A5055364675- Ultrasound in Clinical Applications
- Cardiac, Anesthesia and Surgical Outcomes
- Hemodynamic Monitoring and Therapy
- Airway Management and Intubation Techniques
- Cardiac Arrest and Resuscitation
- Sepsis Diagnosis and Treatment
- Cardiac Valve Diseases and Treatments
- Mechanical Circulatory Support Devices
- Cardiac Structural Anomalies and Repair
- Otolaryngology and Infectious Diseases
- Hematological disorders and diagnostics
- Surgical Simulation and Training
- Intensive Care Unit Cognitive Disorders
- Tracheal and airway disorders
- Intracranial Aneurysms: Treatment and Complications
- Neurosurgical Procedures and Complications
- Radiology practices and education
- COVID-19 Clinical Research Studies
- Global Health and Surgery
- Cardiac Imaging and Diagnostics
- Dental Education, Practice, Research
- Trauma and Emergency Care Studies
- Congenital Heart Disease Studies
- Trauma Management and Diagnosis
- Venous Thromboembolism Diagnosis and Management
Albany Medical Center Hospital
2019-2024
University of California, San Francisco
2023
Palo Alto University
2023
Stanford University
2023
When incorporated into the 10-second pulse/rhythm check of advanced life support (ALS) protocol, focused cardiac ultrasound is a useful adjunct to cardiopulmonary resuscitation. In this case series, we demonstrated feasibility echocardiographic assessment using subcostal-only view in ALS (EASy-ALS) performed by anesthesiology residents during periresuscitative period after structured training. Residents obtained diagnostic quality images 100% self-reported cases, which enabled them identify...
Acute post-subarachnoid hemorrhage (SAH) headaches are common and severe. Management strategies for post-SAH limited, with heavy reliance on opioids, pain control is overall poor. Pterygopalatine fossa (PPF) nerve blocks have shown promising results in treatment of acute headache, including our preliminary published experience PPF-blocks refractory headache during hospitalization. The BLOCK-SAH trial was designed to assess the efficacy safety bilateral awake patients severe from aneurysmal...
We assessed the efficacy of 1-day training in echocardiography assessment using subxiphoid-only (EASy) followed by supervised image interpretation and decision-making during patient rounds as a novel approach to scaling up use point-of-care ultrasound (POCUS) critically ill patients.
To implement and assess a cardiopulmonary point-of-care ultrasound (POCUS) objective structured clinical examination (OSCE) in large cohort of graduating anesthesia residents.Observational study.University-affiliated hospitals.150 residents their last nine months training.A standardized OSCE was administered to each resident.The cardiac views evaluated were parasternal long axis (PLAX), apical 4 chamber (A4C), short (PSAX). The pulmonary pleural effusion (PLE) pneumothorax (PTX). In...
While point-of-care ultrasound (POCUS) of the inferior vena cava (IVC) is broadly perceived as having value in intravascular volume status assessment, this has not been borne out large-scale meta-analyses containing heterogenous populations acutely ill patients. limitations IVC POCUS could be largely due to complexity relationship between appearance and status, another confounder widely appreciated ease with which aorta or right hepatic vein (RHV) can mistaken for IVC. misidentification...
Bughrara, Nibras; Mathur, Neil; Renew, Ross; Sirigaddi, Krishnaveni; Diaz-Gomez, Jose Author Information
Surgical aortic valve replacement requires a comprehensive transoesophageal echocardiography (TEE) assessment before and after the intervention by cardiac anaesthesiologists. For patients undergoing transfemoral transcatheter implantation (TF-TAVI), TEE is not routinely used. We started using transthoracic (TTE) as diagnostic monitoring modality during TF-TAVI procedures. The aim of this study to examine usefulness TTE TF-TAVI. hypothesised that can serve screening tool in help rule out...
Hoenig, Benjamin; Burmistrova, Michelle; King, David; Narravula, Rhagav; Prasad, Cheshta; Ata, Ashar; Kollu, Tejas; Uppal, Priya; Pustavoitau, Aliaksei; Bughrara, Nibras Author Information
Bughrara, Nibras; Quaranta, Nicholas; Pustavoitau, Aliaksei; Shah, Qainat Author Information
Copyright © 2016 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.
Background: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) and Impella left ventricular assist device individually offer cardiovascular support for cardiogenic shock patients. Each modality has its own benefits downfalls. We present a case in which patient developed cocaine-induced coronary vasoconstriction resulting with rapid systemic decompensation. employed VA-ECMO subsequent to recover the patient. Methods: A 26-year-old male history of Graves’ Disease chronic cocaine abuse...
Introduction: Intravenous (IV) volume resuscitation and vasoactive medications are cornerstones of hemodynamic management in patients with septic shock. However, their optimal use remains a matter debate. Recent guidelines have signaled shift away from universal large crystalloids favor more individualized strategies to assess each patient's status tolerance. We propose that point-of-care ultrasound exams can provide insight into targeted sepsis. Methods: In this single-center,...
Introduction: Focused Transthoracic Echocardiography (FTTE) is a time-sensitive bedside examination to evaluate cardiocirculatory or respiratory failure. FTTE can be done serially the impact of therapy. Though has been used for over 20 years, uniform approach training in anesthesiology critical care fellowship programs does not exist. We aim examine standardized curriculum blended learning existing Critical Care Medicine Fellowship programs. Blended mixed-mode classes incorporate an...
Bughrara, Nibras; Herrick, Susan; Sirigaddi, Krishnaveni; Roberts, Kevin; Pustavoitau, Aliaksei Author Information
Bughrara, Nibras1; Khan, Adnan2; Nikravan, Sara3; Renew, Ross4; Sirigaddi, Krishnaveni2; Diaz-Gomez, Jose5; Roberts, Kevin2; Hamlin, Mark6 Author Information