Category Archives: Ultrasound

#ESICMtv webinar – Haemodynamic management in #COVID19 patients

This webinar presents how the COVID-19 crisis is impacting countries in Europe. Four experts provide an overview of the current WHO treatment guidelines and explore – using individual case reports – the patient benefits of advanced haemodynamic monitoring in the ICU.

The experts:

Co-Presenter: Prof. Jacques Duranteau is Professor and Head of Anaesthesiology and Intensive Care at Bicêtre University Hospital, Paris, and President of the Medical Committee of Paris-Saclay University Hospitals.

Co-Presenter: Antonio Messina isa Researcher andSenior Consultant in the Intensive Care Unit of the Humanitas Research Hospital, Milan.  His fields of interest include haemodynamic monitoring, heart-lung interaction and perioperative medicine.

Co-Presenter: Dr Manuel Ignacio Monge García of the Intensive Care Unit, Hospital Universitario del SAS, Jerez de la Frontera, Spain is an ICU doctor mainly dedicated to haemodynamic monitoring and cardiovascular physiology applied to bedside monitoring.

Moderator: Prof. Michael (Monty) G. Mythen is the Smiths Medical Professor of Anaesthesia & Critical Care at University College London.  He is also an Elected Council Member of the Royal College of Anaesthetists and leads their perioperative medicine programme.

The Video:

The presentations

This one on the current status in Italy, UK, Spain and France is particularly interesting….




Consolidation on Lung Ultrasound

The 7 principles of Lung Ultrasound in the Critically Ill LUCI and echographic diagnosis of lung consolidation in this LIVES2019 infographic!

1 – a simple equipment is the best

2 – thorax is a mingling of air (gas) and water (fluids)

3 – lung is the most voluminous organ: here some advices on where to apply the probe?

4 – all arises from pleural line

5 – LUCI is the science of artifacts

6 – Lung: is a vital organ

7 – Most life-threatening disorders reach the wall and and have usually extensive surface

Why and how looking for consolidation?? here the Blue protocol with its profiles and some notes on the Pink protocol. How to distinguish between translobar and non translobar consolidation? Do we have an obstructive atelectasis or it’s just compression? take a look…

graphics by Marta Velia Antonini @FOAMecmo

content based on Daniel Lichtenstein masterclass at #LIVES2019

 

Renske chats with Jim Watchorn and Sam Hutchings about the kidney! At #LIVES2019

 

ABSTRACT

All adult intubated patients in critical care were eligible for inclusion using an emergency waiver of consent. A minimum of four standardized video clips were taken by an investigator using an incident dark field (IDF) video-microscope (Cytocam, Braedius Medical, NL) who subsequently calculated a POEM score and recorded the time taken. On completion a second investigator blinded to the results of the first repeated this process. At a later stage (>1 month) investigators re-scored their own and their co-investigators images. Scores were analysed using Cohens weighted Kappa score to provide intra-user, inter-user and test-retest reliability. A kappa statistic was also calculated for test-retest reliability for POEM score 1-3 against POEM score 4-5 which is the threshold for fluid administration used in an ongoing interventional study (Clinical Trials.gov  ID).