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Inferior Vena Cava Collapsibility for Fluid Responsiveness

yes or no?

By Michael Prats, MD on 07/31/17 02:00 AM

Ultrasound of the IVC is the people's volume responsiveness test. The idea is that you can non-invasively tell if a patient will benefit from getting more IV fluids. Everybody wants this to work so we can have a simple test to help us in critical situations. It is more reliable in mechanically ventilated patients with a fixed tidal volume but how about the non-intubated patient? Can we trust it?


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FAST exam in Stable Pediatrics

How should it be used?

By Delia Gold, MD on 07/03/17 02:00 AM

The FAST exam is one of the founding fathers of point of care ultrasound. As ultrasound creeps into the pediatric world, it is being used in trauma patients to assess for intraabdominal injury. This article looks at what happens when you apply the FAST exam to a stable pediatric patient with blunt torso trauma. Spoiler Alert! - nothing happens. We discuss what this study shows us, how FAST can be used in pediatrics, and further directions of this modality.


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Ultrasound Guided Nerve Block for Shoulder Dislocations

Regional Anesthesia versus Procedural Sedation - a Randomized Control Trial!

By Michael Prats, MD on 06/19/17 02:00 AM

You are treating someone with a shoulder dislocation. You have a few options that can be used to help put it back where it belongs: A) Procedural sedation - the old standby. B) Intraarticular injection - some people love it, some hate it C) Relaxational maneuvers - sometimes feasible, and, last but not least D) Regional anesthesia - the new kid on the (nerve) block. This study compares procedural sedation to regional anesthesia with an ultrasound guided interscalene nerve block for the outcomes of pain and length of stay (and a few other things too).


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