A5064487475- Ultrasound in Clinical Applications
- Hemodynamic Monitoring and Therapy
- Radiology practices and education
- Cardiac Arrest and Resuscitation
- Cardiac, Anesthesia and Surgical Outcomes
- Radiation Dose and Imaging
- Urinary Tract Infections Management
- Cerebral Venous Sinus Thrombosis
- Emergency and Acute Care Studies
- Pelvic floor disorders treatments
- Sepsis Diagnosis and Treatment
- Reproductive tract infections research
- Polyomavirus and related diseases
- Innovations in Medical Education
- Surgical Simulation and Training
- Geriatric Care and Nursing Homes
- Central Venous Catheters and Hemodialysis
- Ovarian cancer diagnosis and treatment
- Hematopoietic Stem Cell Transplantation
- Cytomegalovirus and herpesvirus research
- Traumatic Brain Injury and Neurovascular Disturbances
- Streptococcal Infections and Treatments
- Ultrasound and Hyperthermia Applications
- Clinical Nutrition and Gastroenterology
- Fatty Acid Research and Health
University of Pittsburgh
2012-2024
VA Pittsburgh Healthcare System
2016-2024
University of Pittsburgh Medical Center
2016-2022
Veterans Health Administration
2019
Schott (Germany)
2018
Eastern Virginia Medical School
2012
Abstract Background Point‐of‐care ultrasound (POCUS) can reduce procedural complications and improve the diagnostic accuracy of hospitalists. Currently, it is unknown how many practicing hospitalists use POCUS, which applications are used most often, what barriers to POCUS exist. Objective This study aimed characterize current use, training needs, among hospital medicine groups (HMGs). Design, Setting, Participants A prospective observational all Veterans Affairs (VA) medical centers was...
BackgroundMore primary care providers (PCPs) have begun to embrace the use of point-of-care ultrasound (POCUS), but little is known about how PCPs are currently using POCUS and what barriers exist. In this prospective study, largest systematic survey among PCPs, we assessed current use, program management, training needs for in care.MethodsWe conducted a observational study all VA Medical Centers (VAMCs) between June 2019 March 2020 web-based sent VAMC Chiefs Staff clinics...
Abstract Background Lack of training is currently the most common barrier to implementation point-of-care ultrasound (POCUS) use in clinical practice, and in-person POCUS continuing medical education (CME) courses have been paramount improving this gap. Due travel restrictions physical distancing requirements during COVID-19 pandemic, were cancelled. Though tele-ultrasound technology has existed for several years, deliver hands-on a CME course not previously described. Methods We conducted...
BackgroundPoint-of-care ultrasound (POCUS) has become an integral part of critical care medicine for procedural guidance, bedside diagnostics, and assessing response to treatment. Multiple societies recommend POCUS use, training been a requirement fellowship since 2012. Yet, current practice patterns use in ICUs are not well known.Research QuestionThis study aimed characterize needs, barriers among intensivists.Study Design MethodsA prospective observational all Veterans Affairs (VA) medical...
Objective: Prehospital ultrasound is not yet widely implemented. Most studies report on convenience samples and trauma patients, often by prehospital physicians or critical care clinicians. We assessed the feasibility of paramedic performed lung in medical patients with respiratory distress. Methods: Paramedics at 2 ambulance stations city Pittsburgh, Pennsylvania, USA underwent a 2-hour training session using SonoSite iViz, handheld device. Emergency services (EMS) command center (EMS-CC)...
Point-of-care ultrasound (POCUS) can aid geriatricians in caring for complex, older patients. Currently, there is limited literature on POCUS use by geriatricians. We conducted a national survey to assess current use, training desired, and barriers among Geriatrics Extended Care ("geriatric") clinics at Veterans Affairs Medical Centers (VAMCs).We prospective observational study of all VAMCs between August 2019 March 2020 using web-based sent VAMC Chiefs Staff geriatric clinics.All (n=130)...
Abstract Purpose The study investigators hypothesized that Point of Care Ultrasound (POCUS) training through bolus didactic and workshop experiences may be sufficient for trainees to learn the cognitive aspects, while an extended period exposure with formative feedback is responsible developing psychomotor skills critical POCUS. Methods studied over course academic year. They compared trainees' performance on written (cognitive) observed image acquisition (psychomotor) exams at baseline each...
Abstract Background Many institutions are training clinicians in point-of-care ultrasound (POCUS), but few POCUS skills checklists have been developed and validated. We a consensus-based multispecialty checklist with anchoring references for basic cardiac, lung, abdominal, vascular ultrasound, peripheral intravenous line (PIV) insertion. Methods A expert panel of 14 physicians specializing emergency, critical care, internal/hospital medicine participated modified-Delphi approach to develop...
Objective: Teaching ultrasound (US) guidance for placement of peripheral intravenous (PIV) catheters requires significant time synchronous didactic and hands-on training. The investigators assessed the feasibility an asynchronous model critical care nurses to learn novel skill US-guided PIV placement. Secondary outcomes included percentage successful attempts number sticks per attempt anatomy versus approaches. Methods: built a self-contained training cart learners practice record their...
To test the hypothesis that optic nerve sheath diameter (ONSD) correlates with real-time changes in intracranial pressure, we performed ultrasound measurements of ONSD ambulatory patients undergoing elective lumbar puncture (LP). We conducted a prospective cohort study, including adult LP non-emergent setting. measured perpendicular to at 3 mm behind globe both eyes traverse and sagittal planes, patient supine. The primary outcome was change from pre-LP post-LP. calculated association...
One-time optic nerve sheath diameter ultrasonography permits risk-stratifying patients with suspected elevated intracranial pressure (ICP).Some data suggest that the technique also may be useful for detecting real-time changes in ICP.
Telehealth provides greater opportunity for specialty access but lacks components of the physical exam. Point-of-care ultrasound (POCUS) may assist telehealth as a visual substitute provision palpation. We conducted prospective observational pilot project to survey oncologists about (1) their expectations POCUS, (2) use POCUS in oncology visits, and (3) post-project assessment experiences. The results pre-assessment showed an interest among ability evaluate structures remotely via POCUS. was...
ABSTRACT Point-of-care ultrasonography (POCUS) has become increasingly utilized in modern medicine. Advancements device technology and ease of use have dramatically broadened its clinical applications. The role acute care specialties a pointof- allowed increased opportunities for patient assessment management. emergency medicine critical accepted POCUS many aspects as well trainee education. Anesthesiology begun to implement the POCUS, specifically transthoracic echocardiography,...