Showing 15 results for "Procedures"


Short versus Long for IJ Cannulation

The Battle of the Axes

By Michael Prats on 02/03/20 05:00 AM

It is an age-old question - short or long axis? Using ultrasound guidance for internal jugular vein cannulation is now fairly standard. There are a lot of opinions regarding if it is best to visualize the target in short axis (cross section) or long axis (parallel to the vein). There are certainly benefits to both. This episode features a prospective randomized trial that attempts to put an end to this debate. https://www.ultrasoundgel.org/85 https://www.ncbi.nlm.nih.gov/pubmed/31230925


POCUS in the Reduction of Distal Radius Fractures

Picking up the pieces?

By Michael Prats, MD on 04/15/19 06:00 AM

Fractures of the distal radius are pretty common among people who choose not to break their fall with their face. Sure - it's not hard to see these on xray, but is there a better way? Ultrasound is great for finding fractures, but what about being able to guide the reduction? This has been shown to be useful in a pediatric population, but this study looks at a population of adult patients in the emergency department to see just how accurate ultrasound is for determining if the pieces have been put back together. https://www.ncbi.nlm.nih.gov/pubmed/30191190


The Effect of POCUS on Abscess Treatment Failure

An RCT for POCUS I&D

By Michael Prats, MD on 10/01/18 06:00 AM

We know that ultrasound can be used to diagnose a superficial cutaneous abscess. That is NOT what this study is about. Forget diagnosing! What about actually helping your patients stay out of the emergency department? These authors performed this study with the hypothesis that using POCUS during the treatment of a superficial abscess might decrease the failure rate of the incision and drainage. That means ultrasound could help prevent patients from requiring additional treatment! They aren't messing around with retrospective chart reviews either - this is a real live randomized controlled trial.


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