Latest & greatest articles for ultrasound

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Top results for ultrasound

1. Ultrasound-guided serratus anterior plane block for analgesia after thoracic surgery

Ultrasound-guided serratus anterior plane block for analgesia after thoracic surgery Patients who undergo surgical procedures that impair the integrity of the chest wall frequently experience extremely severe postoperative pain. Opiates and weaker analgesics, such as nonsteroidal anti-inflammatory drugs (NSAIDs), are not sufficiently effective in achieving control of severe pain and might cause respiratory and gastrointestinal complications. In the past decade, there has been an increased (...) " that was treated by ultrasound-guided serratus anterior plane (SAP) block (a single injection of 0.25% bupivacaine hydrochloride 2 mg/kg plus dexamethasone 8 mg) with standard postoperative pain control regimen. We compared the clinical, laboratory, and postoperative pain assessment data of both groups.Patients in the SAP block Group 2 reported significantly lower levels of pain after thoracic surgery as assessed by their visual analog scale scores, as compared to the patients in the standard pain control

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2019 EvidenceUpdates

2. Ultrasound-guided high-intensity focused ultrasound for malignant neoplasms of the pancreas – second Addendum to Commission H16-02C

Ultrasound-guided high-intensity focused ultrasound for malignant neoplasms of the pancreas – second Addendum to Commission H16-02C 1 Translation of the executive summary of the addendum Sonografiegesteuerte hochfokussierte Ultraschallthera- pie bei inoperablen bösartigen Neubildungen des Pankreas – 2. Addendum zum Auftrag H16-02C (Version 1.0; Status: 24 April 2018). Please note: This translation is provided as a service by IQWiG to English-language readers. However, solely the German original (...) text is absolutely authoritative and legally binding. Executive Summary IQWiG Reports – Commission No. H18-01 Ultrasound-guided high- intensity focused ultrasound for unresectable malignant neoplasms of the pancreas Second Addendum to Commission H16-02C 1 Executive summary of addendum H18-01 Version 1.0 USgHIFU for pancreatic tumours 24 April 2018 Institute for Quality and Efficiency in Health Care (IQWiG) - i - Publishing details Publisher: Institute for Quality and Efficiency in Health Care Topic

2019 Institute for Quality and Efficiency in Healthcare (IQWiG)

3. The Combined Use of Ultrasound and Fetal Magnetic Resonance Imaging for a Comprehensive Fetal Neurological Assessment in Fetal Congenital Cardiac Defects

The Combined Use of Ultrasound and Fetal Magnetic Resonance Imaging for a Comprehensive Fetal Neurological Assessment in Fetal Congenital Cardiac Defects The Combined Use of Ultrasound and Fetal Magnetic Resonance Imaging for a Comprehensive Fetal Neurological Assessment in Fetal Congenital Cardiac Defects - Pasupathy - - BJOG: An International Journal of Obstetrics & Gynaecology - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our (...) . Search within Search term Search term RCOG Scientific Impact Paper Free Access The Combined Use of Ultrasound and Fetal Magnetic Resonance Imaging for a Comprehensive Fetal Neurological Assessment in Fetal Congenital Cardiac Defects Scientific Impact Paper No. 60 Corresponding Author E-mail address: Correspondence : Royal College of Obstetricians and Gynaecologists, 27 Sussex Place, Regent's Park, London NW1 4RG. Email: Corresponding Author E-mail address: Correspondence : Royal College

2019 Royal College of Obstetricians and Gynaecologists

4. The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children. (PubMed)

The use of ultrasound guidance for perioperative neuraxial and peripheral nerve blocks in children. The use of ultrasound guidance for regional anaesthesia has become popular over the past two decades. However, it is not recognized by all experts as an essential tool, perhaps because it is unclear whether ultrasound reduces the risk of severe neurological complications, and the cost of an ultrasound machine (USD 22,000) is substantially higher than the cost of other tools. This review (...) was published in 2016 and updated in 2019.To determine whether ultrasound guidance offers any clinical advantage when neuraxial and peripheral nerve blocks are performed in children in terms of decreasing failure rate or the rate of complications.We searched CENTRAL, MEDLINE, Embase, and two trial registers up to March 2018 together with reference checking to identify additional studies and contacted study authors to obtain additional trial information.We included all parallel randomized controlled trials

2019 Cochrane

5. Immediate Effects of Simultaneous Application of Transcutaneous Electrical Nerve Stimulation and Ultrasound Phonophoresis on Active Myofascial Trigger Points: A Randomized Controlled Trial. (PubMed)

Immediate Effects of Simultaneous Application of Transcutaneous Electrical Nerve Stimulation and Ultrasound Phonophoresis on Active Myofascial Trigger Points: A Randomized Controlled Trial. The aim of the study was to investigate the efficacy of phonophoresis with combined therapy on active myofascial trigger points.One hundred participants with acute mechanical neck pain and at least one active myofascial trigger point in the upper trapezius were randomly assigned into four equal groups.Groups (...) consisted of diclofenac phonophoresis with combined therapy, diclofenac phonophoresis, ultrasound (US) with coupling gel, and sham US and applied for 10 mins over myofascial trigger points.Measurements included pressure pain threshold and active cervical lateral flexion.There were statistically significant improvements in postintervention pressure pain threshold and range of motion values in treatment groups (P < 0.0001). As for the sham US, no significant difference was found between

2019 American journal of physical medicine & rehabilitation

7. Translabial ultrasound for diagnosing and assessing complications following vaginal mesh insertion

Translabial ultrasound for diagnosing and assessing complications following vaginal mesh insertion Page 1 of 4 TER007 December 2018 Topic Exploration Report Topic explorations are designed to provide a high-level briefing on new topics submitted for consideration by Health Technology Wales. The main objectives of this report are to: 1. Inform discussions on new topics received by HTW. 2. Determine the quantity and type of evidence available on a topic. 3. Assess the topic against HTW selection (...) criteria. Topic: Translabial ultrasound scanning Topic exploration report number: TER007 Referrer: Jonathan Williams, Welsh Government Topic exploration undertaken by: Health Technology Wales Aim of Search Health Technology Wales searched for evidence on the effectiveness of translabial ultrasound scanning for diagnosing and assessing complications following vaginal mesh insertion, or any UK-based guidelines of commissioning documents on the use of translabial ultrasound for this indication. Summary

2019 Health Technology Wales

8. Therapeutic Ultrasound for Pain Management in Chronic Low Back Pain and Chronic Neck Pain: A Systematic Review

Therapeutic Ultrasound for Pain Management in Chronic Low Back Pain and Chronic Neck Pain: A Systematic Review Low back pain (LBP) and neck pain are major causes of pain and disability that are experienced across all ages. The primary goals of treatment are to improve patient function and facilitate a return to the patient's desired level of daily activity. Therapeutic ultrasound is a noninvasive modality widely utilized in the management of musculoskeletal disorders, but there continues (...) to be controversy regarding its use due to insufficient evidence of effectiveness. The objective of this systematic review was to evaluate the effectiveness of therapeutic ultrasound in the management of patients with chronic LBP and neck pain.Using PRISMA guidelines, a search of the PubMed and CENTRAL (The Cochrane Library) databases was performed to retrieve randomized controlled trials (RCTs) that evaluated therapeutic ultrasound in patients with chronic LBP or neck pain.The search strategy identified 10

2019 EvidenceUpdates

9. A multicenter, randomized comparison between 2, 5, and 8 mg of perineural dexamethasone for ultrasound-guided infraclavicular block

A multicenter, randomized comparison between 2, 5, and 8 mg of perineural dexamethasone for ultrasound-guided infraclavicular block This multicenter, randomized trial compared 2, 5, and 8 mg of perineural dexamethasone for ultrasound-guided infraclavicular brachial plexus block. Our research hypothesis was that all three doses of dexamethasone would result in equivalent durations of motor block (equivalence margin=3.0 hours).Three hundred and sixty patients undergoing upper limb surgery (...) with ultrasound-guided infraclavicular block were randomly allocated to receive 2, 5, or 8 mg of preservative-free perineural dexamethasone. The local anesthetic agent (35 mL of lidocaine 1%-bupivacaine 0.25% with epinephrine 5 µg/mL) was identical in all subjects. Patients and operators were blinded to the dose of dexamethasone. During the performance of the block, the performance time, number of needle passes, procedural pain, and complications (vascular puncture, paresthesia) were recorded. Subsequently

2019 EvidenceUpdates

10. Guidelines for Cleaning and Preparing External- and Internal-Use Ultrasound Transducers Between Patients, Safe Handling, and Use of Ultrasound Coupling Gel

Guidelines for Cleaning and Preparing External- and Internal-Use Ultrasound Transducers Between Patients, Safe Handling, and Use of Ultrasound Coupling Gel Guidelines for Cleaning and Preparing External- and Internal-Use Ultrasound Transducers Between Patients, Safe Handling, and Use of Ultrasound Coupling Gel Summary Adequate transducer preparation is mandatory. The level of preparation depends on the type of examination performed. Routine high-level disinfection (HLD) of internal transducers (...) Relevant Guidelines Kac et al 1 examined endocavitary transducers and found them persistently contaminated despite the use of transducer covers. They concluded that transducers may carry pathogens, including human papillomavirus (HPV), unless properly disinfected between examination sessions. For disinfection, they recommend an antiseptic-impregnated towel as well as a type C ultraviolet light. Adhikari et al 2 compared infection rates between ultrasound-guided and traditionally placed peripheral

2019 American Institute of Ultrasound in Medicine

11. AIM Clinical Appropriateness Guidelines for Arterial Ultrasound.

AIM Clinical Appropriateness Guidelines for Arterial Ultrasound. Clinical Appropriateness Guidelines: Arterial Ultrasound Appropriate Use Criteria Effective Date: January 27, 2019 Proprietary Date of Origin: 08/27/2015 Last revised: 05/01/2018 Last reviewed: 05/01/2018 Copyright © 2019. AIM Specialty Health. All Rights Reserved 8600 W Bryn Mawr Avenue South Tower - Suite 800 Chicago, IL 60631 P . 773.864.4600 www.aimspecialtyhealth.comTable of Contents | Copyright © 2019. AIM Specialty Health (...) . All Rights Reserved. 2 Table of Contents Description and Application of the Guidelines 3 Arterial Ultrasound 4 Duplex Ultrasound Imaging of the Extracranial Arteries 4 Duplex Ultrasound Imaging of the Aorta, Inferior Vena Cava and Iliac Vessels 7 Duplex Ultrasound Imaging of the Arteries of the Upper Extremities 11 Duplex Ultrasound Imaging of the Arteries of the Lower Extremities 14 Physiologic Testing for Peripheral Arterial Disease (PAD) of the Upper and Lower Extremities 17Description

2019 AIM Specialty Health

12. Joint SOGC/CAR Policy Statement on Non-medical Use of Fetal Ultrasound

Joint SOGC/CAR Policy Statement on Non-medical Use of Fetal Ultrasound No. 304-Joint SOGC/CAR Policy Statement on Non-medical Use of Fetal Ultrasound - Journal of Obstetrics and Gynaecology Canada Email/Username: Password: Remember me Search Terms Search within Search Volume 41, Issue 2, Pages e1–e3 No. 304-Joint SOGC/CAR Policy Statement on Non-medical Use of Fetal Ultrasound x Shia Salem , MD Toronto, ON x Kenneth Lim , MD Vancouver, BC x Michiel C Van den Hof , MD Halifax, NS No. 304

2019 Society of Obstetricians and Gynaecologists of Canada

13. Effect of local anesthetic volume (20 mL vs 30 mL ropivacaine) on electromyography of the diaphragm and pulmonary function after ultrasound-guided supraclavicular brachial plexus block: a randomized controlled trial

Effect of local anesthetic volume (20 mL vs 30 mL ropivacaine) on electromyography of the diaphragm and pulmonary function after ultrasound-guided supraclavicular brachial plexus block: a randomized controlled trial Diaphragmatic paralysis following supraclavicular brachial plexus block (SCBPB) is ascribed to phrenic nerve palsy. This study investigated the effect of 2 volumes of 0.375% ropivacaine on efficacy of block as a surgical anesthetic and as an analgesic and examined diaphragm compound (...) muscle action potentials (CMAPs) and pulmonary function before and after SCBPB.Eighty patients scheduled for removal of hardware for internal fixation after healing of an upper limb fracture distal to the shoulder were randomized to receive ultrasound-guided SCBPC for surgical anesthesia with 20 mL (Group A) or 30 mL (Group B) 0.375% ropivacaine. The latency and amplitude of diaphragm CMAPs and forced vital capacity (FVC), FVC% predicted, and forced expiratory volume in 1 s (FEV1) were measured

2019 EvidenceUpdates

14. Ultrasound could help diagnose giant cell arteritis

Ultrasound could help diagnose giant cell arteritis Ultrasound could help diagnose giant cell arteritis Discover Portal Discover Portal Ultrasound could help diagnose giant cell arteritis Published on 14 February 2017 doi: Ultrasound may aid giant cell arteritis diagnosis in people referred from the community. It is less invasive than biopsy and might provide quicker results than a biopsy, but its role and place in the diagnostic pathway remain unclear. Giant cell arteritis is a disease (...) of medium to large sized arteries and can lead to a range of eye, brain and other complications. Sudden or gradual blindness is a real risk and anyone with suspected giant cell arteritis is referred to hospital for a biopsy and started on high dose steroids. This NIHR-funded study found that ultrasound correctly picks up more cases than biopsies, but also falsely identifies some people who do not have the condition. Biopsies falsely diagnose giant cell arteritis in fewer people without the condition

2019 NIHR Dissemination Centre

15. Ultrasound therapy doesn’t speed healing of leg fracture after surgery

Ultrasound therapy doesn’t speed healing of leg fracture after surgery Ultrasound therapy doesn’t speed healing of leg fracture after surgery Discover Portal Discover Portal Ultrasound therapy doesn’t speed healing of leg fracture after surgery Published on 7 February 2017 doi: Low intensity pulsed ultrasound (LIPUS), sometimes used to encourage bone fractures to heal after surgery, makes no difference to how soon people can get back to their normal activities or to the speed at which bones (...) ? A broken tibia is the most common long bone fracture. These fractures can take six months or longer to heal and are particularly vulnerable to non-union, when the broken pieces of bone fail to grow back together. LIPUS is commonly used in North America after fracture surgery with the intention of speeding up healing and preventing non-union and is available in the UK. LIPUS involves applying ultrasound waves to skin over the fracture using a wand or probe and gel, similar to those used for pregnancy

2019 NIHR Dissemination Centre

16. MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities

MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities Discover Portal Discover Portal MRI scans help confirm ultrasound diagnosis of fetal brain abnormalities Published on 4 April 2017 doi: If fetal brain abnormality is suspected on a pregnancy ultrasound, following this with in-utero MRI (iuMRI) improves diagnostic accuracy. This sequence could allow more informed discussions and decision-making around (...) whether to continue with or terminate a pregnancy. The NIHR funded study included 565 women of 18 weeks’ pregnancy or more who received ultrasound followed by iuMRI. Diagnoses were confirmed either by postnatal imaging of the baby or at post-mortem examination. Overall iuMRI gave the correct diagnosis for 93% of scans compared to only 68% of ultrasounds. The accuracy of ultrasound declined above 24 weeks of pregnancy, whereas iuMRI performed well at all times. Clinicians reported that iuMRI scan

2019 NIHR Dissemination Centre

17. Ultrasound shows potential for confirming the diagnosis of pneumonia in children

Ultrasound shows potential for confirming the diagnosis of pneumonia in children Diagnosis of pneumonia in children may be confirmed by ultrasound Discover Portal Discover Portal Ultrasound shows potential for confirming the diagnosis of pneumonia in children Published on 24 July 2018 doi: Ultrasound scans of the lungs can be more accurate than chest X-rays for diagnosing pneumonia in children in some circumstances. A review of the published evidence found that lung ultrasound was more (...) sensitive (missed fewer cases) and about as specific (gave about the same number of false alarms) as chest X-ray, when used to confirm suspected community-acquired pneumonia in children. While pneumonia is a clinical diagnosis, X-ray is often used for confirmation. Ultrasound also spares the child from the radiation associated with X-ray imaging. Many emergency departments already use ultrasound, so it might be practical to train paediatric staff to use it as a first-line test. However, the study found

2019 NIHR Dissemination Centre

18. Ultrasound Guidance for Pediatric Central Venous Catheterization: A Meta-analysis

Ultrasound Guidance for Pediatric Central Venous Catheterization: A Meta-analysis : media-1vid110.1542/5828324804001PEDS-VA_2018-1719Video Abstract CONTEXT: Central venous catheterization is routinely required in patients who are critically ill, and it carries an associated morbidity. In pediatric patients, the procedures can be difficult and challenging, predominantly because of their anatomic characteristics.To determine whether ultrasound-guided techniques are associated with a reduced (...) incidence of failures and complications when compared with the anatomic landmark technique.We conducted a systematic search of PubMed and Embase.We included randomized controlled trials and nonrandomized studies in which researchers compare ultrasound guidance with the anatomic landmark technique in children who underwent central venous catheterization.Study characteristics, sample sizes, participant characteristics, settings, descriptions of the ultrasound technique, puncture sites, and outcomes were

2019 EvidenceUpdates

19. Short-term effects of neuromuscular electrical stimulation and ultrasound therapies on muscle architecture and functional capacity in knee osteoarthritis: a randomized study

Short-term effects of neuromuscular electrical stimulation and ultrasound therapies on muscle architecture and functional capacity in knee osteoarthritis: a randomized study To determine the effects of ultrasound therapy and neuromuscular electrical stimulation (NMES) application on the muscle architecture and functional capacity in patients with knee osteoarthritis.A randomized study.A total of 60 patients with knee osteoarthritis.Participants were randomized into one of the following two (...) intervention groups, five days a week, for three weeks: the combination of NMES application, hot pack, and exercise therapy was applied to the NMES group. The combination of therapeutic ultrasound, hot pack and exercise therapy was applied to the ultrasound therapy group.Subjects were evaluated for pain and functional capacity with the use of the visual analog pain scale (VAS), Western Ontario and McMaster Universities Arthritis Index (WOMAC), and 15 meter walking test. The muscle architecture (muscle

2019 EvidenceUpdates

20. Meta-analysis of the accuracy of contrast-enhanced ultrasound for the detection of endoleak after endovascular aneurysm repair

Meta-analysis of the accuracy of contrast-enhanced ultrasound for the detection of endoleak after endovascular aneurysm repair The purpose of this systematic review and meta-analysis was to investigate the diagnostic accuracy of contrast-enhanced ultrasound (CEUS) for detection of endoleak after endovascular aneurysm repair (EVAR).We searched electronic bibliographic databases for original articles comparing concurrent CEUS and computed tomography angiography for detection of endoleak after

2019 EvidenceUpdates