POCUS to Diagnosis Gastric Content

Can you stomach it?

By Michael Prats, MD on 05/07/18 06:00 AM

Usually in ultrasound we think of the stomach as something that gets in the way or gives us a false positive LUQ view in the FAST. But what if visualizing the stomach could actually be helpful? In some scenarios, such as prior to anesthesia, sedation, or a procedure, it might be nice to know if the patient has a full stomach with the potential to aspirate. These authors test out the accuracy of POCUS for this purpose in healthy volunteers.


Flexor Tenosynovitis

Giving the Finger to POCUS

By Michael Prats, MD on 04/23/18 06:00 AM

Flexor tenosynovitis is a bad infection in the finger. It usually requires surgical intervention for treatment. The current standard of diagnosis is primarily clinical, sometimes with the help of blood tests. Since the disease process should produce a fluid collection around the flexor tendon sheath - the idea in this study is that perhaps ultrasound can visualize that fluid and clench the diagnosis. This would lead to ensuring the proper treatment to those who need it and potentially avoiding an unnecessary operation for those who don't. So how well does this plan work out? Should we be doing this routinely?


Technique for Ultrasound During Endotracheal Intubation

A Wild "Goose" Chase?

By Michael Prats, MD on 04/09/18 06:00 AM

We already know that ultrasound can be used to help with endotracheal intubation. The idea is that you can visualize the trachea and esophagus while someone is attempting to place the endotracheal tube - and see which one lights up with the air-filled balloon. Since some people are actually doing this now, it might be important to figure out the best way to perform this ultrasound exam. Where do you put the transducer? Do you add pressure? How long does this take? Some of these answers are obvious, but this study takes a look to figure out where you can get the most bang for your airway ultrasound buck.

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Have you been living under a rock? If not - then you know that POCUS doesn't help hypotensive patients. Well...maybe don't believe all the hype. We will cover this in a podcast later, but for now you should read it yourself!