Adult Critical Care Ultrasound

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Critical Care".

Deadline for manuscript submissions: closed (30 September 2024) | Viewed by 3103

Special Issue Editors


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Guest Editor
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Via dei Vestini n 33, 66100 Chieti, Italy
Interests: lung ultrasound; cardiac ultrasound; diaphragm ultrasound; critical care medicine; mechanical ventilation; intensive care medicine; airway management; ventilation; cardiopulmonary resuscitation; resuscitation; sepsis; anesthesiology; emergency management
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Co-Guest Editor
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114, USA
Interests: surgical oncology; whole body ultrasound

Special Issue Information

Dear Colleagues,

Ultrasound is a non-irradiating bedside tool that has become increasingly accessible, now being available in hand-held devices. It allows integrative head-to-toe clinical assessment and offers guidance for invasive procedures. For these reasons, ultrasound has recently become progressively present in the hands of anesthetists, critical care physicians, and surgeons, as well as physiotherapists and nurses.

We would like to invite you to submit your work to this Special Issue, “Adult Critical Care Ultrasound”, to further supplement the body of evidence on the role of this invaluable tool in the management of critically ill patients. Topics to be covered in this issue include cardiac, lung, and diaphragm ultrasound, with a particular emphasis on mechanical ventilation evaluation, the weaning phase, and invasive procedures.

Case series, original research articles, and review articles are all welcome.

We look forward to receiving your contributions.

Prof. Dr. Luigi Vetrugno
Dr. Marco Ventin
Guest Editors

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Keywords

  • critical care ultrasound
  • whole body ultrasound
  • lung ultrasound
  • cardiac ultrasound
  • diaphragm ultrasound

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Published Papers (2 papers)

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Research

11 pages, 11696 KiB  
Article
A Retrospective Analysis of High Resolution Ultrasound Evaluation of the “Split Fat Sign” in Peripheral Nerve Sheath Tumors
by Jeena B. Deka, Ritu Shah, Miguel Jiménez, Nidhi Bhatnagar, Alfredo Bravo-Sánchez, Inés Piñas-Bonilla, Javier Abián-Vicén and Fernando Jiménez
Healthcare 2023, 11(24), 3147; https://doi.org/10.3390/healthcare11243147 - 12 Dec 2023
Viewed by 1113
Abstract
Peripheral nerve sheath tumors (PNST) comprise schwannomas and neurofibromas. The finding of increased adipose tissue around benign PNSTs has been described as the “split fat sign” on magnetic resonance imaging exams, which is suggestive of an intramuscular or intermuscular location of the tumor. [...] Read more.
Peripheral nerve sheath tumors (PNST) comprise schwannomas and neurofibromas. The finding of increased adipose tissue around benign PNSTs has been described as the “split fat sign” on magnetic resonance imaging exams, which is suggestive of an intramuscular or intermuscular location of the tumor. However, few studies have described this sign as a salient ultrasound feature of PNSTs. The main purpose of this study was to retrospectively evaluate the presence of increased fatty tissue deposition around benign PNSTs diagnosed by high-resolution ultrasound. In addition, we aimed to corroborate the presence of vascularization around the affected area. A retrospective analysis of ten cases of PNSTs and two cases of post-traumatic neuromas diagnosed by high-resolution ultrasound was performed with a Logiq® P8 ultrasound with a 2–11 MHz multifrequency linear probe L3-12-D (central frequency: 10 MHz). Localized types of neurofibromas and schwannomas in any location were seen as predominantly hypoechoic tumors with an oval or fusiform shape. Exiting and entering nerves (tail sign) were observed in six cases, showing localized lesions both in intermuscular and subcutaneous locations. The presence of increased hyperechoic tissue (the split fat sign) was noted in cases of solitary intermuscular and intramuscular peripheral nerve sheath tumors, mainly the schwannomas. Though small tumors did not demonstrate the tail sign, the increase in adipose tissue and vascularity on US was well demonstrated. In conclusion, the nerve in continuity forms the basis of the ultrasonographic diagnosis of PNSTs. However, high-resolution US can convincingly demonstrate the increased presence of fat in the upper and lower poles as well as circumferentially in intermuscular or intramuscular benign PNSTs. Full article
(This article belongs to the Special Issue Adult Critical Care Ultrasound)
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8 pages, 2665 KiB  
Communication
Contrast-Enhanced Ultrasound Follow-Up for Acute Pyelonephritis Patients
by Andrea Boccatonda, Stefano Venerato, Damiano D’Ardes, Giulio Cocco, Cosima Schiavone and Susanna Vicari
Healthcare 2023, 11(21), 2899; https://doi.org/10.3390/healthcare11212899 - 3 Nov 2023
Cited by 1 | Viewed by 1367
Abstract
Contrast-enhanced ultrasound (CEUS) is increasingly used in clinical practice as the first diagnostic method in patients with suspected pyelonephritis rather than abdominal CT with contrast medium, especially in young subjects. We performed a retrospective analysis on patients in for whom a CEUS examination [...] Read more.
Contrast-enhanced ultrasound (CEUS) is increasingly used in clinical practice as the first diagnostic method in patients with suspected pyelonephritis rather than abdominal CT with contrast medium, especially in young subjects. We performed a retrospective analysis on patients in for whom a CEUS examination was utilized as a follow-up method after acute pyelonephritis as normal clinical practice. Through evaluating all patients, in terms duration between CEUS examination and normalization (healing) of the renal disease, we found that the mean duration is 25.9 days. Our ultrasound findings did not induce any therapeutic modifications, not even in the cases in which the examination was repeated several times. Therefore, setting up a CEUS follow-up examination after 25 days from the first diagnosis can reduce the number of repeated tests, benefitting patients and the healthcare system in terms of reducing costs. Full article
(This article belongs to the Special Issue Adult Critical Care Ultrasound)
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