Ultrasound-guided distal popliteal sciatic nerve block for ED anesthesia Andrew A. Herring, Micheal B. Stone, Jason Fischer, Oron Frenkel, Kris Chiles, Nathan Teismann, Arun Nagdev
DOI: http://dx.doi.org/10.1016/j.ajem.2010.06.015
The American Journal of Emergency Medicine , Vol. 29 , Issue 6 ,
Published online: August 5 2010
x Ultrasonography has revolutionized the ability of emergency physicians to integrate peripheral nerve blocks into a multimodal approach to pain management in the emergency department (ED). Injuries to the ankle and foot are common complaints in the ED that often require extensive manipulation in the course of stabilization and treatment. Numerous studies in the anesthesiology literature have demonstrated the efficacy of ultrasound-guided blockade of the distal sciatic nerve at the popliteal fossa for pain control related to below-knee surgeries.
Tele-ultrasound and paramedics: real-time remote physician guidance of the Focused Assessment With Sonography for Trauma examination Keith S. Boniface, Hamid Shokoohi, E. Reed Smith, Kari Scantlebury
DOI: http://dx.doi.org/10.1016/j.ajem.2009.12.001
The American Journal of Emergency Medicine , Vol. 29 , Issue 5 ,
Published online: April 14 2010
x The aim of this study was to examine the capability of ultrasound-naïve paramedics to obtain interpretable Focused Assessment With Sonography for Trauma (FAST) images under the remote direction of emergency physicians (EPs).
Ultrasound-guided suprascapular nerve block for shoulder reduction and adhesive capsulitis in the ED Andrew A. Herring, Micheal B. Stone, Arun Nagdev
DOI: http://dx.doi.org/10.1016/j.ajem.2010.08.024
The American Journal of Emergency Medicine , Vol. 29 , Issue 8 ,
Published online: November 26 2010
x The suprascapular nerve (SSN) emerges from the upper trunk of the brachial plexus (C5-C6) and provides the majority of the sensory innervation to the glenohumeral and acromioclavicular joints. In addition, it provides motor innervation to the supraspinatus and infraspinatus muscles [1]. Blockade of the SSN was first described in 1941 by Wertheim and Rovenstine [2] and, since then, has been used extensively by anesthesiologists for a variety of conditions including adhesive capsulitis and postoperative pain control for shoulder arthroscopy [3].
Real-time 3-dimensional contrast-enhanced ultrasound in detecting hemorrhage of blunt renal trauma Rui-Xue Xu, Ye-Kuo Li, Ting Li, Sha-Sha Wang, Gui-Zhong Yuan, Qun-Fang Zhou, Hai-Rong Zheng, Fei Yan
DOI: http://dx.doi.org/10.1016/j.ajem.2013.06.013
The American Journal of Emergency Medicine , Vol. 31 , Issue 10 ,
Published online: August 21 2013
x The objective of this study is to evaluate the diagnostic value of real-time 3-dimensional contrast-enhanced ultrasound in the hemorrhage of blunt renal trauma.
Optic nerve ultrasound for the detection of elevated intracranial pressure in the hypertensive patient Pedro J. Roque, Teresa S. Wu, Laura Barth, Dave Drachman, Kai-Ning Khor, Frank LoVecchio, Stephan Stapczynski
DOI: http://dx.doi.org/10.1016/j.ajem.2011.09.025
The American Journal of Emergency Medicine , Vol. 30 , Issue 8 ,
Published online: December 28 2011
x We sought to determine whether dilation of the optic nerve sheath diameter (ONSD), as detected at the bedside by emergency ultrasound (US), could reliably correlate with patient blood pressure and whether there was a blood pressure cutoff point where you would start to see abnormal dilation in the ONSD.
Addition of a lateral view improves adequate visualization of the abdominal aorta during clinician performed ultrasound Maria Studer, Dorothea Hempel, Shada Rouhani, Hana Dubsky, Emanuele Pivetta, Heidi H. Kimberly
DOI: http://dx.doi.org/10.1016/j.ajem.2013.10.031
The American Journal of Emergency Medicine , Vol. 32 , Issue 3 ,
Published online: December 30 2013
x Full visualization of the abdominal aorta using the standard midline view is often inadequate for the detection of abdominal aortic aneurysm. We evaluated whether the addition of a lateral midaxillary right upper quadrant view could improve visualization of the abdominal aorta.
Relevance of sonography for retroperitoneal hematoma Hichem Chenaitia, Khaled Abrous, Fabrice Louis, Christine Aimé, Tomislav Petrovic, WINFOCUS (World Interactive Network Focused On Critical UltraSound) Group France
DOI: http://dx.doi.org/10.1016/j.ajem.2011.04.005
The American Journal of Emergency Medicine , Vol. 29 , Issue 7 ,
Published online: June 6 2011
x Retroperitoneal hematoma (RH) is an uncommon emergency but with a high mortality rate [1]. Clinical diagnosis is difficult because of variable presentations, from mild flank and upper abdominal discomfort to shock, depending on degree and duration of bleeding [1]. The causes of RH are traumatic, iatrogenic, or “spontaneous.” Treatment depends on the cause and ranges from drainage of hematoma under ultrasound guidance to surgery or endovascular procedures [1]. Ultrasonography (US) is increasingly important for initial assessment of critically ill patients [2,3].
Contrast-enhanced ultrasound to determine correct central venous catheter position Antonella Vezzani, Claudia Brusasco, Francesco Corradi
DOI: http://dx.doi.org/10.1016/j.ajem.2014.01.033
The American Journal of Emergency Medicine , Vol. 32 , Issue 7 ,
Published online: February 6 2014
x We read with great interest the paper recently published by Cortellaro et al titled “Contrast enhanced ultrasound versus chest x-ray to determine correct central venous catheter position” [1]. We agree with the authors' conclusion that contrast-enhanced ultrasound (CEUS) by itself cannot substitute chest x-ray in evaluating the catheter tip position after central venous catheter placement. Nevertheless, we would like to make some methodological comments. In a recent study [2] combining B-mode ultrasound with CEUS, we obtained an estimate of correct catheter position in atrio-caval junction that was much more accurate than in the study of Cortellaro et al (sensitivity 96% vs 33%, specificity 93% vs 98%).
Ultrasound-guided intercostal nerve block for traumatic pneumothorax requiring tube thoracostomy Michael B. Stone, Jennifer Carnell, Jason W.J. Fischer, Andrew A. Herring, Arun Nagdev
DOI: http://dx.doi.org/10.1016/j.ajem.2010.06.014
The American Journal of Emergency Medicine , Vol. 29 , Issue 6 ,
Published online: August 16 2010
x A 39-year-old woman presented to our emergency department 3 days after an assault. Initial evaluation demonstrated a right pneumothorax. Given her hemodynamic stability, a series of ultrasound-guided intercostal nerve blocks were performed. The indications, technique, and advantages of this approach are reviewed.
Identification of peritonsillar abscess by transcutaneous cervical ultrasound Matthew Rehrer, Daniel Mantuani, Arun Nagdev
DOI: http://dx.doi.org/10.1016/j.ajem.2012.04.021
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: July 16 2012
x Intraoral evaluation with ultrasound has been shown to be an ideal method for differentiating between peritonsillar abscess (PTA) and peritonsillar cellulitis. Unfortunately, many patients experience significant trismus and are unable to tolerate the intracavitary probe. Evaluation of the submandibular space with a high frequency linear transducer from the external aspect of the neck affords an alternative technique that has been shown to have high specificity for PTA. Unfortunately, there are no reported cases in the emergency medicine literature detailing this novel technique.
The effect of vessel depth, diameter, and location on ultrasound-guided peripheral intravenous catheter longevity J. Matthew Fields, Anthony J. Dean, Raleigh W. Todman, Arthur K. Au, Kenton L. Anderson, Bon S. Ku, Jesse M. Pines, Nova L. Panebianco
DOI: http://dx.doi.org/10.1016/j.ajem.2011.07.027
The American Journal of Emergency Medicine , Vol. 30 , Issue 7 ,
Published online: November 14 2011
x Ultrasound-guided peripheral intravenous catheters (USGPIVs) have been observed to have poor durability. The current study sets out to determine whether vessel characteristics (depth, diameter, and location) predict USGPIV longevity.
Traumatic mediastinal hematoma: a potentially fatal condition that may be overlooked by traditional Focused Assessment with Sonography for Trauma Li-wen Hsu, Chee-Fah Chong, Tzong-Luen Wang, Bor-hen Wu
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.022
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: May 25 2012
x Mediastinal hematoma is an uncommon finding in blunt chest trauma. It may be caused by aortic injury, by mediastinal vascular injury such as aortic injury, and by fractures of the sternum and vertebral column. A huge mediastinal hematoma can result in extrapericardial cardiac tamponade by compressing the adjacent organs. Although Focused Assessment with Sonography for Trauma (FAST) can reliably assess the presence of pericardial effusion in the subxiphoid view, it may overlook mediastinal hematoma.
Posterior urethral valves diagnosed by bedside ultrasound in the ED Joshua Schecter, Jennifer H. Chao
DOI: http://dx.doi.org/10.1016/j.ajem.2011.01.025
The American Journal of Emergency Medicine , Vol. 30 , Issue 4 ,
Published online: March 16 2011
x Posterior urethral valves are the most common cause of urinary obstruction in male children. Presentations of posterior urethral valves beyond the neonatal period include urinary tract infection, abdominal mass, renal failure, diminished urinary stream, crying during micturition, incontinence, dysuria, hematuria, or failure to thrive. Early diagnosis is imperative because early surgical relief of the obstruction is believed to help prevent the progression to end stage renal disease.
Subject Index
DOI: http://dx.doi.org/10.1016/S0735-6757(15)00997-3
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published in issue: December 2015
Confirmation of endotracheal tube position during resuscitation by bedside ultrasonography Caner Sağlam, Erden Erol Ünlüer, Arif Karagöz
DOI: http://dx.doi.org/10.1016/j.ajem.2012.08.002
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: September 14 2012
x Establishing airway in critically ill patients is of paramount importance because unrecognized esophageal intubation rapidly produces iatrogenic morbidity and mortality [1]. According to the 2010 American Heart Association guidelines, quantitative waveform capnography is recommended as the most reliable method for confirming endotracheal tube (ET) placement [2]. This study aimed to assess the diagnostic performance of bedside ultrasonographic techniques for confirmation of ET position in patients with cardiac arrest in a prospective, cross-sectional, cohort fashion.
Trends in opioid analgesic use for headaches in US emergency departments Maryann Mazer-Amirshahi, Kayla Dewey, Peter M. Mullins, John van den Anker, Jesse M. Pines, Jeanmarie Perrone, Lewis Nelson
DOI: http://dx.doi.org/10.1016/j.ajem.2014.07.001
The American Journal of Emergency Medicine , Vol. 32 , Issue 9 ,
Published online: July 10 2014
x Although not recommended as first line therapy by consensus guidelines, opioid analgesics are commonly used to treat headaches. This study evaluates trends in opioid use for headaches in US emergency departments (EDs).
ED technicians can successfully place ultrasound-guided intravenous catheters in patients with poor vascular access Elizabeth Schoenfeld, Keith Boniface, Hamid Shokoohi
DOI: http://dx.doi.org/10.1016/j.ajem.2009.11.021
The American Journal of Emergency Medicine , Vol. 29 , Issue 5 ,
Published online: April 26 2010
x The objective of the study was to assess the success rate of emergency department (ED) technicians in placing ultrasound (US)-guided peripheral intravenous (IV) catheters.
Transcranial sonography in prehospital setting Hichem Chenaitia, Christian Squarcioni, Brun Pierre Marie, Querellou Emgan, Petrovic Tomislav
DOI: http://dx.doi.org/10.1016/j.ajem.2011.06.025
The American Journal of Emergency Medicine , Vol. 29 , Issue 9 ,
Published online: August 29 2011
x Until recently, emergency physicians in the prehospital setting had no tools with which to explore neurologic distress. In France, many emergency medical services are now equipped with hand-held ultrasound devices for use in the prehospital setting. The transcranial Doppler could contribute to better management of patients with head injury or ischemic stroke [1-3]; and the transcranial sonography (TS) could allow imaging of the brain parenchyma. Several brain disorders can be depicted by TS, such as intracranial hematomas, brain tumors, neurodegenerative disorders, and enlargement of the ventricular system [4,5].
Prospective outcomes of pregnant ED patients with documented fetal cardiac activity on ultrasound Michael Mallin, Matthew Dawson, Erika Schroeder, Burke Hatch, Isaac Jackson, Matthew Ahern, Chris Bossart, Troy Madsen
DOI: http://dx.doi.org/10.1016/j.ajem.2010.12.023
The American Journal of Emergency Medicine , Vol. 30 , Issue 3 ,
Published online: February 21 2011
x Evaluation of rates of spontaneous abortion (SAB) may aid in counseling pregnant patients seen in the emergency department (ED). A recent chart review reported an SAB rate of 10% among ED patients with a documented intrauterine pregnancy (IUP) and cardiac activity on ultrasound. We sought to prospectively evaluate outcomes among pregnant ED patients with documented cardiac activity on ultrasound.
Jugular venous distension on ultrasound: sensitivity and specificity for heart failure in patients with dyspnea Timothy Jang, Chandra Aubin, Rosanne Naunheim, Lawrence M. Lewis, Amy H. Kaji
DOI: http://dx.doi.org/10.1016/j.ajem.2010.07.017
The American Journal of Emergency Medicine , Vol. 29 , Issue 9 ,
Published online: October 18 2010
x Accurately diagnosing congestive heart failure (CHF) in patients with dyspnea can be difficult because clinical history and physical examination are often nondiagnostic and may be inaccurate, especially when patients have complicated comorbid conditions.
