A5039585165- Ultrasound in Clinical Applications
- Radiology practices and education
- Central Venous Catheters and Hemodialysis
- Hospital Admissions and Outcomes
- Radiation Dose and Imaging
- Anesthesia and Pain Management
- Simulation-Based Education in Healthcare
- Emergency and Acute Care Studies
- Pleural and Pulmonary Diseases
- Opioid Use Disorder Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Spinal Fractures and Fixation Techniques
- Patient Safety and Medication Errors
- Spine and Intervertebral Disc Pathology
- Airway Management and Intubation Techniques
- Surgical Simulation and Training
- Case Reports on Hematomas
- Flow Measurement and Analysis
- Appendicitis Diagnosis and Management
- Patient Satisfaction in Healthcare
- Renal and Vascular Pathologies
- Vascular Procedures and Complications
- Migration, Health and Trauma
- Spinal Hematomas and Complications
- Pediatric Pain Management Techniques
University of North Carolina Hospitals
2018-2025
University of North Carolina at Chapel Hill
2007-2024
Digestive Care (United States)
2024
South Texas Veterans Health Care System
2016
University of Minnesota
2016
The University of Texas Health Science Center at San Antonio
2016
Medical College of Wisconsin
2016
University of Colorado Hospital
2016
University of Colorado Denver
2016
Denver Health Medical Center
2016
1)We recommend that providers should be familiar with the operation of their specific ultrasound machine prior to initiation a vascular access procedure. 2)We use high-frequency linear transducer sterile sheath and gel perform procedures. 3)We two-dimensional evaluate for anatomical variations absence thrombosis during preprocedural site selection. 4)We target blood vessel size depth evaluation.General Techniques 5) We avoid using static alone mark needle insertion 6)We real-time (dynamic),...
Many hospitalists incorporate point-of-care ultrasound (POCUS) into their daily practice to answer specific diagnostic questions or guide performance of invasive bedside procedures. However, standards for in POCUS training and assessment are not yet established. Most internal medicine residency programs, the major pipeline incoming hospitalists, have only recently begun curricula. The purpose this document is inform a broad audience on what how using it. This intended provide guidance who...
Point-of-care ultrasound (POCUS) is rapidly becoming ubiquitous across healthcare specialties. This due to several factors including its portability, immediacy of results guide clinical decision-making, and lack radiation exposure patients. The recent growth handheld devices has improved access for many clinicians. Few studies have directly compared different among themselves or cart-based machines. We conducted a prospective observational study comparing four common ease use, image quality,...
When ultrasound equipment is available, along with providers who are appropriately trained to use it, we recommend that guidance should be used for site selection of lumbar puncture reduce the number needle insertion attempts and redirections increase overall procedure success rates, especially in patients obese or have difficult-to-palpate landmarks. We more accurately identify spine level than physical examination both nonobese patients. suggest using selecting marking a just before...
Executive Summary: 1) We recommend that ultrasound should be used to guide thoracentesis reduce the risk of complications, most common being pneumothorax. 2) guidance increase success rate thoracentesis. 3) ultrasound-guided performed or closely supervised by experienced operators. 4) suggest complications from in mechanically ventilated patients. 5) identify chest wall, pleura, diaphragm, lung, and subdiaphragmatic organs throughout respiratory cycle before selecting a needle insertion...
1. We recommend that ultrasound guidance should be used for paracentesis to reduce the risk of serious complications, most common being bleeding. 2. avoid attempting in patients with an insufficient volume intraperitoneal free fluid drain. 3. improve success rates overall procedure. 4. assess and location guide clinical decision making where can safely performed. 5. identify a needle insertion site based on size collection, thickness abdominal wall, proximity organs. 6. evaluated using color...
Despite the growing use of point care ultrasound (POCUS) in contemporary medical practice and existence clinical guidelines addressing its specific applications, there remains a lack standardization agreement on optimal practices for several areas POCUS use. The Society Point Care Ultrasound (SPOCUS) formed working group 2022 to establish set recommended best POCUS, applicable clinicians regardless their training, specialty, resource setting, or scope practice. Using three-round modified...
Ultrasound guidance is used increasingly to perform the following 6 bedside procedures that are core competencies of hospitalists: abdominal paracentesis, arterial catheter placement, arthrocentesis, central venous lumbar puncture, and thoracentesis. Yet most hospitalists have not been certified these procedures, whether using ultrasound or not, by specialty boards other institutions extramural their own hospitals. Instead, hospital privileging committees often ask hospitalist group leaders...
Objectives: Difficulties with transition from inpatient to outpatient care can lead suboptimal outcomes for patients. We implemented a protocol systematic follow-up phone calls families of pediatric patients after discharge, primarily improve transition. also hypothesized that the would decrease readmissions and emergency department (ED) visits discharge patient satisfaction. Methods: conducted quasi-experimental study examining impact routinely making calls, compared historical control...
Dr. Ria Dancel is a consultant for Lippincott Procedures, Wolters-Kluwer Publishing.
Background: Point of care ultrasound (POCUS) use is increasing among pediatric clinicians, but lack access to devices a major barrier. The availability pocket-sized handheld (“handhelds”) has improved access. However, no head-to-head comparative studies handhelds in children have been performed guide purchasing decisions. Methods: This cross-sectional study compared six handhelds: Butterfly iQ+™ (Butterfly Network Inc.), Clarius® (Clarius Mobile Health™), Kosmos™(EchoNous), TE Air™...
Procedural complications are a common source of adverse events in hospitals, especially where bedside procedures often performed by trainees. Medical procedure services (MPS) have been established to improve procedural education, ensure patient safety, and provide additional revenue for that typically referred. Prior descriptions MPS reported outcomes over one 2 years. We aim describe the implementation 5-year hospitalist-run MPS.We identified all patients referred our span between 2014...
Central line placement is a common procedure, routinely performed by junior residents in medical and surgical departments. Before this project, no standardized instructional course on the insertion of central lines existed at our institution, few interns had received formal ultrasound training. Interns from five departments participated simulation-based course. Intern familiarity with procedure ultrasound, as well their prior experience level comfort, was assessed. Of 99 participating...
A 64-year-old man presented with progressive weakness in the legs. Neurologic examination showed paralysis of legs and decreased sensation starting at L1–L2 level. There was concern about a possible spinal hematoma.
Discharge is an important and complex process that can be optimized to reduce inpatient healthcare inefficiency waste. This study aimed increase the percentage of patients discharged before 1 pm by 20% from academic pediatric gastroenterology service (IPGS), over 6 months.We conducted a preintervention postintervention IPGS. Patients January June 2016, those following our intervention December were studied. Interventions included (1) implementation electronic medical record logistical...
Abstract Background Medicine procedure services (MPS) increasingly perform bedside procedures, including lumbar punctures (LPs). Success rates and factors associated with LP success performed by MPS have not been well described. Objective We identified patients undergoing an September 2015 to December 2020. demographic clinical factors, patient position, body mass index (BMI), use of ultrasound, trainee participation. multivariable analysis identify complications. Main Outcome Measures 1065...