POCUS Profile: Dr. Frances Chow
Anesthesiologist Dr. Frances Chow works to bring ultrasound-guided nerve blocks to British Columbia Cancer Agency, Vancouver, BC, Canada. British Columbia Cancer Agency has among the best cancer outcomes in the world, including highest of the G7 countries for childhood leukemia, and second highest survival rates across 67 countries for prostate and breast cancer.[1]
BC Cancer covers the entire spectrum of cancer care, from prevention and screening to diagnosis, treatment, and rehabilitation. They operate six regional cancer centers and are dedicated to finding the causes of cancer, and…
Ultrasound Guidelines for Paediatric Vascular Access
More than five million central venous catheter (CVC) lines are placed in hospitals each year, making it one of the most common invasive emergency room procedures. Although NICE guidelines for ultrasound-guided placement of central venous lines in adults and children were first issued in the UK in October 2002, Dr. James Bennett, Consultant Anaesthetist at Birmingham Children's Hospital, describes how the debate has since moved on from whether ultrasound should be used for vascular access, to what other information and safety assurances it can provide, especially in paediatrics…
Benefits of Ultrasound Guided Cannulation
Thanks to an Emergency Medicine Foundation (EMF) research grant, a new ultrasound guided cannulation training initiative is helping emergency department clinicians in Australia more easily find a patient’s vein for cannulation. Gold Coast University Hospital Emergency Department physician Dr. Amy Archer-Jones was awarded an EMF research grant to lead a year-long study analyzing the effectiveness of an ultrasound training intervention.
Dr. Archer-Jones said the results of the study were good news for older patients and patients with chronic diseases or illness who are in regular need of…
Using POCUS for the Patient in Shock
In a 2018 article published in the ICU: Management & Practise section of HealthMangement.org, Drs. Adrian Wong and Jonathan Wilkinson discussed the benefits of deploying point-of-care ultrasound for patients in various forms of shock. They conclude that POCUS can help the clinician to more accurately identify the type of shock, or the coexistence of different types of shock. With proper target management strategies, ultrasound is an invaluable tool for emergency physicians and intensivists.
Shock is a common enough occurrence in the ED and ICU, and can co-exist in different forms. The…
Ultrasound Helps Intravenous Line Insertion for Children with Difficult Access
In a July 2019 study published in Annals of Emergency Medicine, researchers determined that ultrasound-guided line insertions improves the first-attempt success rates over traditional palpation methods for children with predicted difficult access.
Previous research had shown successful first-attempt rates were approximately 75% for paediatric intravenous lines, with children with difficult access sometimes requiring multiple attempts.1, 2 Difficulty in obtaining line access often results in diagnostic and treatment delays as well as more pain and anxiety for the patient and family. If…
Top New Delhi Paediatrician Uses Sonosite to Promote Ultrasound
The Economic Times Healthworld recently interviewed Dr Vikas Kohli, an American Board Certified Paediatric Cardiologist with more than 20 years of experience. Based in the Delhi Child Heart Centre in New Delhi, Dr. Kohli practises non-invasive, interventional paediatric cardiology and foetal cardiology. He has worked in premier medical centres as well as villages in India’s remotest areas. He spoke about how he uses ultrasound in his practise, and why he prefers Sonosite devices.Dr. Kohli feels that ultrasonography is an essential part of any ICU.“I believe that for echocardiography…
POCUS Profile: Dr. T.V.S. Gopal
Dr. T.V.S. Gopal, Head of the Department of Anaesthesia and Associate Medical Director at CARE Hospitals in Hyderabad, India, has been practicing for more than 30 years. In this recent interview, Dr. Gopal discusses how POCUS has transformed the craft of anesthesiology and the many scenarios where he uses ultrasound.
When did you start using ultrasound?
I began my foray into ultrasound guided regional anesthesia in year 2006 when I attended the Second Advanced Regional Anaesthesia & Ultrasound Guided Peripheral Nerve Block Course conducted by the Aesculap Academy in Tan Tock Seng…
Vets Examine Expectant Orangutan with Sonosite Ultrasound
Feliz, a Sumatran orangutan living in Audubon Zoo in New Orleans, Louisiana, is expecting her second child. Feliz’s newest offspring is due late this summer. “All of the work that the primate care team has done has paid off, and we could not be more excited to have a baby orangutan on the way,” says Courtney Eparvier, Curator of Primates and Sea Lions at the zoo.In a video released by the Audobon Nature Institute, Eparvier describes how ultrasound is an important part of taking caring of Feliz and her baby:“We are making sure she’s getting prenatal vitamins, and also what’s really cool is the…
The Growth of Portable Ultrasound in Primary Care
In the last decade there has been a widespread adoption of portable ultrasound in point of care (POCUS) for primary care.Its potential for timely assessment and rapid diagnosis continues to attract family doctors, and more and more are getting the necessary training to offer this enhanced service to their local communities. Dr. Pere Guirado, a family doctor based in Catalonia (Spain), has always been an advocate for the use of POCUS in primary care, and describes his goal of becoming common in the country."After working for many years in medicine and exercising directive functions…
Point-Of-Care Ultrasound Helps Make Regional Anaesthesia Quicker And Safer
Ultrasound-guidance has proven invaluable for the regional neurosurgical centre at the Salford Royal Hospital outside Manchester, England. In addition to helping to improve patient safety, ultrasound is increasingly being used to guide regional anaesthesia, offering a variety of benefits.Jim Corcoran, consultant neuroanaesthetist and clinical director for perioperative care at the Salford Royal, says that ultrasound-guidance also allows anaesthetists to reduce the amount of anaesthetic required to effectively block a nerve region (10-20 ml versus 30-40 ml using landmark/nerve stimulation…
POCUS Profile: Dr. Farah Chaudhry
Dr. Farah Chaudhry, Consultant in Sexual and Reproductive Health for Leeds Sexual Health, West Yorkshire, describes how point-of-care ultrasound (POCUS) allows her to give informed and clear assurances to women using long-acting contraception.I spent 10 years as a GP (general practitinoer) in Leeds, developing a special interest and expertise in women’s health, in particular complex contraception. After that, I decided to pursue the specialty of sexual and reproductive health (SRH) full time. I managed the complex contraception clinics in Kirklees and Bradford for Locala Community…
Portable Ultrasound Helps Researchers Understand Sharks
Every year the world's oceans lose roughly 100 million sharks due to human hunting. The big problem? Scientists don't know how to manage the population back. As an apex predator, sharks regulate smaller predators in the food chain, helping to ensure the oceans' ecosystem remains balanced and stable. Unfortunately, the global shark population has decreased by 90%, which means that understanding and protecting sharks is seriously at risk. That's why OCEARCH, a non-profit created to change how the scientific community studies large ocean animals, is interested…
When IV Insertion Seems Impossible
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Any medical professional with hospital experience knows how crucial successfully inserting a peripheral IV can be. Getting fluids and medications into a critically ill or injured patient can make or break the effectiveness of their treatment.
At the best, a patient with challenging vasculature that involves multiple insertion attempts can frustrate and fluster medical staff while causing the patient to experience pain. At worst, a tricky vein can mean mounting medical complications as dehydration worsens; and the eventual…
Ultrasound: Increasingly Common & Versatile
Point-of-care ultrasound is efficient. It is non-invasive. It is safe. And fortunately for everyone, it is becoming more and more ubiquitous. Most of the public is introduced to ultrasound when it was used to begin monitoring foetal and maternal health during pregnancy, but in fact, ultrasound’s utility has since spread into nearly every medical field. Used for diagnosis and for guiding procedures, ultrasound offers excellent imaging capabilities with minimally invasive, efficacious diagnosis abilities without exposing patients to ionising radiation. These days, ultrasound is…
User Stories: Sports Medicine Clinic Physician Uses Sonosite Ultrasound
Dr. Adam Garnett, a sports and exercise medicine (SEM) consultant at the Jersey Sports Medicine Clinic, divides his time between treating rugby players suffering from acute trauma injuries and triathletes and runners with overuse injuries. He explained how the use of point-of-care ultrasound has changed the way he manages sports injuries.My interest in sports and exercise medicine started 20 years ago when I was a GP in Bath and got involved with the rugby club. After moving to Jersey, I joined the Jersey Sports Medicine Clinic, and also developed my own private practise. I look after a lot…
Sports and Exercise Medicine Benefits from the Use of Ultrasound
Point-of-care ultrasound is an essential tool for Dr. Mark Ridgewell, an early pioneer of sport and exercise medicine (SEM). Through the course of his career, Mark has worked with many amateur and professional sportsmen and women, beginning with rugby and including three years with England Cricket and eight years with the Wales football team.The first SEM consultant to be registered in Wales, Dr. Ridgewell continues to work with the LTA and WTA women’s tennis tour every summer, and with Welsh Olympic and Commonwealth athletes across many sports under the Sport Wales banner. Mark also leads an…
Supporting REBOA with POCUS
Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is an emergency technique for temporarily blocking the blood flow to the lower body in the event of subdiaphragmatic internal bleeding.A guidewire and balloon-like device are inserted into the aorta via the femoral artery and, as it inflates, the balloon blocks the aorta, reducing blood flow to the injured sites but maintaining it to vital organs such as the heart and brain. Point-of-care ultrasound (POCUS) can be used to guide and verify the position of the guidewire and balloon during the procedure, and is a preferred…
POCUS in Pre-hospital Settings: Rotterdam, The Netherlands
Time is of the essence in an emergency situation, and may be the difference between life and death. Ambulance crews on the front line must decide rapidly whether or not a patient is suffering from a life-threatening condition requiring specialist treatment, and point-of-care ultrasound can provide vital guidance. Geert-Jan Deddens, a nurse practitioner in emergency care with the Rotterdam Ambulance Service, describes the benefits of using hand-carried ultrasound systems to assess suspected abdominal aortic aneurysms, allowing patients to be taken to the most appropriate hospital…
POCUS Support for Professional Spanish Athletes
Point-of-care ultrasound (POCUS) is an essential everyday tool in sports medicine at the Clinica Ivre in Valencia, Spain. Trauma specialist Dr. Miguel Ángel Buil-Bellver describes how ultrasound examination of the musculo-skeletal system has made diagnosing injuries easier and quicker, informing treatment decisions and help-ing athletes to return to their sports sooner.The Clinica Ivre opened 10 years ago in Valencia and offers a full range of sports medical services for professional and amateur athletes, including the Valencia Paralympic Committee, the Valencia Basket basketball team…
9 Reasons Ultrasound is Invaluable for Nephrologists
Point-of-care ultrasound is fast becoming a key instrumental technique in nephrology , supporting diagnostics and improving delivery of renal replacement therapy and subsequent vascular monitoring.Here are the top 9 reasons why nephrologists can't afford to ignore ultrasound-guided procedures and applications. 1. Kidney and urinary tract scans provide information about size, shape and echogenicity, as well as an opportunity to identify hydronephrosis.2. Patients with chronic kidney disease are often at risk of cardiovascular complications, such as left ventricular hypertrophy.3. CKD…