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Am J Respir Crit Care Med. https:\u002F\u002Fdoi.org\u002F10.1164\u002Frccm.202003-0817LE\nGattinoni L, Chiumello D, Caironi P et al (2020) COVID-19 pneumonia: different respiratory treatments for different phenotypes? Intensive Care Med. https:\u002F\u002Fdoi.org\u002F10.1007\u002Fs00134-020-06033-2\nSoldati G, Giannasi G, Smargiassi A et al (2020) Contrast-enhanced ultrasound in patients with COVID-19: pneumonia, acute respiratory distress syndrome, or something else? J ultrasound Med Off J Am Inst Ultrasound Med. https:\u002F\u002Fdoi.org\u002F10.1002\u002Fjum.15338\nAl-Ani F, Chehade S, Lazo-Langner A (2020) Thrombosis risk associated with COVID-19 infection. A scoping review. Thromb Res 192:152–160. https:\u002F\u002Fdoi.org\u002F10.1016\u002Fj.thromres.2020.05.039\nRajendram R, Kharal GA, Mahmood N et al (2020) Intensive care medicine rethinking the respiratory paradigm of Covid-19: A ‘ hole ’ in the argument. Intensive Care Med 46:1496–1497. https:\u002F\u002Fdoi.org\u002F10.1007\u002Fs00134-020-06102-6\nAgrawal A, Palkar A, Talwar A (2017) The multiple dimensions of Platypnea-Orthodeoxia syndrome: a review. Respir Med 129:31–38. https:\u002F\u002Fdoi.org\u002F10.1016\u002Fj.rmed.2017.05.016\nGuarracino F, Vetrugno L, Forfori F et al (2020) Lung, heart, vascular, and diaphragm ultrasound examination of COVID-19 patients: a comprehensive approach. J Cardiothorac Vasc Anesth. https:\u002F\u002Fdoi.org\u002F10.1053\u002Fj.jvca.2020.06.013\nRepessé X, Charron C, Vieillard-Baron A (2016) Assessment of the effects of inspiratory load on right ventricular function. Curr Opin Crit Care 22:254–259. https:\u002F\u002Fdoi.org\u002F10.1097\u002FMCC.0000000000000303\nMekontso Dessap A, Boissier F, Charron C et al (2016) Acute cor pulmonale during protective ventilation for acute respiratory distress syndrome: prevalence, predictors, and clinical impact. Intensive Care Med 42:862–870. https:\u002F\u002Fdoi.org\u002F10.1007\u002Fs00134-015-4141-2\nRana BS, Thomas MR, Calvert PA et al (2010) Echocardiographic evaluation of patent foramen ovale prior to device closure. JACC Cardiovasc Imaging 3:749–760. https:\u002F\u002Fdoi.org\u002F10.1016\u002Fj.jcmg.2010.01.007\nGallagher G, Joseph A, Rajendram R (2018) Platypnea-orthodeoxia: Patent foramen ovale unmasked by pulmonary emboli. Indian J Respir Care 7:50–52\nSmith MJ, Hayward SA, Innes SM, Miller ASC (2020) Point-of-care lung ultrasound in patients with COVID-19—a narrative review. Anaesthesia. https:\u002F\u002Fdoi.org\u002F10.1111\u002Fanae.15082\nHaji K, Haji D, Canty DJ et al (2018) The feasibility and impact of routine combined limited transthoracic echocardiography and lung ultrasound on diagnosis and management of patients admitted to ICU: a prospective observational study. J Cardiothorac Vasc Anesth 32:354–360. https:\u002F\u002Fdoi.org\u002F10.1053\u002Fj.jvca.2017.08.026\nClevert D-A, Schwarze V, Nyhsen C et al (2019) ESR statement on portable ultrasound devices. Insights Imaging 10:89. https:\u002F\u002Fdoi.org\u002F10.1186\u002Fs13244-019-0775-x\nGlogoza M, Urbach J, Rosborough TK et al (2020) Tablet vs station-based laptop ultrasound devices increases internal medicine resident point-of-care ultrasound performance: a prospective cohort study. Ultrasound J 12:18. https:\u002F\u002Fdoi.org\u002F10.1186\u002Fs13089-020-00165-8\nGibson LE, Bittner EA, Chang MG (2020) Handheld ultrasound devices: an emerging technology to reduce viral spread during the Covid-19 pandemic. Am J Infect Control. https:\u002F\u002Fdoi.org\u002F10.1016\u002Fj.ajic.2020.05.041\nVavlitou A, Minas G, Zannetos S et al (2016) Hemodynamic and respiratory factors that influence the opening of patent foramen ovale in mechanically ventilated patients. Hippokratia 20:209–213\nMekontso Dessap A, Boissier F, Leon R et al (2010) Prevalence and prognosis of shunting across patent foramen ovale during acute respiratory distress syndrome. Crit Care Med 38:1786–1792. https:\u002F\u002Fdoi.org\u002F10.1097\u002FCCM.0b013e3181eaa9c8\nLee JH, Lee SH, Yun SJ (2019) Comparison of 2-point and 3-point point-of-care ultrasound techniques for deep vein thrombosis at the emergency department: a meta-analysis. Medicine (Baltimore) 98:e15791. https:\u002F\u002Fdoi.org\u002F10.1097\u002FMD.0000000000015791\nPrice S, Via G, Sloth E et al (2008) Echocardiography practice, training and accreditation in the intensive care: document for the World Interactive Network Focused on Critical Ultrasound (WINFOCUS). Cardiovasc Ultrasound 6:49. https:\u002F\u002Fdoi.org\u002F10.1186\u002F1476-7120-6-49\nVolpicelli G, Elbarbary M, Blaivas M et al (2012) International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 38:577–591. https:\u002F\u002Fdoi.org\u002F10.1007\u002Fs00134-012-2513-4\nVolpicelli G, Lamorte A, Villén T (2020) What’s new in lung ultrasound during the COVID-19 pandemic. Intensive Care Med 46:1445–1448. https:\u002F\u002Fdoi.org\u002F10.1007\u002Fs00134-020-06048-9\nVia G, Hussain A, Wells M et al (2014) International evidence-based recommendations for focused cardiac ultrasound. J Am Soc Echocardiogr Off Publ Am Soc Echocardiogr 27:683.e1-683.e33. https:\u002F\u002Fdoi.org\u002F10.1016\u002Fj.echo.2014.05.001\nLee FCY (2016) Lung ultrasound-a primary survey of the acutely dyspneic patient. J Intensive Care 4:57. https:\u002F\u002Fdoi.org\u002F10.1186\u002Fs40560-016-0180-1\nMongodi S, Bouhemad B, Orlando A et al (2017) Modified lung ultrasound score for assessing and monitoring pulmonary aeration. Ultraschall Med 38:530–537. https:\u002F\u002Fdoi.org\u002F10.1055\u002Fs-0042-120260\nRouby J-J, Arbelot C, Gao Y et al (2018) Training for lung ultrasound score measurement in critically Ill patients. Am J Respir Crit Care Med 198:398–401\nVolpicelli G, Gargani L (2020) Sonographic signs and patterns of COVID-19 pneumonia. Ultrasound J 12:22. https:\u002F\u002Fdoi.org\u002F10.1186\u002Fs13089-020-00171-w\nMongodi S, Via G, Riccardi M et al (2017) Patent foramen ovale diagnosis: the importance of provocative maneuvers. J Clin Ultrasound 45:58–61\nRajendram R, Kharal GA, Mahmood N, Kharal M (2020) Identifying phenotypes of COVID-19, defining their pathogenesis, and targeting treatments could improve outcomes. Respir Physiol Neurobiol 280:103477\nCollado FMS, Poulin MF, Murphy JJ et al (2018) Patent foramen ovale closure for stroke prevention and other disorders. J Am Heart Assoc 7:1–22. https:\u002F\u002Fdoi.org\u002F10.1161\u002FJAHA.117.007146\nMarples IL, Heap MJ, Suvarna SK, Mills GH (2000) Acute right-to-left inter-atrial shunt; an important cause of profound hypoxia. Br J Anaesth 85:921–925. https:\u002F\u002Fdoi.org\u002F10.1093\u002Fbja\u002F85.6.921\nGuimaraes L, Del Val D, Bergeron S et al (2020) Interatrial shunting for treating acute and chronic left heart failure. Eur Cardiol 15:e18. https:\u002F\u002Fdoi.org\u002F10.15420\u002Fecr.2019.04\nKurzyna M, Dabrowski M, Bielecki D et al (2007) Atrial septostomy in treatment of end-stage right heart failure in patients with pulmonary hypertension. Chest 131:977–983. https:\u002F\u002Fdoi.org\u002F10.1378\u002Fchest.06-1227\nRajendram R (2020) Building the house of CARDS by phenotyping on the fly. Eur Respir J. https:\u002F\u002Fdoi.org\u002F10.1183\u002F13993003.02429-2020",{"EN":121},"Emergency Medicine,Ultrasound,Intensive \u002F Critical Care Medicine,Diagnostic Radiology,Imaging \u002F Radiology,Interventional Radiology",{"EN":123},"Coronavirus disease 2019 (COVID-19) causes an atypical acute respiratory distress syndrome associated with thromboembolism and high shunt fraction. Shunt may be intrapulmonary, or extrapulmonary. Handheld devices are increasingly being used for point-of-care ultrasound, but their use to characterize shunt has not been reported. Determine the feasibility of using handheld ultrasound to detect and characterize anatomical substrates of hypoxia and deep vein thrombosis (DVT) in patients with COVID-19 suspected to have severe shunt. A handheld ultrasound device (iQ, Butterfly, USA) was used to perform lung ultrasound, vascular assessment for DVT, and limited transthoracic echocardiography (TTE) with color Doppler and saline microbubble contrast in patients with COVID-19 suspected to have severe shunt. Images were reassessed by an independent reviewer. After screening 40 patients, six patients who fulfilled the inclusion criteria were identified. Two were excluded because palliation had been initiated. So, four patients were studied. Interpretable images were obtained in all cases. Interobserver agreement was good. All patients had abnormal lung ultrasound (lung ultrasound score range 17–22). Identified lung pathology included interstitial syndrome with light beams and small peripheral consolidation (4), lobar consolidation (1), and pleural effusion (1). Abnormal echocardiographic findings included interatrial shunt (2), intrapulmonary shunt (1), and dilated right ventricle with tricuspid valve regurgitation (1). Significant DVT was not detected. Use of handheld ultrasound to perform combined lung ultrasound, DVT ultrasound, and limited TTE with color Doppler and saline microbubble contrast is feasible, and may be able to characterize shunt in critically hypoxic patients. Serial studies could be used to monitor changes in shunt. Further studies are required to determine whether this can guide treatment to improve the outcomes of patients with refractory hypoxia.",{"EN":125},"Feasibility of using a handheld ultrasound device to detect and characterize shunt and deep vein thrombosis in patients with COVID-19: an observational study",{"VOID":127},"10.1186\u002Fs13089-020-00197-0","PUBLICATION","VERIFIED","Auto Verify","https:\u002F\u002Ftheultrasoundjournal.springeropen.com\u002Farticles\u002F10.1186\u002Fs13089-020-00197-0",[133,165,182,205],{"id":134,"sortIndex":19,"researcher":18,"roles":135,"affiliations":137,"properties":162},"03240964-b526-4b0d-ac14-f6aea7e47988",[136],"AUTHOR",[138,149],{"id":139,"sortIndex":19,"affiliation":140,"properties":147},"ebfbf4df-f8d2-4839-b0c5-caba8d933a45",{"id":141,"createTime":142,"updateTime":142,"relativeEntities":143,"slug":18,"properties":144,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"9475e27b-5eed-4aa8-bdf4-dea7e7d45da3","2024-02-08T18:01:39.584+00:00",[],{"title":145},{"VI":146},"Department of Medicine, King Abdulaziz Medical City, King Abdulaziz International Medical Research Center, Ministry of National Guard - 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Technique and clinical applications. Intensive Care Med 39(5):801–810\nGoligher EC, Fan E, Herridge MS, Murray A, Vorona S, Brace D et al (2015) Evolution of diaphragm thickness during mechanical ventilation impact of inspiratory effort. Am J Respir Crit Care Med 192(9):1080–1088\nKuhl M, Wagner R, Bauder M, Fenik Y, Riessen R, Lammerding-Koppel M et al (2012) Student tutors for hands-on training in focused emergency echocardiography—a randomized controlled trial. BMC Med Educ 12:101\nDiaz-Gomez JL, Perez-Protto S, Hargrave J, Builes A, Capdeville M, Festic E et al (2015) Impact of a focused transthoracic echocardiography training course for rescue applications among anesthesiology and critical care medicine practitioners: a prospective study. J Cardiothorac Vasc Anesth 29(3):576–581\nRouby JJ, Arbelot C, Gao Y, Zhang M, Lv J, An Y et al (2018) Training for lung ultrasound score measurement in critically ill patients. Am J Respir Crit Care Med. 198(3):398–401 (Epub ahead of print)\nLonghini F, Pisani L, Lungu R, Comellini V, Bruni A, Garofalo E et al (2019) High-flow oxygen therapy after noninvasive ventilation interruption in patients recovering from hypercapnic acute respiratory failure: a physiological crossover trial. Crit Care Med 47(6):e506–e511\nGoligher EC, Laghi F, Detsky ME, Farias P, Murray A, Brace D et al (2015) Measuring diaphragm thickness with ultrasound in mechanically ventilated patients: feasibility, reproducibility and validity. Intensive Care Med 41(4):642–649\nZambon M, Greco M, Bocchino S, Cabrini L, Beccaria PF, Zangrillo A (2017) Assessment of diaphragmatic dysfunction in the critically ill patient with ultrasound: a systematic review. Intensive Care Med 43(1):29–38\nGarofalo E, Bruni A, Pelaia C, Cammarota G, Murabito P, Biamonte E et al (2019) Evaluation of a new interface combining high-flow nasal cannula and CPAP. Respir Care. https:\u002F\u002Fdoi.org\u002F10.4187\u002Frespcare.06871 (Epub ahead of print)\nGoligher EC, Laghi F, Detsky ME, Farias P, Murray A, Brace D et al (2015) Measuring diaphragm thickness with ultrasound in mechanically ventilated patients: feasibility, reproducibility and validity. Intensive Care Med 41(4):734\nBoussuges A, Gole Y, Blanc P (2009) Diaphragmatic motion studied by m-mode ultrasonography: methods, reproducibility, and normal values. Chest 135(2):391–400\nHinkle DE, Wiersma W, Jurs SG (eds) (1988) Applied statistics for the behavioral sciences, 2nd edn. Houghton Mifflin Company, Boston\nBeaulieu Y, Laprise R, Drolet P, Thivierge RL, Serri K, Albert M et al (2015) Bedside ultrasound training using web-based e-learning and simulation early in the curriculum of residents. Crit Ultrasound J. 7:1\nLim JS, Lee S, Do HH, Oh KH (2017) Can Limited Education of Lung Ultrasound Be Conducted to Medical Students Properly? A Pilot Study. Biomed Res Int. 2017:8147075\nMelamed R, Sprenkle MD, Ulstad VK, Herzog CA, Leatherman JW (2009) Assessment of left ventricular function by intensivists using hand-held echocardiography. Chest 135(6):1416–1420\nKim WY, Suh HJ, Hong SB, Koh Y, Lim CM (2011) Diaphragm dysfunction assessed by ultrasonography: influence on weaning from mechanical ventilation. Crit Care Med 39(12):2627–2630\nVetrugno L, Guadagnin GM, Barbariol F, Langiano N, Zangrillo A, Bove T (2019) Ultrasound imaging for diaphragm dysfunction: a narrative literature review. J Cardiothorac Vasc Anesth 33(9):2525–2536\nKhurana J, Gartner SC, Naik L, Tsui BCH (2018) Ultrasound identification of diaphragm by novices using ABCDE technique. Reg Anesth Pain Med 43(2):161–165\nGreenstein YY, Littauer R, Narasimhan M, Mayo PH, Koenig SJ (2017) Effectiveness of a critical care ultrasonography course. Chest 151(1):34–40\nBergamaschi V, Vignazia GL, Messina A, Colombo D, Cammarota G, Corte FD et al (2019) Transthoracic echocardiographic assessment of cardiac output in mechanically ventilated critically ill patients by intensive care unit physicians. Rev Bras Anestesiol. 69(1):20–26",{"EN":267},"This study aims to ascertain whether (1) an educational program is sufficient to achieve adequate Diaphragm Ultrasound (DUS) assessments on healthy volunteers and (2) combining a video tutorial with a practical session is more effective in making learners capable to obtain accurate DUS measurements, as opposed to sole video tutorial. We enrolledstep 1: 172 volunteers naïve to ultrasound. After watching a video tutorial, a questionnaire was administered and considered to be passed when at least 70% of the questions were correctly answered. Course participants who passed the theoretical test were randomized to either intervention or control group. Learners randomized to the interventional group underwent to a practical training, tutored by an expert, before accessing DUS examination. Participants randomized to the control group directly accessed DUS examination, without any practical training. DUS measurements by learners and tutors were recorded and checked for accuracy, according to predefined criteria. Detection of both acoustic windows and accurate DUS assessment was achieved by 83.7% learners of the intervention group while 3.5% only among controls (p \u003C 0.0001). The subcostal view of the diaphragm was correctly identified by 92% and 65% learners in the intervention and control groups, respectively (p \u003C 0.0001) while the apposition zone by 86% and 71% learners, respectively (p = 0.026). An accurate diaphragm displacement (DD) measurement was obtained by 91% and 45% learners in the intervention and control groups, respectively (p \u003C 0.0001) while an accurate thickening fraction (TF) measurement by 99% and 21%, respectively (p \u003C 0.0001). DD measurements by both groups of learners were significantly correlated with those assessed by expert tutors; however, a significant improvement of measurement accuracy was found in learners randomized to receive also the practical training, compared to controls. A combined approach consisting of a theoretical module followed by a practical training is more effective in managing acoustic windows and performing accurate measurements when compared to an exclusively theoretical course. 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AJ, Bewick D, Chan KL, Cujec B, Dumesnil JG, Honos G et al (2005) Guidelines for the provision of echocardiography in Canada: recommendations of a joint Canadian Cardiovascular Society\u002FCanadian Society of Echocardiography Consensus Panel. Can J Cardiol 21(9):763–780\nNair P, Siu SC, Sloggett CE, Biclar L, Sidhu RS, Yu EH (2006) The assessment of technical and interpretative proficiency in echocardiography. J Am Soc Echocardiogr 19(7):924–931\nSmith A, Addison R, Rogers P, Stone-McLean J, Boyd S, Hoover K et al (2018) Remote mentoring of point-of-care ultrasound skills to inexperienced operators using multiple telemedicine platforms: Is a cell phone good enough? J Ultrasound Med 37(11):2517–2525\nLevine AR, Buchner JA, Verceles AC, Zubrow MT, Mallemat HA, Papali A et al (2016) Ultrasound images transmitted via FaceTime are non-inferior to images on the ultrasound machine. J Crit Care 33:51–55\nSalerno A, Kuhn D, El Sibai R, Levine AR, McCurdy MT (2020) Real-time remote tele-mentored echocardiography: a systematic review. Medicina (Kaunas) 56(12):1\nKim C, Hur J, Kang BS, Choi HJ, Shin JH, Kim TH et al (2017) Can an offsite expert remotely evaluate the visual estimation of ejection fraction via a social network video call? J Digit Imaging 30(6):718–725\nRussell PM, Mallin M, Youngquist ST, Cotton J, Aboul-Hosn N, Dawson M (2014) First, “glass” education: telementored cardiac ultrasonography using Google Glass—a pilot study. Acad Emerg Med 21(11):1297–1299\nJacobsen L, Grenne B, Olsen RB, Jortveit J (2022) Feasibility of prehospital identification of non-ST-elevation myocardial infarction by ECG, troponin and echocardiography. Emerg Med J 39(9):679–684\nBansal M, Singh S, Maheshwari P, Adams D, McCulloch ML, Dada T et al (2015) Value of interactive scanning for improving the outcome of new-learners in transcontinental tele-echocardiography (VISION-in-Tele-Echo) study. J Am Soc Echocardiogr 28(1):75–87\nKupari M (1984) Reproducibility of M-mode echocardiographic assessment of left ventricular function. Significance of the temporal range of measurements. Eur Heart J 5(5):412–418\nGeibel A, Görnandt L, Kasper W, Bubenheimer P (1991) Reproducibility of Doppler echocardiographic quantification of aortic and mitral valve tenosis: comparison between two echocardiography centers. Am J Cardiol 67(11):1013–1021\nMitchell C, Rahko PS, Blauwet LA, Canaday B, Finstuen JA, Foster MC et al (2019) Guidelines for performing a comprehensive transthoracic echocardiographic examination in adults: recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr 32(1):1–64\nOlivieri PP, Verceles AC, Hurley JM, Zubrow MT, Jeudy J, McCurdy MT (2020) A pilot study of ultrasonography-naïve operators’ ability to use tele-ultrasonography to assess the heart and lung. J Intens Care Med 35(7):672–678\nRamsingh D, Ma M, Le DQ, Davis W, Ringer M, Austin B et al (2019) Feasibility evaluation of commercially available video conferencing devices to technically direct untrained nonmedical personnel to perform a rapid trauma ultrasound examination. Diagnostics (Basel) 9(4):188",{"EN":673},"Echocardiography is a highly specialised examination performed by experienced healthcare professionals. These experienced healthcare professionals may not be available to patients during all hours in rural healthcare facilities. Remote-guided echocardiography could improve the availability of specialised care for patients living in rural areas. This study examined the feasibility of real-time remote guidance for medical students to perform an echocardiographic assessment of the left side of the heart. Thirteen healthy volunteers were recruited for remote-guided echocardiography, which was performed by 13 medical students. Student examinations\u002Fimages were compared to reference echocardiography. Measurements of left ventricular fractional shortening and mitral valve blood flow velocity were also compared. Furthermore, guidance through a smartphone videoconference was compared to designated remote guidance software. Two-thirds of the images acquired by students were rated as medium or good quality and usable to evaluate two thirds of the cardiac structures. No significant bias was found for left ventricular fractional shortening. The measurements from the students’ exams had a variation coefficient of 14.8% compared to the reference. The calculated deviation of the insonation angle was above 25° for both E and A-wave mitral valve blood flow velocity measurements. Images acquired by guidance through smartphone videoconference were of lower quality than those obtained using the designated remote guidance software. Real-time remote-guided echocardiography performed by medical students has limited value for clinical screening but could be useful for educational purposes. \n                  \n                    \n                      \n                    \n                  \n                ",{"EN":675},"Real-time Remote Expert-guided Echocardiography by Medical 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Committee of the American Institute of Ultrasound in Medicine (2008) American Institute of Ultrasound in Medicine consensus report on potential bioeffects of diagnostic ultrasound: executive summary. J Ultrasound Med 27:503–515\nBierig SM, Jones A (2009) Accuracy and cost comparison of ultrasound versus alternative imaging modalities, including CT, MR, PET, and angiography. J Diagn Med Sonogr 25:138–144\nMoore CL, Copel JA (2011) Point-of-care ultrasonography. N Engl J Med 364:749–757\nShekelle PG, Wachter RM, Pronovost PJ et al (2013) Making health care safer II: an updated critical analysis of the evidence for patient safety practices. Evid Rep Technol Assess 211:1–945\nLamperti M, Bodenham AR, Pittiruti M et al (2012) International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med 38(7):1105–1117\nSmith-bindman R, Miglioretti DL, Johnson E et al (2012) Use of diagnostic imaging studies and associated radiation exposure for patients enrolled in large integrated health care systems, 1996–2010. JAMA 307(22):2400–2409\nSmith-bindman R, Kwan ML, Marlow EC et al (2019) Trends in use of medical imaging in US health care systems and in Ontario, Canada, 2000–2016. JAMA 322(9):843–856\nMoore CL, Molina AA, Lin H (2006) Ultrasonography in community emergency departments in the United States: access to ultrasonography performed by consultants and status of emergency physician-performed ultrasonography. Ann Emerg Med 47(2):147–153\nSanders J, Noble VE, Raja AS et al (2015) Access to and use of point-of-care ultrasound in the emergency department. West J Emerg Med 16(5):747–752\nLeschyna M, Hatam E, Britton S et al (2019) Current state of point-of-care ultrasound usage in Canadian emergency departments. Cureus. https:\u002F\u002Fdoi.org\u002F10.7759\u002Fcureus.4246\nChamberlain MC, Reid SR, Madhok M (2011) Utilization of emergency ultrasound in pediatric emergency departments. Pediatr Emerg Care 27(7):628–632\nAmerican College of Radiology (2020) ACR Appropriateness Criteria. https:\u002F\u002Facsearch.acr.org\u002Flist. Accessed Feb 15 2020.\nAmerican Board of Internal Medicine Foundation (2020) Choosing Wisely Initiative. https:\u002F\u002Fwww.choosingwisely.org. Accessed Feb 15 2020.\nAmerican Institute of Ultrasound in Medicine (2020) Ultrasound First. http:\u002F\u002Fwww.ultrasoundfirst.org. Accessed Feb 15 2020.\nSistrom CL, McKay NL (2005) Costs, charges, and revenues for hospital diagnostic imaging procedures: differences by modality and hospital characteristics. J Am Coll Radiol 2(6):511–519\nHusereau D, Drummond M, Petrou S et al (2013) Consolidated health economic evaluation reporting standards (CHEERS) statement. Int J Technol Assess Health Care 29(2):117–122\nLiberati A, Altman DG, Tetzlaff J et al (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med 151(4):W65-94\nAxelrod DA, Sonnad SS, Hirschl RB (2000) An economic evaluation of sonographic examination of children with suspected appendicitis. J Pediatr Surg 35(8):1236–1241\nPeña BM, Taylor GA, Fishman SJ, Mandl KD (2000) Costs and effectiveness of ultrasonography and limited computed tomography for diagnosing appendicitis in children. Pediatrics 106(4):672–676\nPershad J, Waters TM, Langham MR, Li T, Huang EY (2015) Cost-effectiveness of diagnostic approaches to suspected appendicitis in children. J Am Coll Surg. 220(4):738–746\nVan atta AJ, Baskin HJ, Maves CK, et al (2015) Implementing an ultrasound-based protocol for diagnosing appendicitis while maintaining diagnostic accuracy. Pediatr Radiol 45(5):678–685\nWagenaar AE, Tashiro J, Wang B et al (2015) Protocol for suspected pediatric appendicitis limits computed tomography utilization. J Surg Res 199(1):153–158\nGregory S, Kuntz K, Sainfort F, Kharbanda A (2016) Cost-effectiveness of integrating a clinical decision rule and staged imaging protocol for diagnosis of appendicitis. Value Health 19(1):28–35\nAnderson KT, Bartz-kurycki M, Austin MT et al (2017) Approaching zero: implications of a computed tomography reduction program for pediatric appendicitis evaluation. J Pediatr Surg 52(12):1909–1915\nImler D, Keller C, Sivasankar S et al (2017) Magnetic resonance imaging versus ultrasound as the initial imaging modality for pediatric and young adult patients with suspected appendicitis. Acad Emerg Med 24(5):569–577\nKharbanda AB, Christensen EW, Dudley NC et al (2018) Economic analysis of diagnostic imaging in pediatric patients with suspected appendicitis. Acad Emerg Med 25(7):785–794\nKobayashi E, Johnson B, Goetz K, Scanlan J, Weinsheimer R (2018) Does the implementation of a pediatric appendicitis pathway promoting ultrasound work outside of a children’s hospital? Am J Surg 215(5):917–920\nNordin AB, Sales S, Nielsen JW, Adler B, Bates DG, Kenney B (2018) Standardized ultrasound templates for diagnosing appendicitis reduce annual imaging costs. J Surg Res 221:77–83\nBranney SW, Moore EE, Cantrill SV, Burch JM, Terry SJ (1997) Ultrasound based key clinical pathway reduces the use of hospital resources for the evaluation of blunt abdominal trauma. J Trauma 42(6):1086–1090\nPartrick DA, Bensard DD, Moore EE, Terry SJ, Karrer FM (1998) Ultrasound is an effective triage tool to evaluate blunt abdominal trauma in the pediatric population. J Trauma 45(1):57–63\nArrillaga A, Graham R, York JW, Miller RS (1999) Increased efficiency and cost-effectiveness in the evaluation of the blunt abdominal trauma patient with the use of ultrasound. Am Surg 65(1):31–35\nFrezza EE, Ferone T, Martin M (1999) Surgical residents and ultrasound technician accuracy and cost-effectiveness of ultrasound in trauma. Am Surg 65(3):289–291\nMelniker LA, Leibner E, Mckenney MG, Lopez P, Briggs WM, Mancuso CA (2006) Randomized controlled clinical trial of point-of-care, limited ultrasonography for trauma in the emergency department: the first sonography outcomes assessment program trial. Ann Emerg Med 48(3):227–235\nHall MK, Omer T, Moore CL, Taylor RA (2016) Cost-effectiveness of the cardiac component of the focused assessment of sonography in trauma examination in blunt trauma. Acad Emerg Med 23(4):415–423\nDurston W, Carl ML, Guerra W et al (2001) Comparison of quality and cost-effectiveness in the evaluation of symptomatic cholelithiasis with different approaches to ultrasound availability in the ED. Am J Emerg Med 19(4):260–269\nGoodacre S, Stevenson M, Wailoo A, Sampson F, Sutton AJ, Thomas S (2006) How should we diagnose suspected deep-vein thrombosis? QJM 99(6):377–388\nYoung N, Kinsella S, Raio CC et al (2010) Economic impact of additional radiographic studies after registered diagnostic medical sonographer (RDMS)-certified emergency physician-performed identification of cholecystitis by ultrasound. J Emerg Med 38(5):645–651\nWard MJ, Sodickson A, Diercks DB, Raja AS (2011) Cost-effectiveness of lower extremity compression ultrasound in emergency department patients with a high risk of hemodynamically stable pulmonary embolism. Acad Emerg Med 18(1):22–31\nMelnikow J, Xing G, Cox G et al (2016) Cost analysis of the STONE randomized trial: can health care costs be reduced one test at a time? Med Care 54(4):337–342\nSternberg KM, Littenberg B (2017) Trends in imaging use for the evaluation and followup of kidney stone disease: a single center experience. J Urol 198(2):383–388\nHazlett KS, Wagner A, Guidi C, Victoria D, Weir S, Wise S (1996) Cost effectiveness of pelvic sonogram in the emergency room: endovaginal vs. transabdominal examination. Emergency Radiol 3(5):231–235\nDurston WE, Carl ML, Guerra W, Eaton A, Ackerson LM (2000) Ultrasound availability in the evaluation of ectopic pregnancy in the ED: comparison of quality and cost-effectiveness with different approaches. Am J Emerg Med 18(4):408–417\nAl Wattar BH, Frank M, Fage E, Gupta P (2014) Use of ultrasound in emergency gynaecology. J Obstet Gynaecol 34(2):172–173\nWyrick JJ, Kalvaitis S, Mcconnell KJ, Rinkevich D, Kaul S, Wei K (2008) Cost-efficiency of myocardial contrast echocardiography in patients presenting to the emergency department with chest pain of suspected cardiac origin and a nondiagnostic electrocardiogram. Am J Cardiol 102(6):649–652\nJasani G, Papas M, Patel AJ et al (2018) Immediate stress echocardiography for low-risk chest pain patients in the emergency department: a prospective observational cohort study. J Emerg Med 54(2):156–164\nBaugh CW, Sun BC, Syncope Risk Stratification Study Group (2019) Variation in diagnostic testing for older patients with syncope in the emergency department. Am J Emerg Med 37(5):810–816\nGc VS, Alshurafa M, Sturgess DJ et al (2019) Cost-minimisation analysis alongside a pilot study of early tissue doppler evaluation of diastolic dysfunction in emergency department non-ST elevation acute coronary syndromes (TEDDy-NSTEACS). BMJ Open. https:\u002F\u002Fdoi.org\u002F10.1136\u002Fbmjopen-2018-023920\nMcgahan JP, Cronan MS, Richards JR, Jones CD (2000) Comparison of US utilization and technical costs before and after establishment of 24-hour in-house coverage for US examinations. Radiology 216(3):788–791\nMorrow DS, Broder J (2015) Cost-effective, reusable, leak-resistant ultrasound-guided vascular access trainer. J Emerg Med 49(3):313–317\nAllen B, Carrol LV, Hughes DR, Hemingway J, Duszak R, Rosenkrantz AB (2017) Downstream imaging utilization after emergency department ultrasound interpreted by radiologists versus nonradiologists: a medicare claims-based Study. J Am Coll Radiol 14(4):475–481\nHuang Z, Vintzileos W, Gordish-dressman H, Bandarkar A, Reilly BK (2017) Pediatric peritonsillar abscess: outcomes and cost savings from using transcervical ultrasound. Laryngoscope 127(8):1924–1929\nVan Schaik GWW, Van Schaik KD, Murphy MC (2019) Point-of-care ultrasonography (POCUS) in a community emergency department: an analysis of decision making and cost savings associated with POCUS. J Ultrasound Med 38(8):2133–2140\nFarmer SA, Brown NA (2017) Value-based approaches for emergency care in a new era. Ann Emerg Med 69(6):684–686\nAmerican College of Surgeons (2018) Advanced trauma life support: student course manual, 10th edn. Illinois, Chicago\nBierig SM, Jones A (2009) Accuracy and cost comparison of ultrasound versus alternative imaging modalities, including CT, MR, PET, and angiography. J Diagn Med Sonography 25(3):38–144\nBlaivas M, Harwood RA, Lambert MJ (1999) Decreasing length of stay with emergency ultrasound examination of the gallbladder. Acad Emerg Med 6:1020–1023\nBurgher SW, Tandy TK, Dawdy MR (1998) Transvaginal ultrasonography by emergency physicians decreases patient time in the emergency department. Acad Emerg Med 5:802–807\nLeung J, Duffy M, Finckh A (2006) Real-time ultrasonographically guided internal jugular vein catheterization in the emergency department increases success rates and reduces complications: a randomized, prospective study. Ann Emerg Med 48:540–547\nRandolph AG, Cook DJ, Gonzales CA, Pribble CG (1996) Ultrasound guidance for placement of central venous catheters: a meta-analysis of the literature. Crit Care Med 24:2053–2058\nZhou A, Yousem DM, Alvin MD (2018) Cost-effectiveness analysis in radiology: a systematic review. J Am Coll Radiol 15(11):1536–1546. https:\u002F\u002Fdoi.org\u002F10.1016\u002Fj.jacr.2018.06.018 (Epub 2018 Jul 26)\nOtero HJ, Rybicki FJ, Greenberg D, Neumann PJ (2008) Twenty years of cost-effectiveness analysis in medical imaging: are we improving? Radiology 249(3):917–925. https:\u002F\u002Fdoi.org\u002F10.1148\u002Fradiol.2493080237",{"EN":850},"The use of ultrasound (US) in emergency departments (ED) has become widespread. This includes both traditional US scans performed by radiology departments as well as point-of-care US (POCUS) performed by bedside clinicians. There has been significant interest in better understanding the appropriate use of imaging and where opportunities to enhance cost-effectiveness may exist. The purpose of this systematic review is to identify published evidence surrounding the cost-effectiveness of US in the ED and to grade the quality of that evidence. We performed a systematic review of the literature following Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines. Studies were considered for inclusion if they were: (1) economic evaluations, (2) studied the clinical use of ultrasound, and (3) took place in an emergency care setting. Included studies were critically appraised using the Consolidated Health Economic Evaluation Reporting Standards checklist. We identified 631 potentially relevant articles. Of these, 35 studies met all inclusion criteria and were eligible for data abstraction. In general, studies were supportive of the use of US. In particular, 11 studies formed a strong consensus that US enhanced cost-effectiveness in the investigation of pediatric appendicitis and 6 studies supported enhancements in the evaluation of abdominal trauma. Across the studies, weaknesses in methodology and reporting were common, such as lack of sensitivity analyses and inconsistent reporting of incremental cost-effectiveness ratios. The body of existing evidence, though limited, generally demonstrates that the inclusion of US in emergency care settings allows for more cost-effective care. The most definitive evidence for improvements in cost-effectiveness surround the evaluation of pediatric appendicitis, followed by the evaluation of abdominal trauma. POCUS outside of trauma has had mixed results.",{"EN":852},"A systematic review of the cost-effectiveness of ultrasound in emergency care settings",{"VOID":854},"10.1186\u002Fs13089-021-00216-8","https:\u002F\u002Ftheultrasoundjournal.springeropen.com\u002Farticles\u002F10.1186\u002Fs13089-021-00216-8",[857,874,886,901],{"id":858,"sortIndex":103,"researcher":18,"roles":859,"affiliations":860,"properties":871},"473e052d-0411-42a8-9774-4d5fc091c756",[136],[861],{"id":18,"sortIndex":19,"affiliation":862,"properties":18},{"id":863,"createTime":864,"updateTime":865,"relativeEntities":866,"slug":867,"properties":868,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"0782932e-e4f6-461b-83c3-5ae93f907e00","2024-02-08T08:43:40.921+00:00","2025-06-11T20:32:55.610+00:00",[],"Department-of-Emergency-Medicine-Johns-Hopkins-University-School-of-Medicine-Baltimore-USA",{"title":869},{"VI":870},"Department of Emergency Medicine, Johns Hopkins University, School of Medicine, Baltimore, USA",{"title":872},{"VI":873},"Tiffany Fong",{"id":875,"sortIndex":358,"researcher":18,"roles":876,"affiliations":877,"properties":883},"ba2c9c41-a35b-4174-98b4-618895fffe31",[136],[878],{"id":18,"sortIndex":19,"affiliation":879,"properties":18},{"id":863,"createTime":864,"updateTime":865,"relativeEntities":880,"slug":867,"properties":881,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},[],{"title":882},{"VI":870},{"title":884},{"VI":885},"Nicholas 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Lentz",{"id":902,"sortIndex":101,"researcher":18,"roles":903,"affiliations":904,"properties":910},"18e74709-3f4f-4512-b51f-ee4da074f820",[136],[905],{"id":18,"sortIndex":19,"affiliation":906,"properties":18},{"id":863,"createTime":864,"updateTime":865,"relativeEntities":907,"slug":867,"properties":908,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},[],{"title":909},{"VI":870},{"title":911},{"VI":912},"Randall 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A, Drucker CB, Harris DG et al (2017) Management and outcomes of carotid artery extension of aortic dissections. J Vasc Surg 66(2):445–453\nBlackshear WM, Phillips DJ, Chikos PM, Harley JD, Thiele BL, Strandness DE (1980) Carotid artery velocity patterns in normal and stenotic vessels. Stroke 11(1):67–71\nBaumgartner RW (2006) Handbook on neurovascular ultrasound. Front Neurol Neurosci. 21:70–84\nProvenzale JM, Sarikaya B (2009) Comparison of test performance characteristics of MRI, MR angiography, and CT angiography in the diagnosis of carotid and vertebral artery dissection: a review of the medical literature. AJR 193(4):1167–1174\nBrott TG, Halperin JL, Abbara S, Bacharach JM, Barr JD, Bush RL et al (2011) ASA\u002FACCF\u002FAHA\u002FAANN\u002FAANS\u002FACR\u002FASNR\u002FCNS\u002FSAIP\u002FSCAI\u002FSIR\u002FSNIS\u002FSVM\u002FSVS guideline on the management of patients with extracranial carotid and vertebral artery disease. A report of the American College of Cardiology Foundation\u002FAmerican Heart Association Task Force on Practice Guidelines, and the American Stroke Association, American Association of Neuroscience Nurses, American Association of Neurological Surgeons, American College of Radiology, American Society of Neuroradiology, Congress of Neurological Surgeons, Society of Atherosclerosis Imaging and Prevention, Society for Cardiovascular Angiography and Interventions, Society of Interventional Radiology, Society of NeuroInterventional Surgery, Society for Vascular Medicine, and Society for Vascular Surgery. Circulation 124(4):e54–e130\nHakimi R, Sivakumar S (2019) Imaging of carotid dissection. Curr Pain Headache Rep 23(1):2. https:\u002F\u002Fdoi.org\u002F10.1007\u002Fs11916-019-0741-9\nClevert DA, Jung EM, Johnson T, Kubale R, Rupp N, Schoenberg SO, Reiser M (2007) Cervical artery dissection: improved diagnosis by B-Flow ultrasound. Clin Hemorheol Microcirc. 36(2):141–153\nJia L, Wang H, Gao Y, Liu H, Yu K (2016) High incidence of adverse events during intra-hospital transport of critically ill patients and new related risk factors: a prospective, multicenter study in China. Crit Care 20:12",{"EN":957},"Carotid artery dissection due to extension of aortic dissection (CAEAD) is a severe complication of acute aortic dissection. The risk of ischemic stroke is increased. Early sonographic detection and repeat evaluation are necessary to guide clinical management. A 58-year-old male patient presents with sudden, tearing retrosternal pain. Point-of-care carotid ultrasound is used to establish the diagnosis of CAEAD. We describe a number of sonographic features and compare ultrasound to other imaging modalities. Bedside carotid ultrasound enables rapid, sensitive and safe hemodynamic assessment, especially in critically ill patients.",{"EN":959},"Sonographic features of carotid artery dissection due to extension of aortic dissection: a case report",{"VOID":961},"10.1186\u002Fs13089-019-0147-2","https:\u002F\u002Ftheultrasoundjournal.springeropen.com\u002Farticles\u002F10.1186\u002Fs13089-019-0147-2",[964,979],{"id":965,"sortIndex":19,"researcher":18,"roles":966,"affiliations":967,"properties":976},"ea1a6770-36aa-4a62-8ec0-14d353032fe1",[136],[968],{"id":18,"sortIndex":19,"affiliation":969,"properties":18},{"id":970,"createTime":971,"updateTime":971,"relativeEntities":972,"slug":18,"properties":973,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"747519c4-8e34-4c67-8c55-df6bb038d1f5","2024-02-11T15:07:10.617+00:00",[],{"title":974},{"VI":975},"Department of Neurology and Epileptology, and Hertie-Institute for Clinical Brain Research, Eberhard-Karls University of Tübingen, Tübingen, Germany",{"title":977},{"VI":978},"Christian Boßelmann",{"id":980,"sortIndex":103,"researcher":18,"roles":981,"affiliations":982,"properties":992},"99160f6a-b322-4b52-9855-43fd7862a720",[136],[983],{"id":18,"sortIndex":19,"affiliation":984,"properties":18},{"id":985,"createTime":986,"updateTime":986,"relativeEntities":987,"slug":988,"properties":989,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"b3bdefb9-588d-42c5-9e55-b1766aaa488f","2024-04-11T16:34:53.779+00:00",[],"Department-of-Neurology-and-Stroke-and-Hertie-Institute-for-Clinical-Brain-Research-Eberhard-Karls-University-of-T%C3%BCbingen-T%C3%BCbingen-Germany",{"title":990},{"EN":991},"Department of Neurology and Stroke, and Hertie-Institute for Clinical Brain Research, Eberhard-Karls University of Tübingen, Tübingen, Germany",{"title":993},{"VI":994},"Sven Poli",{"url":962,"publisher":996,"properties":1023},{"id":6,"createTime":7,"updateTime":8,"relativeEntities":997,"slug":10,"properties":998,"entityType":16,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19,"subjectFields":1001,"manageAffiliations":1002,"indexDatabases":1003,"url":98,"thumbnailPath":18,"statistic":1018,"gsStatistic":18,"type":106,"analyzePriority":18},[],{"issn":999,"title":1000},{"VOID":13},{"EN":15},[],[],[1004,1011],{"id":80,"indexDatabase":1005,"url":95,"indexYears":18,"academicFieldIds":1010,"indexDatabaseRanking":18},{"id":82,"createTime":83,"updateTime":84,"relativeEntities":1006,"label":1007,"description":1008,"key":91,"publicationTags":1009,"standard":18},[],{"EN":87,"VI":87},{"VI":89,"EN":90},[93,94],[97],{"id":60,"indexDatabase":1012,"url":73,"indexYears":74,"academicFieldIds":1017,"indexDatabaseRanking":78},{"id":62,"createTime":63,"updateTime":64,"relativeEntities":1013,"label":1014,"description":1015,"key":70,"publicationTags":1016,"standard":18},[],{"EN":67,"VI":67},{"EN":67,"VI":69},[72],[76,77],{"impactFactor":19,"impactFactorByYear":1019,"i10Index":19,"i10IndexLast5Year":19,"totalPublication":101,"totalPublicationByYear":1020,"totalCitation":19,"totalCitationByYear":1021,"totalCitationPerPublication":19,"totalCitationPerPublicationByYear":1022,"hindexLast5Year":19,"hindex":19},{},{"2022":103,"2023":103},{},{},{"volume":1024,"pages":1025},{"VOID":658},{"VOID":1026},"1-4","2019-12-02",{"id":1029,"createTime":1030,"updateTime":1031,"relativeEntities":1032,"slug":1033,"properties":1034,"entityType":128,"verifyStatus":129,"verifyTime":1031,"verifyNote":130,"syncStatus":17,"languages":1046,"translateLanguages":18,"viewCount":19,"primaryUrl":1048,"fullTextUrl":18,"authors":1049,"publicationType":222,"publisherRelationship":1194,"citationCount":103,"citationInfo":1222,"publishDate":18,"publishYear":18,"citationAnalyzeStatus":1224,"lastCitationAnalyze":1225,"indexDatabases":18,"openAccess":18,"references":1226,"isForceReanalyzing":258},"1d0ddd6b-3732-464c-ad61-4fac1484fbc8","2024-04-12T02:52:39.191+00:00","2025-02-13T23:27:23.621+00:00",[],"Start-spreading-the-news-a-deliberate-approach-to-POCUS-program-development-and-implementation",{"keywords":1035,"openalex":1036,"abstract":1038,"title":1040,"pm":1042,"doi":1044},{},{"VOID":1037},"W4323652283",{"EN":1039},"\u003Cjats:title>Abstract\u003C\u002Fjats:title>\u003Cjats:p>While there is an expanding body of literature on Point-of-Care Ultrasound (POCUS) pedagogy, administrative elements that are necessary for the widespread adoption of POCUS in the clinical environment have received little attention. In this short communication, we seek to address this gap by sharing our institutional experience with POCUS program development and implementation. The five pillars of our program, selected to tackle local barriers to POCUS uptake, are education, workflow, patient safety, research, and sustainability. Our program logic model outlines the inputs, activities, and outputs of our program. Finally, key indicators for the monitoring of program implementation efforts are presented. Though designed for our local context, this approach may readily be adapted toward other clinical environments. 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J Clin Ultrasound 41(4):238–241\nRadhi JM, Ramsay JA et al (2011) Diverticuar disease of the right colon. BMC Res Notes 4:383\nKaratepe O, Gulcicek OB et al (2008) Cecal diverticulitis mimicking acute appendicitis: a report of 4 cases. World J Emerg Surg 3(1):16\nKomaricaand EB, Zvizdic Z et al (2012) Right-sided perforated ascending colonic diverticulum mimicking acute appendicitis. Acta Inform Med 20(4):269–270\nMonari F, Cervellera M, Pirrera B et al (2017) Right-sided acute diverticulitis: a single Western center experience. Int J Surg 44:128–131. https:\u002F\u002Fdoi.org\u002F10.1016\u002Fj.ijsu.2017.06.025 (Epub 2017 Jun 13)\nOudenhoven LF, Koumans RK, Puylaert JB (1998) Right colonic diverticulitis: US and CT findings—new insight about frequency and natural history. Radiology 208:611–618\nEspinosa J, Sharma R et al (2017) Case report medical approach to right colon diverticulitis with perforation. Case Rep Emerg Med. https:\u002F\u002Fdoi.org\u002F10.1155\u002F2017\u002F2563218\nBeranbaum SL, Zausner J, Lane B (1972) Diverticular disease of the right colon. AJR 115:334–348\nO’Malley ME, Wilson SR (2003) US of gastrointestinal tract abnormalities with CT correlation. Radiographics 23:59–72\nChiu PWY, Lam CYW et al (2001) Conservative approach is feasible in the management of acute diverticulitis of the right colon. ANZ J Surg 71(11):634–636\nLedermann PH, Borner N et al (2000) Bowel wall thickening on trans abdominal sonography. AJR Am J Roentgenol 174:107–117",{"EN":1308},"Diverticular disease is a common disorder and its incidence increases with ageing. Pathophysiology is multifactorial. Lifestyle, including smoking, alcohol intake, decreased dietary fibres and lack of physical activity, plays a predominant role. Genetics seems also to contribute specifically for right-sided diverticular disease (RSD). The majority of the patients with diverticular disease are asymptomatic. 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This clinical report demonstrates that ultrasound plays a relevant part as first-step approach to the acute abdominal conditions and its accuracy increases together with other diagnostic tools such as Computer Tomography.",{"EN":1310},"“Sigmoid diverticulitis mimicking cholecystitis” a clinical challenge",{"VOID":1312},"10.1186\u002Fs13089-019-0127-6","https:\u002F\u002Ftheultrasoundjournal.springeropen.com\u002Farticles\u002F10.1186\u002Fs13089-019-0127-6",[1315,1330,1345,1357],{"id":1316,"sortIndex":101,"researcher":18,"roles":1317,"affiliations":1318,"properties":1327},"63ff1c62-226b-4cc9-b4fa-f200185d5753",[136],[1319],{"id":18,"sortIndex":19,"affiliation":1320,"properties":18},{"id":1321,"createTime":1322,"updateTime":1322,"relativeEntities":1323,"slug":18,"properties":1324,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"ea08aa66-76d0-4e03-9045-92b304c59e27","2024-01-17T04:50:39.336+00:00",[],{"title":1325},{"VI":1326},"SCDU Radiodiagnostica e Medicina Nucleare, Azienda Ospedaliero-Universitaria S.Luigi Gonzaga, Orbassano, Italy",{"title":1328},{"VI":1329},"Elona Shaipi",{"id":1331,"sortIndex":103,"researcher":18,"roles":1332,"affiliations":1333,"properties":1342},"3ae68e7c-0d9d-4e27-9475-bb09b6c31266",[136],[1334],{"id":18,"sortIndex":19,"affiliation":1335,"properties":18},{"id":1336,"createTime":1337,"updateTime":1337,"relativeEntities":1338,"slug":18,"properties":1339,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"18c41606-12ec-4481-817a-907773ba9fbb","2024-01-17T13:56:30.056+00:00",[],{"title":1340},{"VI":1341},"Dipartimento di Scienze Chirurgiche, Università degli Studi di Torino, Turin, Italy",{"title":1343},{"VI":1344},"Enrico Boero",{"id":1346,"sortIndex":358,"researcher":18,"roles":1347,"affiliations":1348,"properties":1354},"ae5bdfd1-3c78-485d-bffd-a26af164c6ca",[136],[1349],{"id":18,"sortIndex":19,"affiliation":1350,"properties":18},{"id":1321,"createTime":1322,"updateTime":1322,"relativeEntities":1351,"slug":18,"properties":1352,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},[],{"title":1353},{"VI":1326},{"title":1355},{"VI":1356},"Luciano Cardinale",{"id":1358,"sortIndex":19,"researcher":18,"roles":1359,"affiliations":1360,"properties":1369},"6d789b01-2064-4f28-9068-823a16500068",[136],[1361],{"id":18,"sortIndex":19,"affiliation":1362,"properties":18},{"id":1363,"createTime":1364,"updateTime":1364,"relativeEntities":1365,"slug":18,"properties":1366,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"26822c97-928e-4c68-b1b7-04f18d44ccb7","2024-01-17T04:50:39.309+00:00",[],{"title":1367},{"VI":1368},"Dipartimento di Medicina interna e Specialità mediche, Di.M.I. 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However, examining the whole chest to detect small peripheral infarctions by LUS may be challenging. Pleuritic pain, a frequent presenting symptom in patients with PE, is usually localized in a restricted chest area identified by the patient itself. Our hypothesis is that sensitivity of LUS for PE in patients with pleuritic chest pain may be higher due to the possibility of focusing the examination in the painful area. We combined data from three prospective studies on LUS in patients suspected of PE and extracted data regarding patients with and without pleuritic pain at presentation to compare the performances of LUS.\u003C\u002Fjats:p>\n              \u003C\u002Fjats:sec>\u003Cjats:sec>\n                \u003Cjats:title>Results\u003C\u002Fjats:title>\n                \u003Cjats:p>Out of 872 patients suspected of PE, 217 (24.9%) presented with pleuritic pain and 279 patients (32%) were diagnosed with PE. Pooled sensitivity of LUS for PE in patients with and without pleuritic chest pain was 81.5% (95% CI 70–90.1%) and 49.5% (95% CI 42.7–56.4%) (\u003Cjats:italic>p\u003C\u002Fjats:italic> < 0.001), respectively. Specificity of LUS was similar in the two groups, respectively 95.4% (95% CI 90.7–98.1%) and 94.8% (95% CI 92.3–97.7%) (\u003Cjats:italic>p\u003C\u002Fjats:italic> = 0.86). In patients with pleuritic pain, a diagnostic strategy combining Wells score with LUS performed better both in terms of sensitivity (93%, 95% CI 80.9–98.5% vs 90.7%, 95% CI 77.9–97.4%) and negative predictive value (96.2%, 95% CI 89.6–98.7% vs 93.3%, 95% CI 84.4–97.3%). Efficiency of Wells score + LUS outperformed the conventional strategy based on Wells score + d-dimer (56.7%, 95% CI 48.5–65% vs 42.5%, 95% CI 34.3–51.2%, \u003Cjats:italic>p\u003C\u002Fjats:italic> = 0.02).\u003C\u002Fjats:p>\n              \u003C\u002Fjats:sec>\u003Cjats:sec>\n                \u003Cjats:title>Conclusions\u003C\u002Fjats:title>\n                \u003Cjats:p>In a population of patients suspected of PE, LUS showed better sensitivity for the diagnosis of PE when applied to the subgroup with pleuritic chest pain. In these patients, a diagnostic strategy based on Wells score and LUS performed better to exclude PE than the conventional strategy combining Wells score and d-dimer.\u003C\u002Fjats:p>\n              \u003C\u002Fjats:sec>",{"EN":1416},"Retrospective analysis of the diagnostic accuracy of lung ultrasound for pulmonary embolism in patients with and without pleuritic chest pain",{"VOID":1418},"35960380",{"VOID":1420},"10.1186\u002Fs13089-022-00285-3",[1047],"https:\u002F\u002Ftheultrasoundjournal.springeropen.com\u002Farticles\u002F10.1186\u002Fs13089-022-00285-3",[1424,1444,1462,1482,1499,1514,1535,1552,1571,1586],{"id":1425,"sortIndex":309,"researcher":18,"roles":1426,"affiliations":1427,"properties":1437},"935b92a7-e278-4dfd-9c90-33128b3edb14",[],[1428],{"id":1429,"sortIndex":19,"affiliation":1430,"properties":18},"312b6c14-9382-40a9-8f0c-73234ff2c132",{"id":1431,"createTime":1432,"updateTime":1432,"relativeEntities":1433,"slug":18,"properties":1434,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"37b8b3f1-646c-44a5-a13e-03fa5c9035c1","2023-12-07T08:10:35.741+00:00",[],{"title":1435},{"VI":1436},"Emergency Medicine, San Luigi Gonzaga University Hospital, Turin, Italy",{"openalex":1438,"orcid":1440,"title":1442},{"VOID":1439},"A5065257901",{"VOID":1441},"https:\u002F\u002Forcid.org\u002F0000-0002-0305-3592",{"EN":1443},"Thomas Fraccalini",{"id":1445,"sortIndex":103,"researcher":18,"roles":1446,"affiliations":1447,"properties":1457},"d03c1311-bbda-42ec-a858-35e71a3efc64",[],[1448],{"id":1449,"sortIndex":19,"affiliation":1450,"properties":18},"c26efe87-42af-4d3d-bd1d-3440eee377ef",{"id":1451,"createTime":1452,"updateTime":1452,"relativeEntities":1453,"slug":18,"properties":1454,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"436c0529-7af6-4173-a209-2a2805c4b5cc","2024-01-21T07:37:09.291+00:00",[],{"title":1455},{"VI":1456},"San Giuseppe Hospital, Empoli, Italy",{"openalex":1458,"title":1460},{"VOID":1459},"A5049512767",{"EN":1461},"Chiara Gigli",{"id":1463,"sortIndex":19,"researcher":18,"roles":1464,"affiliations":1465,"properties":1477},"85fe97bf-0edf-4229-85e4-2ffac4db5635",[],[1466],{"id":1467,"sortIndex":19,"affiliation":1468,"properties":18},"fcb04338-2de2-464a-87c8-e28fbfe47dfa",{"id":1469,"createTime":1470,"updateTime":1471,"relativeEntities":1472,"slug":1473,"properties":1474,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"2428bc63-7390-49a8-b2e1-0567a91de926","2024-01-16T01:50:56.159+00:00","2024-09-30T06:30:18.739+00:00",[],"Careggi-University-Hospital-Florence-Italy",{"title":1475},{"VI":1476},"Careggi University Hospital, Florence, Italy",{"openalex":1478,"title":1480},{"VOID":1479},"A5070044726",{"EN":1481},"Peiman Nazerian",{"id":1483,"sortIndex":547,"researcher":18,"roles":1484,"affiliations":1485,"properties":1492},"7deee728-ffd0-463b-881a-7ec090c6f212",[],[1486],{"id":1487,"sortIndex":19,"affiliation":1488,"properties":18},"e6f43e53-35af-4480-a053-50c3f425c5bc",{"id":1431,"createTime":1432,"updateTime":1432,"relativeEntities":1489,"slug":18,"properties":1490,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},[],{"title":1491},{"VI":1436},{"openalex":1493,"orcid":1495,"title":1497},{"VOID":1494},"A5066509778",{"VOID":1496},"https:\u002F\u002Forcid.org\u002F0000-0003-1000-6054",{"EN":1498},"Giovanni Volpicelli",{"id":1500,"sortIndex":47,"researcher":18,"roles":1501,"affiliations":1502,"properties":1509},"d8980a59-c4f7-4900-989d-4b53b64e8b91",[],[1503],{"id":1504,"sortIndex":19,"affiliation":1505,"properties":18},"b8d9b20c-f45c-40d8-bf91-5e96f7de6cdd",{"id":1469,"createTime":1470,"updateTime":1471,"relativeEntities":1506,"slug":1473,"properties":1507,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},[],{"title":1508},{"VI":1476},{"openalex":1510,"title":1512},{"VOID":1511},"A5022073779",{"EN":1513},"Stefano Grifoni",{"id":1515,"sortIndex":358,"researcher":18,"roles":1516,"affiliations":1517,"properties":1528},"0b4b479a-9202-4601-bafe-dff0ef7e24e0",[],[1518],{"id":1519,"sortIndex":19,"affiliation":1520,"properties":18},"48aa9f43-d547-4530-92e5-1f96701b049e",{"id":1521,"createTime":1522,"updateTime":1522,"relativeEntities":1523,"slug":1524,"properties":1525,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"adea5515-3ed6-4e04-a757-769dca3316b4","2024-04-17T23:20:39.780+00:00",[],"A-O-U-Citt%C3%A0-della-Salute-e-della-Scienza-di-Turin-Molinette-University-Hospital-Torino-Italy",{"title":1526},{"EN":1527},"A.O.U. 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Am J Resp Crit Care Med 199:701–714\nLaursen CB, Sloth E, Lassen AT, Christensen Rd, Lambrechtsen J, Madsen PH, Henriksen DP, Davidsen JR, Rasmussen F (2014) Point-of-care ultrasonography in patients admitted with respiratory symptoms: a single-blind, randomised controlled trial. Lancet Respir Med 2:638–646\nBrogi E, Bignami E, Sidoti A, Shawar M, Gargani L, Vetrugno L, Volpicelli G, Forfori F (2017) Could the use of bedside lung ultrasound reduce the number of chest x-rays in the intensive care unit? Cardiovasc Ultrasound 15(1):23\nRiviello ED, Kiviri W, Twagirumugabe T, Mueller A, Banner-Goodspeed VM, Officer L, Novack V, Mutumwinka M, Talmor DS, Fowler RA (2016) Hospital incidence and outcomes of the acute respiratory distress syndrome using the Kigali modification of the Berlin definition. Am J Respir Crit Care Med 193:52–59\nChiumello D, Mongodi S, Algieri I, Vergani GL, Orlando A, Via G, Crimella F, Cressoni M, Mojoli F (2018) Assessment of lung aeration and recruitment by CT scan and ultrasound in ARDS patients. Crit Care Med 46:1761–1768\nBouhemad B, Brisson H, Le-Guen M, Arbelot C, Lu Q, Rouby JJ (2011) Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med 183:341–347\nCaltabeloti F, Monsel A, Arbelot C, Brisson H, Lu Q, Gu WJ, Zhou GJ, Auler JO, Rouby JJ (2014) Early fluid loading in acute respiratory distress syndrome with septic shock deteriorates lung aeration without impairing arterial oxygenation: a lung ultrasound observational study. Crit Care 18:R91\nMongodi S, Pozzi M, Orlando A, Bouhemad B, Stella A, Tavazzi G, Via G, Iotti GA, Mojoli F (2018) Lung ultrasound for daily monitoring of ARDS patients on extracorporeal membrane oxygenation: preliminary experience. Intensive Care Med 44:123–124\nBouhemad B, Liu ZH, Arbelot C, Zhang M, Ferarri F, Le-Guen M, Lu Q, Rouby JJ (2010) Ultrasound assessment of antibiotic-induced pulmonary reaeration in ventilator-associated pneumonia. Crit Care Med 38:84–92\nSong G, Bae SC, Lee YH (2016) Diagnostic accuracy of lung ultrasound for interstitial lung disease in patients with connective tissue diseases: a meta-analysis. Clin Exp Rheumatol 34:11–16\nGargani L, Doveri M, D’Errico L, Frassi F, Bazzichi ML, Delle Sedie A, Scali MC, Monti S, Mondillo S, Bombardieri S, Caramella D, Picano E (2009) Ultrasound lung comets in systemic sclerosis: a chest sonography hallmark of pulmonary interstitial fibrosis. Rheumatology (Oxford) 48:1382–1387\nWang Y, Gargani L, Barskova T, Furst DE, Cerinic MM (2017) Usefulness of lung ultrasound B-lines in connective tissue disease-associated interstitial lung disease: a literature review. Arthritis Res Ther 18(19):206\nGasperini ML, Gigante A, Iacolare A, Pellicano C, Lucci S, Rosato E (2020) The predictive role of lung ultrasound in progression of scleroderma interstitial lung disease. Clin Rheumatol 39(1):119–123\nMongodi S, Bouhemad B, Orlando A, Stella A, Tavazzi G, Via G, Iotti GA, Braschi A, Mojoli F (2017) Modified lung ultrasound score for assessing and monitoring pulmonary aeration. Ultraschall Med 38:530–537",{"EN":1777},"Lung ultrasound is a bedside non-irradiating tool for assessment and monitoring of lung diseases. A lung ultrasound score based on visualized artefacts allows reliable quantification of lung aeration, and is useful to monitor mechanical ventilation setting, fluid resuscitation and antibiotic response in critical care. In the context of interstitial lung diseases associated to connective tissue disorders, lung ultrasound has been integrated to computed tomography for diagnosis and follow-up monitoring of chronic lung disease progression. This case describes a severe acute exacerbation of interstitial lung disease associated to dermatomyositis–polymyositis requiring prolonged extra-corporeal life support. Lung ultrasound score was performed daily and allowed monitoring and guiding both the need of advanced imaging as computed tomography and immunosuppressive therapy. This case suggests lung ultrasound may be a useful monitoring tool for the response to immunosuppressive therapy in acute severe rheumatic interstitial lung disease, where chest X-ray is poorly informative, and transportation is at high risk.",{"EN":1779},"Combined ultrasound–CT approach to monitor acute exacerbation of interstitial lung disease",{"VOID":1781},"10.1186\u002Fs13089-020-00174-7","https:\u002F\u002Ftheultrasoundjournal.springeropen.com\u002Farticles\u002F10.1186\u002Fs13089-020-00174-7",[1784,1800,1812,1827,1852,1867,1886],{"id":1785,"sortIndex":19,"researcher":18,"roles":1786,"affiliations":1787,"properties":1797},"ddd82bf6-2301-4e0a-97a8-21d4410b77eb",[136],[1788],{"id":18,"sortIndex":19,"affiliation":1789,"properties":18},{"id":1790,"createTime":1791,"updateTime":1791,"relativeEntities":1792,"slug":1793,"properties":1794,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"55c20b7b-7578-4a7b-94bc-80b0738bf122","2024-04-15T14:31:39.677+00:00",[],"Anaesthesia-and-Intensive-Care-San-Matteo-Hospital-Pavia-Italy",{"title":1795},{"EN":1796},"Anaesthesia and Intensive Care, San Matteo Hospital, Pavia, Italy",{"title":1798},{"VI":1799},"Silvia Mongodi",{"id":1801,"sortIndex":101,"researcher":18,"roles":1802,"affiliations":1803,"properties":1809},"9d3ed358-4d84-48e2-a816-fc1e1e018a52",[136],[1804],{"id":18,"sortIndex":19,"affiliation":1805,"properties":18},{"id":1790,"createTime":1791,"updateTime":1791,"relativeEntities":1806,"slug":1793,"properties":1807,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},[],{"title":1808},{"EN":1796},{"title":1810},{"VI":1811},"Anita Orlando",{"id":1813,"sortIndex":358,"researcher":18,"roles":1814,"affiliations":1815,"properties":1824},"0d555199-5860-4a40-ad80-e95b1a30bfa7",[136],[1816],{"id":18,"sortIndex":19,"affiliation":1817,"properties":18},{"id":1818,"createTime":1819,"updateTime":1819,"relativeEntities":1820,"slug":18,"properties":1821,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"f0c6a802-b92f-411f-9175-5683940b2fd0","2023-12-31T14:14:42.550+00:00",[],{"title":1822},{"VI":1823},"Division of Rheumatology, University of Pavia, San Matteo Hospital, Pavia, Italy",{"title":1825},{"VI":1826},"Lorenzo Cavagna",{"id":1828,"sortIndex":325,"researcher":18,"roles":1829,"affiliations":1830,"properties":1849},"2c653333-6ecd-4216-81f7-af5fe5617e60",[136],[1831,1841],{"id":1832,"sortIndex":103,"affiliation":1833,"properties":1840},"b34292cf-ebd7-4760-99b4-98b04c7c4f7b",{"id":1834,"createTime":1835,"updateTime":1835,"relativeEntities":1836,"slug":18,"properties":1837,"entityType":46,"verifyStatus":17,"verifyTime":18,"verifyNote":18,"syncStatus":17,"languages":18,"translateLanguages":18,"viewCount":19},"69475e00-65fd-497b-a571-cbf431a437d4","2024-02-10T03:50:14.214+00:00",[],{"title":1838},{"VI":1839},"Department of Anesthesiology and Intensive Care, C.H.U. 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