image-acquisition-using-portable-sonography-for-emergency-airway

Image Acquisition using Portable Sonography for Emergency Airway Management

With its increasing popularity and accessibility, portable ultrasonography has been rapidly adapted not only to improve the perioperative care of ...

identifying-frailty-using-point-care-ultrasonography-image

Identifying Frailty Using Point-of-Care Ultrasonography: Image Acquisition and Assessment

Frailty is a significant predictor of a range of adverse outcomes in surgical patients, including increased mechanical ventilation time, longer hospital ...

George Washington University School of Medicine and Health Sciences

George Washington University

Sex plays a role in all stages of the organ transplant process, including listing, sex/size matching of organs, complications, graft survival, and mortality. Sex-related differences in organ transplantation are likely multifactorial related to biological and social characteristics. More information is needed to determine how sex-related differences can lead to improved outcomes for future donors and recipients of solid organs. This article provides an overview on the impact of sex on various types of solid organ transplant, including kidney, pancreas, liver, lung, and heart transplants.

Perioperative Considerations Regarding Sex in Solid Organ Transplantation.

Evidence-based standardization of the perioperative management of patients undergoing complex spine surgery can improve outcomes such as enhanced patient satisfaction, reduced intensive care and hospital length of stay, and reduced costs. The Society for Neuroscience in Anesthesiology and Critical Care (SNACC) tasked an expert group to review existing evidence and generate recommendations for the perioperative management of patients undergoing complex spine surgery, defined as surgery on 2 or more thoracic and/or lumbar spine levels. Institutional clinical management protocols can be constructed based on the elements included in these clinical practice guidelines, and the evidence presented.

Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care.

An external ventricular drain (EVD) training module may improve the knowledge and proficiency of perioperative health care providers (HCPs).

Implementation of an Online External Ventricular Drain Training Module-An Educational Initiative to Improve Proficiency of Perioperative Health Care Providers: Results of a Retrospective Study.

With advances in technology and availability of handheld ultrasound probes, studies are focusing on the perioperative care of patients, but a limited number specifically on trauma patients. This review highlights recent findings from studies using point of care ultrasound (POCUS) to improve the care of trauma patients.

Point-of-Care Ultrasound for the Trauma Anesthesiologist.

Pregnant trauma patients are an underdescribed cohort in the medical literature. Noting injury patterns and contributors to mortality may lead to improved care.

Trauma in Obstetrical Patients.

Blood-based balanced resuscitation is a standard of care in massively bleeding trauma patients. No data exist as to when this therapy no longer significantly affects mortality. We sought to determine if there is a threshold beyond which further massive transfusion will not affect in-hospital mortality.

Cresting mortality: Defining a plateau in ongoing massive transfusion.

Measurement of the lateral parapharyngeal wall has been shown to correlate with severity of obstructive sleep apnea, which is believed to increase risk of difficulty in mask ventilation (MV). This study aimed to assess the efficacy of using ultrasound to measure the lateral parapharyngeal wall thickness (LPWT) to predict the difficulty of MV. The LPWT was measured as the distance between the inferior border of the carotid artery and the lateral wall of the pharynx. Difficulty of MV was assessed according to an MV scale. A total of 92 patients were enrolled. Measurements of the LPWT ranged from 1.52 to 4.43 cm. There was a significant correlation between LPWT and difficulty of MV ( = 0.004). Every increase in 1 cm of LPWT was associated with an odds of increase in MV score of 3.17 ( < 0.05). With a cutoff of 3.5 cm, the area under the curve for LPWT was 0.67. The negative predictive value was 0.89, and the positive predictive value was 0.57. Use of point-of-care ultrasound to measure the LPWT shows promise in its ability to aid in airway management planning. Ultrasonic measurements of the LPWT have reasonable accuracy for predicting difficulty of MV.

Usefulness of preoperative point-of-care ultrasound measurement of the lateral parapharyngeal wall to predict difficulty in mask ventilation.

The incorporation of point of care ultrasound into the field of anesthesiology and perioperative medicine is growing at rapid pace. The benefits of this modality align with the acuity of patient care and decision-making in anesthetic care of a trauma patient.

Current status of point of care ultrasonography for the perioperative care of trauma patients.

The aim of this survey was to understand institutional spine surgery practices and their concordance with published best practices/recommendations.

ArticleTotal : 2	Year
Publication title Cited by 1	2022
Publication title	2024

Article	Year
Perioperative Considerations Regarding Sex in Solid Organ Transplantation. Anesthesiology clinics\| PubMed ID: 32336385	2020
Perioperative Care of Patients Undergoing Major Complex Spinal Instrumentation Surgery: Clinical Practice Guidelines From the Society for Neuroscience in Anesthesiology and Critical Care. Journal of neurosurgical anesthesiology\| PubMed ID: 34483301	2022
Implementation of an Online External Ventricular Drain Training Module-An Educational Initiative to Improve Proficiency of Perioperative Health Care Providers: Results of a Retrospective Stu... Journal of neurosurgical anesthesiology\| PubMed ID: 34881561	2023
Point-of-Care Ultrasound for the Trauma Anesthesiologist. Current anesthesiology reports\| PubMed ID: 35075351	2022
Trauma in Obstetrical Patients. Journal of emergencies, trauma, and shock\| PubMed ID: 35125787	2021
Cresting mortality: Defining a plateau in ongoing massive transfusion. The journal of trauma and acute care surgery\| PubMed ID: 35393379	2022
Usefulness of preoperative point-of-care ultrasound measurement of the lateral parapharyngeal wall to predict difficulty in mask ventilation. Proceedings (Baylor University. Medical Center)\| PubMed ID: 35991745	2022
Current status of point of care ultrasonography for the perioperative care of trauma patients. Current opinion in anaesthesiology\| PubMed ID: 36550092	2023
Differences in Perioperative Management of Patients Undergoing Complex Spine Surgery: A Global Perspective. Journal of neurosurgical anesthesiology\| PubMed ID: 37192477	2024

Anita Vincent

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