Point-of-care lung ultrasound in patients with COVID-19 - a narrative review. (gehealthcare.com)
  • He benefited previously of the placement of a two lumen 9Fr-13cm central venous catheter for haemodialysis in the left femoral vein ( Figure 1a ). (imagejournals.org)
  • During a positive-pressure breath with mechanical ventilation, right ventricular (RV) stroke volume drops for two main reasons. (mhmedical.com)
  • Morbidity from shock may be widespread and can include central nervous system (CNS) failure, respiratory failure (ie, from muscle fatigue or acute respiratory distress syndrome [ARDS]), renal failure, hepatic dysfunction, gastrointestinal ischemia, disseminated intravascular coagulation (DIC), metabolic derangements, and ultimately death. (medscape.com)
  • In contrast, MR and selective injection venography are of course limited in evaluating cerebral venous haemodynamics under different postural and respiratory conditions. (bmj.com)
  • Pulse pressure variation fails in patients with low respiratory system compliance, such as is found in ARDS(1). (resus.me)
  • Patient weight, ultrasound measurements of the IVC and Ao, and physician gestalt were recorded. (springeropen.com)
  • The SonoSimulator® helps develop and maintain the critical visuomotor and visuospatial skills that are central to image acquisition and interpretation with real patient imagery, expert tutorials on-demand, and real-time feedback on success. (sonosim.com)
  • For improved patient comfort, consider using warmed ultrasound-conducting gel, if available. (medscape.com)
  • These changes are more dramatic in the hypovolemic patient and can be recognized via the arterial pressure waveform. (mhmedical.com)
  • The patient was monitored with an electrocardiogram, a non-invasive blood pressure and a pulse oximeter. (imagejournals.org)
  • This patient doesn't need an arterial line (or a central venous pressure line). (theanesthesiaconsultant.com)
  • Does this patient have abnormal central venous pressure? (mcmaster.ca)
  • The patient describes his chest pain as a dull, pressure-like sensation that worsens with lying flat. (emdocs.net)
  • This narrative review describes the main applications of de la ultrasonografía en ultrasound in anesthesia, ultrasound-guided techniques, and current trends in the perioperative anesthetic management of anestesia the surgical patient. (bvsalud.org)
  • In anesthesiology, rapid and accurate the main applications of ultrasound in anes- diagnostic tools are for surgical emergen- thesia as airway evaluation, vascular access, cies, and ultrasound has become a neces- regional anesthesia, pulmonary ultrasound, sary and routine tool2. (bvsalud.org)
  • This point-of-care use of ultrasound is often to evaluate an emergency medical condition, in settings such as an emergency department, critical care unit, ambulance, or combat zone. (wikipedia.org)
  • Each topic is meticulously structured to meet the critical learning objectives necessary for mastering vascular ultrasound. (sonosim.com)
  • General data [gender, age, body mass index (BMI), major infection sites and critical illness related scores], laboratory indicators [mean arterial pressure (MAP), central venous pressure (CVP), procalcitonin (PCT), arterial blood lactic acid (Lac), etc.], duration of mechanical ventilation and length of intensive care unit (ICU) stay were recorded. (bvsalud.org)
  • So, we pumped phenylephrine along with epidural anesthesia in case of critical cyanosis following significant blood pressure decrease. (springeropen.com)
  • 1 2 MR venography 3 - 6 and postmortem studies 7 have demonstrated a topographic correspondence between MS plaques and cerebral venous system. (bmj.com)
  • We present the results of a study that evaluated the abnormalities of the cerebral venous outflow in patients with MS using ECD-TCCS and selective venography. (bmj.com)
  • Ultrasound for Localization of Central Venous Catheter: A Good Alternative to Chest X-Ray? (magiran.com)
  • Chest radiograph after central venous catheter insertion showing an abnormal vertical course of the catheter with suspected malposition. (hkmj.org)
  • The AT Kelly Torso was designed for training central venous access and chest decompression with the added benefit. (laerdal.com)
  • Indications for the eFAST include both blunt and penetrating traumatic injuries as well presentations of unexplained hypotension as part of an ultrasound shock protocol (i.e. (iem-student.org)
  • Between them there is a space known as the "pericardial reserve", which contains between 30 and 50 cm3 of liquid with a transudate character and an intracavitary pressure of less than -2 mm Hg in expiration and -5 mm Hg in inspiration. (semiologiaclinica.com)
  • Table 2 below demonstrates the top presenting symptoms of patients who were found to have ultrasound confirmed pericardial effusions [9]. (emdocs.net)
  • First, the RV has less preload owing to decreased venous return from an increased intrathoracic pressure. (mhmedical.com)
  • At the lowest levels of LVEF, like the higher levels, omecamtiv mecarbil did not produce any adverse effects on blood pressure, heart rate, potassium homeostasis, or renal function. (the-hospitalist.org)
  • After hemodynamic stabilization of the patients, renal ultrasound was performed to measure the RRI within 24 hours after ICU admission. (bvsalud.org)
  • Emergency ultrasound is used to quickly diagnose a limited set of injuries or pathologic conditions, specifically those where conventional diagnostic methods would either take too long or would introduce greater risk to a person (either by transporting the person away from the most closely monitored setting, or exposing them to ionizing radiation and/or intravenous contrast agents). (wikipedia.org)
  • CMS was asked to reconsider our current national coverage determination (NCD) on ultrasound diagnostic procedures. (cms.gov)
  • Include diagnostic ultrasound featuring real ultrasound cases with pathological findings into full-scale simulations. (laerdal.com)
  • The extracranial venous outflow routes in clinically defined multiple sclerosis (CDMS) have not previously been investigated. (bmj.com)
  • Clinicians have also assessed volume status via echocardiographic parameters such as the left ventricular end-diastolic volume or estimated filling pressures. (mhmedical.com)
  • This study was designed to externally validate this and to access the accuracy of the ultrasound measured inspiratory IVC collapse and physician gestalt to predict significant dehydration in children in the emergency department. (springeropen.com)