Ultrasound: An Important Tool in Critical Care

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Point-of-Care Diagnostics and Devices".

Deadline for manuscript submissions: 31 May 2024 | Viewed by 1821

Special Issue Editors


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Guest Editor
Department of Anesthesiology and Intensive Care Medicine, University Hospital Tübingen, Hoppe-Seyler-Straße 3, 72076 Tübingen, Germany
Interests: critical care medicine diagnostics; echocardiography

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Guest Editor
Institute of Intensive Care Medicine, University Hospital Zurich, 8091 Zurich, Switzerland
Interests: point of care ultrasound; critical care diagnostics

Special Issue Information

Dear Colleagues,

Patients in critical care confront significant challenges, including life-threatening organ dysfunction or failure. Ultrasound has risen as a crucial diagnostic tool for managing these patients due to its non-invasive, cost-effective, and real-time imaging capabilities. This special edition of Diagnostics will investigate the expanding importance of ultrasound in critical care environments.

In this edition, we invite a diverse range of articles, encompassing original research and reviews, authored by experts in the field. Our goal is to address various facets of ultrasound technology, including point-of-care applications, echocardiography, lung, abdominal and cerebrovascular imaging, vascular access, and procedural guidance, with the hope of providing insights into the future impact of artificial intelligence on ultrasound technology.

This compilation aims to constitute a comprehensive resource for medical professionals and researchers, presenting insights into the present state and future potential of critical care ultrasound. We aspire to reinforce the value of ultrasound in critical care management and promote ongoing advancements in this vital diagnostic instrument.

In conclusion, ultrasound has become an indispensable tool in critical care management, leading to improved patient outcomes and well-informed decision making. This special edition of Diagnostics will examine the latest advancements and best practices in this rapidly progressing field, with the ultimate objective of enhancing patient care and optimizing therapeutic strategies.

Dr. Michael Koeppen
Dr. Christoph Camille Ganter
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • point-of-care ultrasound
  • POCUS
  • ultrasonography
  • echocardiography
  • lung and abdominal ultrasonography
  • vascular access
  • artificial intelligence integration

Published Papers (2 papers)

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Research

11 pages, 1539 KiB  
Article
Efficiency of Simulation-Based Learning Using an ABC POCUS Protocol on a High-Fidelity Simulator
by Robert Simon, Cristina Petrisor, Constantin Bodolea, Adela Golea, Sara Hora Gomes, Oana Antal, Horațiu Nicolae Vasian, Orlanda Moldovan and Cosmin Ion Puia
Diagnostics 2024, 14(2), 173; https://doi.org/10.3390/diagnostics14020173 - 12 Jan 2024
Cited by 1 | Viewed by 676
Abstract
Critically ill patients with rapidly deteriorating clinical status secondary to respiratory and cardio-vascular compromise are at risk for immediate collapse if the underlying pathology is not recognized and treated. Rapid diagnosis is of utmost importance regardless of the setting. Although there are data [...] Read more.
Critically ill patients with rapidly deteriorating clinical status secondary to respiratory and cardio-vascular compromise are at risk for immediate collapse if the underlying pathology is not recognized and treated. Rapid diagnosis is of utmost importance regardless of the setting. Although there are data to support the use of point-of-care ultrasound in critical patients, there is no consensus about the best educational strategy to implement. We designed a curriculum based on the ABC (Airway, Breathing, Circulation) protocol that covers essential airway, lung, and cardiac ultrasound skills needed for fast diagnosis in critical patients and applied it in high-fidelity simulation-based medical education sessions for anesthesia and intensive care residents year one and two. After theoretical and practical assessments, our results show statistical differences in the theoretical knowledge and above-average results in practical assessment. Our proposed curriculum based on a simple ABC POCUS protocol, with an Airway, Breathing, and Circulation approach, is useful in teaching ultrasound basics regarding airway, lung, and cardiac examination using high-fidelity simulation training to anesthesia and intensive care residents, but further research is needed to establish the utility of Simulation-Based Medical Education in Point of Care Ultrasound in the critical patient. Full article
(This article belongs to the Special Issue Ultrasound: An Important Tool in Critical Care)
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10 pages, 1435 KiB  
Article
The Performance Characteristics of Handheld, Non-Piezoelectric Point-of-Care Ultrasound (POCUS) in the Emergency Department
by Brandon Michael Wubben and Hae In Yun
Diagnostics 2024, 14(1), 17; https://doi.org/10.3390/diagnostics14010017 - 21 Dec 2023
Viewed by 857
Abstract
The use of handheld point-of-care ultrasound (HH-POCUS) platforms is rapidly increasing, but the diagnostic performance of HH-POCUS in the emergency department (ED) has not been well-studied. For a period of one year, only a HH-POCUS system that uses a non-piezoelectric array (Butterfly iQ+™) [...] Read more.
The use of handheld point-of-care ultrasound (HH-POCUS) platforms is rapidly increasing, but the diagnostic performance of HH-POCUS in the emergency department (ED) has not been well-studied. For a period of one year, only a HH-POCUS system that uses a non-piezoelectric array (Butterfly iQ+™) was available for clinical POCUS examinations in our ED. We performed a retrospective observational study of patients who underwent cardiac, thoracic, renal, biliary, or lower extremity venous (DVT) examinations from November 2021–November 2022 and calculated performance characteristics of HH-POCUS relative to radiology imaging. A total of 381 HH-POCUS studies were evaluated. Cardiac image quality was significantly lower than lung (p = 0.002). Over half of the studies (213/381) had imaging available for comparison, and HH-POCUS identified 86.5% (32/37, (95%CI) 70.4–94.9) of prespecified emergent diagnoses, including acute cholecystitis, severely reduced left ventricular ejection fraction, pericardial effusion or tamponade, moderate or larger pleural effusion, pneumothorax, moderate or larger hydronephrosis, and DVT. For less emergent diagnoses, 84.3% (43/51, (95%CI) 70.9–92.5) were identified. Overall, HH-POCUS using a non-piezoelectric array showed modest real-world performance in the ED for cardiac, thoracic, renal, biliary, and DVT examinations. HH-POCUS may be inadequate to rule out some common ED diagnoses, but had good specificity for certain conditions such as pericardial effusion. Full article
(This article belongs to the Special Issue Ultrasound: An Important Tool in Critical Care)
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