A5073631618- Ultrasound in Clinical Applications
- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Anesthesia and Pain Management
- Radiation Dose and Imaging
- Cardiac, Anesthesia and Surgical Outcomes
- Traumatic Brain Injury and Neurovascular Disturbances
- Trauma Management and Diagnosis
- Radiology practices and education
- Hip and Femur Fractures
- Spine and Intervertebral Disc Pathology
- Cerebrospinal fluid and hydrocephalus
- Spinal Fractures and Fixation Techniques
- Histiocytic Disorders and Treatments
- Hemodynamic Monitoring and Therapy
- Amoebic Infections and Treatments
- Vascular Malformations and Hemangiomas
- Spinal Hematomas and Complications
- Non-Invasive Vital Sign Monitoring
- Vascular Tumors and Angiosarcomas
- Orthopedic Surgery and Rehabilitation
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Pleural and Pulmonary Diseases
- Neurosurgical Procedures and Complications
- Vascular Procedures and Complications
Radboud University Nijmegen
2008-2021
Radboud University Medical Center
2008-2021
GTx (United States)
2018
University Medical Center
2018
European Society of Anaesthesiology
2015
Rigid cervical collars are known to increase intracranial pressure (ICP) in severe traumatic brain injury (TBI). Cerebral blood flow might decrease according the Kellie Monroe doctrine. For this reason, use of collar patients with TBI has been abandoned from several trauma protocols Netherlands. There is no evidence on effect a rigid ICP mild or moderate indeed TBI. As first step we tested healthy volunteers normal ICPs and intact autoregulation brain.In prospective blinded cross-over study,...
Abstract Background The extent to which Point-of-care of ultrasound (POCUS) is used in different European helicopter EMS (HEMS) unknown. We aimed study the availability, perception, and future aspects POCUS HEMS using an online survey. Method A survey about use was conducted by a multinational steering expert committee carried out from November 30, 2020 December via web portal. Invitations for participation were sent email medical directors organizations including two reminding notes....
Objective The aim of this study was to determine the impact abdominal prehospital ultrasound (PHUS) on patient care in a Dutch physician-staffed Helicopter Emergency Medical Service (HEMS) and its diagnostic performance. Patients methods We carried out retrospective analysis (US) examinations performed by HEMS Nijmegen, Netherlands, from January 2007 until December 2016. Data including demographics, type incident, US findings, treatment decisions, physicians’ narrative report were retrieved...
The treatment of acute pain in the emergency department is not always optimal. Peripheral nerve blocks using "blind" or stimulator techniques have substantial disadvantages. Ultrasound-guided regional anesthesia may provide quick, safe, and effective relief patients with proximal femoral fractures severe pain. However, no evidence exists on physician-performed ultrasound-guided these Dutch departments. We hypothesized that physicians can be effectively trained to safely perform implement...
Background: Patients in cardiac arrest must receive algorithm-based management such as basic life support and advanced (cardiac) support. International guidelines dictate diagnosing treating any factor that may have caused the or be complicating resuscitation. Ultrasound of potential value this process can used a prehospital setting. The objective is to evaluate use ultrasound during traumatic non-traumatic CPR determine its impact on treatment decisions Dutch helicopter emergency medical...
Until recently, traumatic cardiac arrest (tCA) was believed to be associated with high mortality and low survival rates. New data suggest better outcomes. The most common error in tCA management is failing treat a tension pneumothorax (TP). In the prehospital setting, we prefer thoracostomies for decompressing potential TP cases; however, interventions can only recommended adequate information on their results. Therefore, reviewed results of performed by our Helicopter Emergency Medical...
An accurate physical examination is essential in the care of critically ill and injured patients. However, to diagnose or exclude a pneumothorax, chest auscultation unreliable compared lung ultrasonography. In dynamic prehospital environment, it desirable have best possible ultrasound transducer readily available. The objective assess difference between linear-array, curved-array, phased-array assessment for pneumothorax determine which best. this double-blinded, cross-sectional,...
Introducing advanced hemodynamic monitoring might be beneficial during Helicopter Emergency Medical Service (HEMS) care. However, it should not increase the on-scene-time, easy to use and non-invasive. The goal of this study was investigate feasibility non-invasive cardiac output measurements by electrical cardiometry (EC) quality EC signal pre-hospital care provided our HEMS.A convenience sample fifty patients who required HEMS assistance were included in study. Problems with respect...
Background: Diagnostic ultrasound is increasingly used by nonradiologists in trauma victims and critically ill patients. In the emergency department, extended focused assessment with sonography for Polytrauma Rapid Echo-evaluation Program protocol are often to assess these Dutch Program-trained Emergency physicians implementing use of department but might encounter barriers overcome. Objectives: This study aims explore individual experiences physicians. Methods: We performed a qualitative...
A 44-year-old man presented to our emergency department with a pharyngeal hemorrhage, 6 weeks after total laryngectomy and extensive neck dissection. Immediate surgical intervention was necessary stop massive arterial hemorrhage from the pharynx. The head surgeon successfully ligated common carotid artery during this procedure. We describe anesthetic strategy thromboelastometry (ROTEM®)-guided transfusion protocol.
A 98-year-old woman presented for a hemiarthroplasty of the left hip. Because her age and cardiac pulmonary co-existing diseases we decided to provide adequate regional anesthesia by continuous spinal anesthesia. Fragmented doses isobaric bupivacaine 0.5% were administered through system consisting catheter connected an antimicrobial filter. After uneventful surgical procedure, prior removal catheter, this was flushed with 10 mL normal saline in order try prevent post-dural-puncture...
Peripheral nerve injury is a rare complication of anesthesia.Although most symptoms peripheral neuropathies after anesthesia resolve spontaneously, permanent damage serious complication.Risk factors have been described in literature, but the majority cases direct cause remains unclear.We describe two patients with transient neurological dysfunction median and ulnar general suggest blood pressure cuff compression as possible cause.It may be more frequently occurring than suggested literature...
<h3>Aim</h3> Patients in cardiac arrest must receive algorithm-based management such as basic life support and advanced (cardiac) (ALS). International guidelines dictate diagnosing treating any factor that may have caused the or be complicating resuscitation.<sup>1</sup> Ultrasound is recognised to of potential value this process can used a prehospital setting.<sup>2</sup> We aim evaluate use echocardiography during CPR its impact on treatment decisions Dutch helicopter emergency medical...