Fouad Nafees, Z. Fatima, S. Malik, Qasim Yousaf, M. Latif, S. Y. Farooq
Plantar fasciitis is a common cause of heel pain. Understandably knowledge of normal sonographic plantar fascia thickness (PFT) is crucial to diagnose this condition as thickened plantar fascia is the most important ultrasound finding for its diagnosis.
{"title":"Ultrasound measurement of plantar fascia thickness: Is the current criterion for normality applicable to everyone?","authors":"Fouad Nafees, Z. Fatima, S. Malik, Qasim Yousaf, M. Latif, S. Y. Farooq","doi":"10.1002/sono.12342","DOIUrl":"https://doi.org/10.1002/sono.12342","url":null,"abstract":"Plantar fasciitis is a common cause of heel pain. Understandably knowledge of normal sonographic plantar fascia thickness (PFT) is crucial to diagnose this condition as thickened plantar fascia is the most important ultrasound finding for its diagnosis.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"52 1","pages":"10 - 4"},"PeriodicalIF":0.4,"publicationDate":"2022-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81538820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In this editorial, I wish to address two social issues and how they relate to this journal and its readers. The first is diversity, equity and inclusion or DEI. To some DEI is a term used too frequently, lacks meaning or action and is merely a buzz word that corporations and government bodies used to promote themselves. This perception is perpetuated with the publication of generic umbrella statements without meaningful explanations, without strategies to achieve DEI or metrics to measure success. However, there is evidence that when DEI policies are implemented in healthcare organisations, then the financial performance of the organisation and the quality of healthcare are improved. Conversely, inaction on DEI can negatively impact quality and health outcomes, especially for minority groups. According to the University of Michigan, diversity can be described as variety, equity is fairness and impartiality, and inclusion is involvement within a group or structure. Their Chief Diversity Officer provided a great analogy comparing DEI to a ‘party’: Diversity is where everyone gets an invite to the party, inclusion is where everyone can contribute to the playlist, and equity is where everyone gets the opportunity to dance. Recently, Wiley, our publishing partner published a Research DE&I Statement, and Sonography also published its own DEI statement.
{"title":"Some thoughts on our social responsibilities","authors":"K. Thoirs","doi":"10.1002/sono.12337","DOIUrl":"https://doi.org/10.1002/sono.12337","url":null,"abstract":"In this editorial, I wish to address two social issues and how they relate to this journal and its readers. The first is diversity, equity and inclusion or DEI. To some DEI is a term used too frequently, lacks meaning or action and is merely a buzz word that corporations and government bodies used to promote themselves. This perception is perpetuated with the publication of generic umbrella statements without meaningful explanations, without strategies to achieve DEI or metrics to measure success. However, there is evidence that when DEI policies are implemented in healthcare organisations, then the financial performance of the organisation and the quality of healthcare are improved. Conversely, inaction on DEI can negatively impact quality and health outcomes, especially for minority groups. According to the University of Michigan, diversity can be described as variety, equity is fairness and impartiality, and inclusion is involvement within a group or structure. Their Chief Diversity Officer provided a great analogy comparing DEI to a ‘party’: Diversity is where everyone gets an invite to the party, inclusion is where everyone can contribute to the playlist, and equity is where everyone gets the opportunity to dance. Recently, Wiley, our publishing partner published a Research DE&I Statement, and Sonography also published its own DEI statement.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"13 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84762478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A 24-year-old primigravida from a rural background presented to the hospital at 18 weeks of gestation and was referred for anomaly scan. This is the first antenatal scan for which the patient presented. Longitudinal ultrasound revealed irregular outline of the left kidney with multiple thin-walled cysts demonstrating no obvious communication with the pelvicalyceal system (Figure 1). Incidentally, right kidney shows pelviureteric junction obstruction with hydronephrosis (Figure 2). Ultrasound revealed normal fetal movements and fetal heart sounds. Fetal parameters were within normal limits. The amniotic fluid index was decreased at 6 cm. 1 An ultrasound diagnosis of left-sided multicystic dysplastic kidney (classic/pelvi-infundibular type) and contralateral pelviureteric junction obstruction with hydronephrosis was made. Prenatal diagnosis was confirmed on post-natal ultrasound. On post-natal day 3, the baby was referred to the department of pediatric nephrology for further management. Multicystic dysplastic kidney (MCDK) is a severe anomaly with grave prognosis which results in non-functioning kidneys. 2 Most common associated anomalies of MCDK on the contralateral side include ure-teropelvic junction obstruction, as noted in the current case, or vesi-coureteral reflux which may be prevalent in 30% – 40% of cases. 3 The characteristic findings
{"title":"Prenatal diagnosis of multicystic dysplastic kidney with contralateral pelviureteric junction obstruction on ultrasound","authors":"Ravikanth Reddy","doi":"10.1002/sono.12339","DOIUrl":"https://doi.org/10.1002/sono.12339","url":null,"abstract":"A 24-year-old primigravida from a rural background presented to the hospital at 18 weeks of gestation and was referred for anomaly scan. This is the first antenatal scan for which the patient presented. Longitudinal ultrasound revealed irregular outline of the left kidney with multiple thin-walled cysts demonstrating no obvious communication with the pelvicalyceal system (Figure 1). Incidentally, right kidney shows pelviureteric junction obstruction with hydronephrosis (Figure 2). Ultrasound revealed normal fetal movements and fetal heart sounds. Fetal parameters were within normal limits. The amniotic fluid index was decreased at 6 cm. 1 An ultrasound diagnosis of left-sided multicystic dysplastic kidney (classic/pelvi-infundibular type) and contralateral pelviureteric junction obstruction with hydronephrosis was made. Prenatal diagnosis was confirmed on post-natal ultrasound. On post-natal day 3, the baby was referred to the department of pediatric nephrology for further management. Multicystic dysplastic kidney (MCDK) is a severe anomaly with grave prognosis which results in non-functioning kidneys. 2 Most common associated anomalies of MCDK on the contralateral side include ure-teropelvic junction obstruction, as noted in the current case, or vesi-coureteral reflux which may be prevalent in 30% – 40% of cases. 3 The characteristic findings","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"70 1","pages":"43 - 44"},"PeriodicalIF":0.4,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85789038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jacinta L. Felton, N. Kennedy, K. Thoirs, J. Alphonse, A. Quinton
Work‐related musculoskeletal disorders (WRMSD) commonly occur among student and qualified sonographers. While students may be educated about preventative techniques, transfer of this knowledge to practice may not occur. The aim of this study was to investigate the association between the theoretical knowledge final‐year students had of some common WRMSD prevention techniques, and the use of these techniques on clinical placement.
{"title":"Knowledge and use of work‐related musculoskeletal disorder (WRMSD) prevention techniques in the daily practice of final‐year Australian sonography students: A cross‐sectional study","authors":"Jacinta L. Felton, N. Kennedy, K. Thoirs, J. Alphonse, A. Quinton","doi":"10.1002/sono.12334","DOIUrl":"https://doi.org/10.1002/sono.12334","url":null,"abstract":"Work‐related musculoskeletal disorders (WRMSD) commonly occur among student and qualified sonographers. While students may be educated about preventative techniques, transfer of this knowledge to practice may not occur. The aim of this study was to investigate the association between the theoretical knowledge final‐year students had of some common WRMSD prevention techniques, and the use of these techniques on clinical placement.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"313 1","pages":"3 - 9"},"PeriodicalIF":0.4,"publicationDate":"2022-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81198651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A functionally univentricular heart is used to describe a heart with inflow from two atrioventricular valves or a common atrioventricular valve draining into one ventricular chamber in which oxygenated and non-oxygenated blood are mixed together. It accounts for 1% of all congenital cardiac anomalies with a reported incidence of 0.05–0.1 per 10,000 live born babies. On the other hand, common atrium is a rare form of interatrial communication which occurs mainly with atrioventricular septal defect. Combination of common atrium and functionally univentricular heart is very rarely seen and is manifested with severe cyanosis and hypoxia. Total anomalous pulmonary venous connection (TAPVC) is another rare congenital heart anomaly in which all pulmonary veins are draining into the systemic veins, right atrium, or coronary sinus. Its incidence is estimated to be 2.2% of all congenital cardiac anomalies (0.008 of all live births). This anomaly can be seen in association with various types of cardiac malformations. Without cardiac surgery, most of involved infants cannot survive more than a few months of age. Patients with functionally univentricular heart and TAPVC are a considerably high risk group. The majority of cases of aortic valve atresia are reported in hypoplastic left heart syndrome. Here, we report a very rare case of an unoperated 16-year-old girl who had these four congenital cardiac anomalies simultaneously: common atrium, functionally univentricular heart, supracardiac TAPVC with the pulmonary venous confluence draining by a vertical vein into the left brachiocephalic vein and then into the superior vena cava (SVC), and atretic aortic valve. To the best of our knowledge, such case has not been reported previously. 2 | CASE REPORT
{"title":"A rare coexistence of common atrium, univentricular atrioventricular connection, total anomalous pulmonary venous connection, and aortic atresia in an asymptomatic teenage girl","authors":"M. Nabati, Homa Parsaee","doi":"10.1002/sono.12336","DOIUrl":"https://doi.org/10.1002/sono.12336","url":null,"abstract":"A functionally univentricular heart is used to describe a heart with inflow from two atrioventricular valves or a common atrioventricular valve draining into one ventricular chamber in which oxygenated and non-oxygenated blood are mixed together. It accounts for 1% of all congenital cardiac anomalies with a reported incidence of 0.05–0.1 per 10,000 live born babies. On the other hand, common atrium is a rare form of interatrial communication which occurs mainly with atrioventricular septal defect. Combination of common atrium and functionally univentricular heart is very rarely seen and is manifested with severe cyanosis and hypoxia. Total anomalous pulmonary venous connection (TAPVC) is another rare congenital heart anomaly in which all pulmonary veins are draining into the systemic veins, right atrium, or coronary sinus. Its incidence is estimated to be 2.2% of all congenital cardiac anomalies (0.008 of all live births). This anomaly can be seen in association with various types of cardiac malformations. Without cardiac surgery, most of involved infants cannot survive more than a few months of age. Patients with functionally univentricular heart and TAPVC are a considerably high risk group. The majority of cases of aortic valve atresia are reported in hypoplastic left heart syndrome. Here, we report a very rare case of an unoperated 16-year-old girl who had these four congenital cardiac anomalies simultaneously: common atrium, functionally univentricular heart, supracardiac TAPVC with the pulmonary venous confluence draining by a vertical vein into the left brachiocephalic vein and then into the superior vena cava (SVC), and atretic aortic valve. To the best of our knowledge, such case has not been reported previously. 2 | CASE REPORT","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"247 1","pages":"36 - 40"},"PeriodicalIF":0.4,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74894253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An asymptomatic bilateral carotid artery occlusion is a rare event with few reported cases in the literature. Ordinarily, a bilateral internal carotid artery (ICA) occlusion is an acute accident leading to serious cerebrovascular disease and complications including recurrent ischemic stroke or death. In a retrospective, population-based study on patients with symptomatic ICA occlusion, an incidence rate of 6/100,000 was reported. Unfortunately, due to its nature, it is difficult to ascertain the prevalence of asymptomatic ICA occlusions in the community. In this report, a recent case of asymptomatic bilateral ICA occlusion, diagnosed by ultrasound and confirmed by computer tomography (CT), is discussed.
{"title":"An unusual case of bilateral internal carotid artery occlusion—A case report","authors":"Beryl Oldham","doi":"10.1002/sono.12332","DOIUrl":"https://doi.org/10.1002/sono.12332","url":null,"abstract":"An asymptomatic bilateral carotid artery occlusion is a rare event with few reported cases in the literature. Ordinarily, a bilateral internal carotid artery (ICA) occlusion is an acute accident leading to serious cerebrovascular disease and complications including recurrent ischemic stroke or death. In a retrospective, population-based study on patients with symptomatic ICA occlusion, an incidence rate of 6/100,000 was reported. Unfortunately, due to its nature, it is difficult to ascertain the prevalence of asymptomatic ICA occlusions in the community. In this report, a recent case of asymptomatic bilateral ICA occlusion, diagnosed by ultrasound and confirmed by computer tomography (CT), is discussed.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"11 1","pages":"186 - 190"},"PeriodicalIF":0.4,"publicationDate":"2022-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88828186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kerolloss Younan, D. Walkley, A. Quinton, J. Alphonse
Ultrasound is a diagnostic tool with many advantages, however, concerns over operator wellbeing have arisen in the last 20 years. Many sonographers experience burnout, which has the potential to cause financial loss for radiology clinics, and for sonographers, suboptimal examinations, high turnover and a reduced ability to communicate with patients. The aim of this narrative review was to explore, identify and categorise the causes of burnout in the sonography profession, and to identify burnout prevention and control strategies. A literature search was conducted through Central Queensland University library, accessing the following electronic databases; Wiley Online Library, Gale Academic, Ovid, Sagepub, CINAHL, Elsevier Science Direct, PubMed and ProQuest. Eight articles were reviewed. This study identified two key themes contributing to sonographer burnout: delivering adverse news and increased workload. Twelve causes of burnout were identified, with exposure to adverse news and time constraints the most commonly identified causes. In addition, other causes identified included managerial pressures to perform more scans/tasks within a short‐time frame, followed by the constant exposure to adverse news and the burden of delivering it to patients. Recommendations include considering reducing the required number of scans per week by increasing appointment times, counselling and skills training for adverse news delivery and use of technical assistants to perform soft tasks. Current literature relating to sonographer burnout appears isolated to the obstetrics domain with further study required on sonographer burnout in other fields of sonography, including burnout because of lack of career progression.
{"title":"Burnout in the sonographic environment: The identification and exploration of the causes of sonographer burnout and strategies for prevention and control","authors":"Kerolloss Younan, D. Walkley, A. Quinton, J. Alphonse","doi":"10.1002/sono.12333","DOIUrl":"https://doi.org/10.1002/sono.12333","url":null,"abstract":"Ultrasound is a diagnostic tool with many advantages, however, concerns over operator wellbeing have arisen in the last 20 years. Many sonographers experience burnout, which has the potential to cause financial loss for radiology clinics, and for sonographers, suboptimal examinations, high turnover and a reduced ability to communicate with patients. The aim of this narrative review was to explore, identify and categorise the causes of burnout in the sonography profession, and to identify burnout prevention and control strategies. A literature search was conducted through Central Queensland University library, accessing the following electronic databases; Wiley Online Library, Gale Academic, Ovid, Sagepub, CINAHL, Elsevier Science Direct, PubMed and ProQuest. Eight articles were reviewed. This study identified two key themes contributing to sonographer burnout: delivering adverse news and increased workload. Twelve causes of burnout were identified, with exposure to adverse news and time constraints the most commonly identified causes. In addition, other causes identified included managerial pressures to perform more scans/tasks within a short‐time frame, followed by the constant exposure to adverse news and the burden of delivering it to patients. Recommendations include considering reducing the required number of scans per week by increasing appointment times, counselling and skills training for adverse news delivery and use of technical assistants to perform soft tasks. Current literature relating to sonographer burnout appears isolated to the obstetrics domain with further study required on sonographer burnout in other fields of sonography, including burnout because of lack of career progression.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"23 1","pages":"175 - 185"},"PeriodicalIF":0.4,"publicationDate":"2022-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90102927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thank you to the authors for their commentary and raising the important point of appropriate statistical model. Our project accurately identified significant differences between number of sonographers undertaking neonatal cranial ultrasound and overall scan duration, as well as between scan duration for babies with pathology present compared to those who had no pathology detected. We would like to reiterate that the impetus for this study was to conduct a single site examination of retrospective data to describe factors that influenced scan time in our context. We did receive advice from a statistician and study limitations are clearly reported in our published article. As suggested by the author of the letter to the editor, we conducted further analysis of our data. We agree that using general linear models (GLM) are useful for taking into consideration aspects of the data, which are problematic to standard regression analysis. As per our published paper we entered the variables of number of scan operators and presence of pathology into the model as these were two variables significantly correlated with the outcome variable of estimated scan duration. For the GLM, the variables were entered as main effects and with consideration of any interaction effect between presence of pathology and number of operators. The categorical variables had been recoded with dummy variables and were entered as fixed factors. The overall corrected model remained significant: R = .32; adjusted R = .31 (F = 30.95, df = 3, p = <.001). The GLM identified that when two operators conducted the scan, the average scan duration took significantly longer compared to
{"title":"Factors influencing duration of neonatal cranial ultrasound: A pilot study of retrospective data","authors":"Naomi Dare, Mary‐Anne Ramis","doi":"10.1002/sono.12320","DOIUrl":"https://doi.org/10.1002/sono.12320","url":null,"abstract":"Thank you to the authors for their commentary and raising the important point of appropriate statistical model. Our project accurately identified significant differences between number of sonographers undertaking neonatal cranial ultrasound and overall scan duration, as well as between scan duration for babies with pathology present compared to those who had no pathology detected. We would like to reiterate that the impetus for this study was to conduct a single site examination of retrospective data to describe factors that influenced scan time in our context. We did receive advice from a statistician and study limitations are clearly reported in our published article. As suggested by the author of the letter to the editor, we conducted further analysis of our data. We agree that using general linear models (GLM) are useful for taking into consideration aspects of the data, which are problematic to standard regression analysis. As per our published paper we entered the variables of number of scan operators and presence of pathology into the model as these were two variables significantly correlated with the outcome variable of estimated scan duration. For the GLM, the variables were entered as main effects and with consideration of any interaction effect between presence of pathology and number of operators. The categorical variables had been recoded with dummy variables and were entered as fixed factors. The overall corrected model remained significant: R = .32; adjusted R = .31 (F = 30.95, df = 3, p = <.001). The GLM identified that when two operators conducted the scan, the average scan duration took significantly longer compared to","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"45 1","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76373925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pneumothorax is a frequent problem seen in the intensive care unit (ICU). Lung ultrasound has demonstrated to be a useful method in the diagnosis of pneumothorax with high accuracy. The normal lung is characterized by the presence of lung sliding (Video 1). The pattern observed in pneumothorax by ultrasound are the abolition of lung sliding (Video 2) and the lung point sign (Video 3) which has been shown to have 100% specificity for its diagnosis. 1 The lung point sign is defined as an respiratory-synchronized change from lung sliding to no lung sliding in a specific location on the chest wall. 2 We present a case of pneumothorax with the lung point sign in a patient under high frequency oscillatory ventilation (HFOV). A 16-year-old patient suffering respiratory insufficiency due to acute respiratory distress syndrome was admitted to intensive care unit (ICU) requiring HFOV. Because he evolved with greater hypox-emia, we evaluated the lung with point-of-care ultrasound (POCUS). It showed at the anterior right chest the presence of the lung point sign compatible with pneumothorax. Specially, the lung sliding pre-sented a high-frequency movement in accordance with its ventilator mode, which made the lung point sign so peculiar (Video 4). The diagnosis was confirmed by chest X-ray. The patient required the placement of a right pleural drainage tube, evolving with improved oxygenation. It should be noted that there are situations where ultrasonography may fail to correctly rule a pneumothorax in or out.
{"title":"A case of lung point sign in a patient with pneumothorax under high frequency oscillatory ventilation","authors":"Issac Cheong","doi":"10.1002/sono.12331","DOIUrl":"https://doi.org/10.1002/sono.12331","url":null,"abstract":"Pneumothorax is a frequent problem seen in the intensive care unit (ICU). Lung ultrasound has demonstrated to be a useful method in the diagnosis of pneumothorax with high accuracy. The normal lung is characterized by the presence of lung sliding (Video 1). The pattern observed in pneumothorax by ultrasound are the abolition of lung sliding (Video 2) and the lung point sign (Video 3) which has been shown to have 100% specificity for its diagnosis. 1 The lung point sign is defined as an respiratory-synchronized change from lung sliding to no lung sliding in a specific location on the chest wall. 2 We present a case of pneumothorax with the lung point sign in a patient under high frequency oscillatory ventilation (HFOV). A 16-year-old patient suffering respiratory insufficiency due to acute respiratory distress syndrome was admitted to intensive care unit (ICU) requiring HFOV. Because he evolved with greater hypox-emia, we evaluated the lung with point-of-care ultrasound (POCUS). It showed at the anterior right chest the presence of the lung point sign compatible with pneumothorax. Specially, the lung sliding pre-sented a high-frequency movement in accordance with its ventilator mode, which made the lung point sign so peculiar (Video 4). The diagnosis was confirmed by chest X-ray. The patient required the placement of a right pleural drainage tube, evolving with improved oxygenation. It should be noted that there are situations where ultrasonography may fail to correctly rule a pneumothorax in or out.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"33 1","pages":"45 - 46"},"PeriodicalIF":0.4,"publicationDate":"2022-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81446380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gaorui Liu, Xiao Ke Rena Xu, Robert W. Ziegenbein, A. Clough, Yana Parsi, D. Oomens, Jillian L. Clarke
Duplex ultrasound is the first line of investigation for patients seeking treatment for varicose veins disease. In Australia, chronic venous insufficiency ultrasound examinations (CVI‐US) are primarily performed by sonographers. The use of clinical guidelines facilitates the practice of ultrasound, and more importantly, provides an assurance to the integrity and quality of the examinations. Our aim is to assess the quality of currently available guidelines and provide recommendations for choosing the appropriate guideline to use and suggestions for future guideline development.
{"title":"A critical appraisal of chronic venous insufficiency ultrasound guidelines—Views of Australian sonographers","authors":"Gaorui Liu, Xiao Ke Rena Xu, Robert W. Ziegenbein, A. Clough, Yana Parsi, D. Oomens, Jillian L. Clarke","doi":"10.1002/sono.12330","DOIUrl":"https://doi.org/10.1002/sono.12330","url":null,"abstract":"Duplex ultrasound is the first line of investigation for patients seeking treatment for varicose veins disease. In Australia, chronic venous insufficiency ultrasound examinations (CVI‐US) are primarily performed by sonographers. The use of clinical guidelines facilitates the practice of ultrasound, and more importantly, provides an assurance to the integrity and quality of the examinations. Our aim is to assess the quality of currently available guidelines and provide recommendations for choosing the appropriate guideline to use and suggestions for future guideline development.","PeriodicalId":29898,"journal":{"name":"Sonography","volume":"23 1","pages":"166 - 174"},"PeriodicalIF":0.4,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73667269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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