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Neurology 1972,22(9):978–987. 10.1212\u002FWNL.22.9.978\nAdams HP Jr, del Zoppo G, Alberts MJ, Bhatt DL, Brass L, Furlan A, Grubb RL, Higashida RT, Jauch EC, Kidwell C, Lyden PD, Morgenstern LB, Qureshi AI, Rosenwasser RH, Scott PA, Wijdicks EF: Guidelines for the early management of adults with ischemic stroke: a guideline from the American Heart Association\u002FAmerican Stroke Association Stroke Council, Clinical Cardiology Council, Cardiovascular Radiology and Intervention Council, and the Atherosclerotic Peripheral Vascular Disease and Quality of Care Outcomes in Research Interdisciplinary Working Groups: the American Academy of Neurology affirms the value of this guideline as an educational tool for neurologists. Stroke 2007,38(5):1655–1711. 10.1161\u002FSTROKEAHA.107.181486\nEuropean Carotid Surgery Trialists’ Collaborative Group: MRC European Carotid Surgery Trial: interim results for symptomatic patients with severe (70–99%) or with mild (0–29%) carotid stenosis. Lancet 1991,337(8752):1235–1243. 10.1016\u002F0140-6736(91)92916-P\nRingelstein EB, Dittrich R, Stögbauer F: Borderzone infarcts. In Stroke syndromes. 3rd edition. Edited by: Caplan L, van Gijn J. Cambridge: Cambridge University Press; 2012:480–500.\nMoppett IK, Sherman RW, Wild MJ, Latter JA, Mahajan RP: Effects of norepinephrine and glyceryl trinitrate on cerebral haemodynamics: transcranial Doppler study in healthy volunteers. Br J Anaesth 2008,100(2):240–244.\nHillis AE, Barker PB, Beauchamp NJ, Winters BD, Mirski M, Wityk RJ: Restoring blood pressure reperfused Wernicke’s area and improved language. Neurology 2001,56(5):670–672. 10.1212\u002FWNL.56.5.670\nChalela JA, Dunn B, Todd JW, Warach S: Induced hypertension improves cerebral blood flow in acute ischemic stroke. Neurology 2005,64(11):1979. 10.1212\u002F01.WNL.0000156360.70336.18\nRordorf G, Koroshetz WJ, Ezzeddine MA, Segal AZ, Buonanno FS: A pilot study of drug-induced hypertension for treatment of acute stroke. Neurology 2001,56(10):1210–1213.\nSchwarz S, Georgiadis D, Aschoff A, Schwab S: Effects of induced hypertension on intracranial pressure and flow velocities of the middle cerebral arteries in patients with large hemispheric stroke. Stroke 2002,33(4):998–1004. 10.1161\u002F01.STR.0000014584.17714.2E",{"EN":100},"Current recommendations of stroke treatment favour a moderately elevated blood pressure in the acute phase, based on the concept of an improved cerebral perfusion. Here, cerebral blood flow was assessed in a case series of patients with acute hemodynamic stroke by means of transcranial colour-coded sonography (TCCS) to study the effects of pharmacologically induced hypertension. We investigated six patients with acute hemodynamic stroke and blood pressure-dependent clinical fluctuation of neurological symptoms. TCCS was performed during the initiation phase of catecholamine-induced controlled hypertension. A blood pressure-dependent increase of flow velocity in the ipsilesional middle and the posterior cerebral artery was found in all patients (mean increase 0.80% and 0.65% per mmHg, respectively). Catecholamine-induced hypertension in severe hemodynamic stroke leads to an ultrasound-detectable rise of cerebral blood flow. This finding gives ‘proof-of-principle’ evidence, supporting active blood pressure management in this selected group of stroke patients. Outcome-related questions of target blood pressure, treatment duration or applicability to other forms of stroke, however, remain to be studied. In this, transcranial ultrasound may be a valuable tool for patient selection and subsequent bedside monitoring.",{"EN":102},"Transcranial ultrasound analysis of cerebral blood flow during induced hypertension in acute ischemic stroke - a case series",{"VOID":104},"10.1186\u002F2036-7902-5-4","PUBLICATION","VERIFIED","Auto 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         \u003Cjats:sec>\n            \u003Cjats:title>Background\u003C\u002Fjats:title>\n            \u003Cjats:p>Ultrasound is of proven accuracy in the diagnosis of pneumothorax. In certain locations, pre-hospital providers are adopting its use for the management of critically ill patients.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>\n          \u003Cjats:sec>\n            \u003Cjats:title>Objectives\u003C\u002Fjats:title>\n            \u003Cjats:p>To determine the sensitivity and specificity of emergency medical service (EMS) providers in identifying pneumothorax on ultrasound examinations.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>\n          \u003Cjats:sec>\n            \u003Cjats:title>Methods\u003C\u002Fjats:title>\n            \u003Cjats:p>This was an educational study evaluating 33 EMS providers. Each subject went through a brief didactic session covering the use of ultrasound in diagnosis of pneumothorax. They were then given an examination consisting of 20 individual ultrasound real-time video cases depicting either a pneumothorax or normal lung sliding. Sensitivities and specificities with 95% confidence intervals (95% CIs) were calculated for recognition of pneumothorax.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>\n          \u003Cjats:sec>\n            \u003Cjats:title>Results\u003C\u002Fjats:title>\n            \u003Cjats:p>The 33 study participants were able to identify pneumothorax with a sensitivity of 82% (95% CI 77–86%), specificity of 94% (95% CI 90–96%), positive predictive value of 93% (95% CI 89–95%), and negative predictive value of 84% (95% CI 80–87%).\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>\n          \u003Cjats:sec>\n            \u003Cjats:title>Conclusions\u003C\u002Fjats:title>\n            \u003Cjats:p>Emergency medical service providers were able to identify pneumothorax at a relatively high rate. Real-time scanning by the study subjects might lead to even better results.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>",{"EN":243},"Can emergency medical services personnel identify pneumothorax on focused ultrasound examinations?",{"VOID":245},"10.1007\u002Fs13089-009-0016-5",[247],"EN","https:\u002F\u002Ftheultrasoundjournal.springeropen.com\u002Farticles\u002F10.1007\u002Fs13089-009-0016-5",[250,268,283,300,316,330,345,360,374,388,404],{"id":251,"sortIndex":134,"researcher":18,"roles":252,"affiliations":253,"properties":263},"ea3f0db6-8cc8-471f-93ce-52436e5dc397",[],[254],{"id":18,"sortIndex":19,"affiliation":255,"properties":18},{"id":256,"createTime":257,"updateTime":257,"relativeEntities":258,"slug":259,"properties":260,"entityType":124,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"54713cff-636e-4b65-983c-2d517f3219e2","2024-04-13T14:29:29.568+00:00",[],"Department-of-Emergency-Medicine-North-Shore-University-Hospital-Manhasset-NY-11030-USA",{"title":261},{"EN":262},"Department of Emergency Medicine, North Shore University Hospital, Manhasset, NY, 11030, USA",{"openalex":264,"title":266},{"VOID":265},"A5003816097",{"EN":267},"Veena Modayil",{"id":269,"sortIndex":270,"researcher":18,"roles":271,"affiliations":272,"properties":278},"abfd74aa-0977-4831-b4ae-0bc0f88d27bb",9,[],[273],{"id":18,"sortIndex":19,"affiliation":274,"properties":18},{"id":256,"createTime":257,"updateTime":257,"relativeEntities":275,"slug":259,"properties":276,"entityType":124,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},[],{"title":277},{"EN":262},{"openalex":279,"title":281},{"VOID":280},"A5026570742",{"EN":282},"Andrew E. 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J Trauma 42(1):86–89\nKong VY, Sartorius B, Clarke DL (2015) The accuracy of physical examination in identifying significant pathologies in penetrating thoracic trauma. Eur J Trauma Emerg Surg 41(6):647–650\nHirshberg A, Thomson SR, Huizinga WK (1988) Reliability of physical examination in penetrating chest injuries. Injury 19(6):407–409\nRantanen NW (1986) Diseases of the thorax. Vet Clin North Am Equine Pract 2(1):49–66\nBlaivas M, Lyon M, Duggal S (2005) A prospective comparison of supine chest radiography and bedside ultrasound for the diagnosis of traumatic pneumothorax. Acad Emerg Med 12(9):844–849\nNagarsheth K, Kurek S (2011) Ultrasound detection of pneumothorax compared with chest X-ray and computed tomography scan. Am Surg 77(4):480–484\nLichtenstein DA, Meziere GA (2008) Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest 134(1):117–125\nGillman LM, Kirkpatrick AW (2012) Portable bedside ultrasound: the visual stethoscope of the 21st century. Scand J Trauma Resusc Emerg Med 20:18\nWittenberg M (2014) Will ultrasound scanners replace the stethoscope? BMJ 348:g3463\nPrice DD, Wilson SR, Murphy TG (2000) Trauma ultrasound feasibility during helicopter transport. Air Med J 19(4):144–146\nNelson BP, Melnick ER, Li J (2011) Portable ultrasound for remote environments, part I: feasibility of field deployment. J Emerg Med 40(2):190–197\nRoline CE, Heegaard WG, Moore JC et al (2013) Feasibility of bedside thoracic ultrasound in the helicopter emergency medical services setting. Air Med J 32(3):153–157\nLichtenstein DA, Menu Y (1995) A bedside ultrasound sign ruling out pneumothorax in the critically ill: lung sliding. Chest 108(5):1345–1348\nLichtenstein DA (2014) Lung ultrasound in the critically ill. Ann Intensive Care 4(1):1\nAdhikari S (2014) High-frequency transducers for point-of-care ultrasound applications: what is the optimal frequency range? Intern Emerg Med 9(4):463–466\nTasci O, Hatipoglu ON, Cagli B, Ermis V (2016) Sonography of the chest using linear-array versus sector transducers: correlation with auscultation, chest radiography, and computed tomography. J Clin Ultrasound 44(6):383–389\nRajajee V, Vanaman M, Fletcher JJ, Jacobs TL (2011) Optic nerve ultrasound for the detection of raised intracranial pressure. Neurocrit Care 15(3):506–515\nBiegler N, McBeth PB, Tiruta C et al (2013) The feasibility of nurse practitioner-performed, telementored lung telesonography with remote physician guidance—‘a remote virtual mentor’. Crit Ultrasound J 5(1):5",{"EN":870},"An accurate physical examination is essential in the care of critically ill and injured patients. However, to diagnose or exclude a pneumothorax, chest auscultation is unreliable compared to lung ultrasonography. In the dynamic prehospital environment, it is desirable to have the best possible ultrasound transducer readily available. The objective is to assess the difference between a linear-array, curved-array, and phased-array ultrasound transducer in the assessment for pneumothorax and to determine which is best. In this double-blinded, cross-sectional, observational study, 15 observers, experienced in lung ultrasonography, each assessed 66 blinded ultrasound video clips of either normal ventilation or pneumothorax that were recorded with three types of ultrasound transducers. The clips were recorded in 11 adult patients that underwent thoracoscopic lung surgery immediately before and after the surgeon opened the thorax. The diagnostic accuracy of the three transducers, elapsed time until a diagnosis was made, and the perceived image quality was recorded. In total, 15 observers assessed 990 ultrasound video clips. The overall sensitivity and specificity were 98.2% and 97.2%, relatively. No significant difference was found in the diagnostic performance between transducers. A diagnosis was made slightly faster in the linear-array transducer clips, compared to the phased-array transducer (p = .031). For the linear-, curved-, and phased-array transducer, the image quality was rated at a median (interquartile range [IQR]) of 4 (IQR 3–4), 3 (IQR 2–4), and 2 (IQR 1–2), relatively. Between the transducers, the difference in image quality was significant (p \u003C .0001). There was no difference in diagnostic performance of the three transducers. 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         \u003Cjats:sec>\n            \u003Cjats:title>Background\u003C\u002Fjats:title>\n            \u003Cjats:p>Evaluation of pupillary light reflex (PLR) is an important neurological test with a variety of clinical applications. Obstacles such as severe soft tissue damage or hyphema may obstruct the visual access to the pupil, thus rendering direct PLR observation difficult or impossible. Multipurpose ultrasonic systems, however, can overcome this problem.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>\n          \u003Cjats:sec>\n            \u003Cjats:title>Methods\u003C\u002Fjats:title>\n            \u003Cjats:p>Using ultrasound imaging, a coronal view of the iris and pupil allowed visualization of PLR upon contralateral stimulation with a penlight. The technique was tested in ten healthy volunteers and a trauma case study.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>\n          \u003Cjats:sec>\n            \u003Cjats:title>Results\u003C\u002Fjats:title>\n            \u003Cjats:p>Satisfactory visualization of the iris was achieved in all subjects, in an average time of 1 min 10 s. Temporal parameters of pupillary constriction, oscillations (hippos) and relaxation could also be measured on M-mode displays.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>\n          \u003Cjats:sec>\n            \u003Cjats:title>Conclusions\u003C\u002Fjats:title>\n            \u003Cjats:p>Real-time coronal imaging of the iris using multipurpose ultrasound imaging is found to be a practical, fast and recordable method that can be used for evaluating PLR.\u003C\u002Fjats:p>\n          \u003C\u002Fjats:sec>",{"EN":1323},"Ultrasonic evaluation of pupillary light reflex",{"VOID":1325},"10.1007\u002Fs13089-009-0012-9",[247],"https:\u002F\u002Ftheultrasoundjournal.springeropen.com\u002Farticles\u002F10.1007\u002Fs13089-009-0012-9",[1329,1347,1367,1381,1395,1409],{"id":1330,"sortIndex":188,"researcher":18,"roles":1331,"affiliations":1332,"properties":1342},"7e40f8b1-3a7d-42fb-9966-ff7ea9306517",[],[1333],{"id":18,"sortIndex":19,"affiliation":1334,"properties":18},{"id":1335,"createTime":1336,"updateTime":1336,"relativeEntities":1337,"slug":1338,"properties":1339,"entityType":124,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"71497dc3-0969-4630-b97a-db19e6da6597","2024-04-13T19:20:28.996+00:00",[],"Departments-of-Surgery-Henry-Ford-Hospital-Detroit-MI-USA",{"title":1340},{"EN":1341},"Departments of Surgery, Henry Ford Hospital, Detroit, MI, USA",{"openalex":1343,"title":1345},{"VOID":1344},"A5079151110",{"EN":1346},"Nathan E. 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