History of emergency and critical care ultrasound: the evolution of a new imaging paradigm.


:The tradition of clinical ultrasound in the hands of physicians who provide critical care to the most acutely ill patients stretches back into the 1980s and is rich with experiences from surgical, emergency medicine, and other practices. Now, as critical care ultrasound explodes around the world, it is important to realize the path its development has taken and learn from trials and tribulations of early practitioners in the field. The development and battles for the right to use ultrasound at the patient's bedside for >20 yrs is described in relation to its emergency medicine and surgical origins. Approaches to education, scanning, documentation, and organization at the national and regional levels are described.


Crit Care Med


Critical care medicine


Kendall JL,Hoffenberg SR,Smith RS




Has Abstract


2007-05-01 00:00:00




5 Suppl










  • Acute respiratory distress syndrome: frequency, clinical course, and costs of care.

    abstract:OBJECTIVE:To define the occurrence rate of acute respiratory distress syndrome (ARDS) using established criteria in a well-defined general patient population, to study the clinical course of ARDS when patients were ventilated using a "lung-protective" strategy, and to define the total costs of care. DESIGN:A 3-yr (199...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Valta P,Uusaro A,Nunes S,Ruokonen E,Takala J

    更新日期:1999-11-01 00:00:00

  • Early goal-directed sedation versus standard sedation in mechanically ventilated critically ill patients: a pilot study*.

    abstract:OBJECTIVE:To assess the feasibility and safety of delivering early goal-directed sedation compared with standard sedation. DESIGN:Pilot prospective, multicenter, randomized, controlled trial. SETTING:Six ICUs. PATIENTS:Critically ill adults mechanically ventilated for greater than 24 hours. INTERVENTIONS:Patients r...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Shehabi Y,Bellomo R,Reade MC,Bailey M,Bass F,Howe B,McArthur C,Murray L,Seppelt IM,Webb S,Weisbrodt L,Sedation Practice in Intensive Care Evaluation Study Investigators.,Australian and New Zealand Intensive Care Society Clinical

    更新日期:2013-08-01 00:00:00

  • Comparison of prone positioning and continuous rotation of patients with adult respiratory distress syndrome: results of a pilot study.

    abstract:OBJECTIVE:To compare prone positioning and continuous rotational therapy with respect to oxygenation and hemodynamics in patients suffering from adult respiratory distress syndrome (ARDS). DESIGN:Randomized, prospective pilot study. SETTING:Intensive care unit at a university hospital. PATIENTS:Twenty-six mechanical...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Staudinger T,Kofler J,Müllner M,Locker GJ,Laczika K,Knapp S,Losert H,Frass M

    更新日期:2001-01-01 00:00:00

  • End-tidal CO2 as a guide to successful cardiopulmonary resuscitation: a preliminary report.

    abstract::Utilizing a well-established porcine model of cardiac arrest, we found that end-tidal CO2 concentration (ETCO2) strikingly decreased to approximately 24% of control levels, immediately after cardiac arrest and before precordial compression. During precordial compression, ETCO2 progressively increased to 46% of control...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Trevino RP,Bisera J,Weil MH,Rackow EC,Grundler WG

    更新日期:1985-11-01 00:00:00

  • Contextual issues influencing implementation and outcomes associated with an integrated approach to managing pain, agitation, and delirium in adult ICUs.

    abstract:OBJECTIVE:This pilot study was designed to identify which contextual factors facilitate/hinder the implementation of the awakening, breathing, coordination, delirium, and early mobility (ABCDE) bundle for guidance in future studies. DESIGN:The sources of data for this study included document review, planned site visit...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Carrothers KM,Barr J,Spurlock B,Ridgely MS,Damberg CL,Ely EW

    更新日期:2013-09-01 00:00:00

  • Aerosolized anticoagulants ameliorate acute lung injury in sheep after exposure to burn and smoke inhalation.

    abstract:OBJECTIVE:Acute lung injury is a detrimental complication for victims of burn accidents. Airway obstruction plays an important role in pulmonary dysfunction in these patients. In this study, we tested the hypothesis that aerosolized anticoagulants will reduce the degree of airway obstruction and improve pulmonary funct...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Enkhbaatar P,Cox RA,Traber LD,Westphal M,Aimalohi E,Morita N,Prough DS,Herndon DN,Traber DL

    更新日期:2007-12-01 00:00:00

  • Microdialysis-evaluated myocardial cyclooxygenase-mediated inflammation and early circulatory depression in porcine endotoxemia.

    abstract:OBJECTIVE:To evaluate the early myocardial biochemical inflammatory response with the microdialysis technique during porcine endotoxemia and to simultaneously monitor systemic hemodynamics. DESIGN:Prospective, randomized, placebo-controlled trial with parallel groups. SETTING:Animal research laboratory at the Univers...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Mutschler DK,Eriksson MB,Wikström BG,Lind L,Larsson A,Bergren-Kiiski R,Lagrange A,Nordgren A,Basu S

    更新日期:2003-06-01 00:00:00

  • Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders' conference.

    abstract:BACKGROUND:Millions of patients are discharged from intensive care units annually. These intensive care survivors and their families frequently report a wide range of impairments in their health status which may last for months and years after hospital discharge. OBJECTIVES:To report on a 2-day Society of Critical Car...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Needham DM,Davidson J,Cohen H,Hopkins RO,Weinert C,Wunsch H,Zawistowski C,Bemis-Dougherty A,Berney SC,Bienvenu OJ,Brady SL,Brodsky MB,Denehy L,Elliott D,Flatley C,Harabin AL,Jones C,Louis D,Meltzer W,Muldoon SR,Pa

    更新日期:2012-02-01 00:00:00

  • Full Finger Reperfusion Time Measured by Pulse Oximeter Waveform Analysis in Children.

    abstract:OBJECTIVES:Capillary refill time is a noninvasive method to assess tissue perfusion to determine shock status. Capillary refill time is defined as the time required to regain skin color after blanching pressure is applied. Although common methods to measure capillary refill time depend on clinicians' visual assessment,...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Nickel AJ,Jiang S,Napolitano N,Yehya N,Fitzgerald JC,Bruins BB,Lockman JL,Nadkarni VM,Nishisaki A

    更新日期:2020-10-01 00:00:00

  • Endotoxemia reduces cerebral perfusion but enhances dynamic cerebrovascular autoregulation at reduced arterial carbon dioxide tension.

    abstract:OBJECTIVE:The administration of endotoxin to healthy humans reduces cerebral blood flow but its influence on dynamic cerebral autoregulation remains unknown. We considered that a reduction in arterial carbon dioxide tension would attenuate cerebral perfusion and improve dynamic cerebral autoregulation in healthy subjec...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Brassard P,Kim YS,van Lieshout J,Secher NH,Rosenmeier JB

    更新日期:2012-06-01 00:00:00

  • Early combination antibiotic therapy yields improved survival compared with monotherapy in septic shock: a propensity-matched analysis.

    abstract:BACKGROUND:Septic shock represents the major cause of infection-associated mortality in the intensive care unit. The possibility that combination antibiotic therapy of bacterial septic shock improves outcome is controversial. Current guidelines do not recommend combination therapy except for the express purpose of broa...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Kumar A,Zarychanski R,Light B,Parrillo J,Maki D,Simon D,Laporta D,Lapinsky S,Ellis P,Mirzanejad Y,Martinka G,Keenan S,Wood G,Arabi Y,Feinstein D,Kumar A,Dodek P,Kravetsky L,Doucette S,Cooperative Antimicrobial Thera

    更新日期:2010-09-01 00:00:00

  • End-of-life care for the critically ill: A national intensive care unit survey.

    abstract:OBJECTIVE:One in five Americans dies following treatment in an intensive care unit (ICU), and evidence indicates the need to improve end-of-life care for ICU patients. We conducted this study to elicit the views and experiences of ICU directors regarding barriers to optimal end-of-life care and to identify the type, av...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究


    authors: Nelson JE,Angus DC,Weissfeld LA,Puntillo KA,Danis M,Deal D,Levy MM,Cook DJ,Critical Care Peer Workgroup of the Promoting Excellence in End-of-Life Care Project.

    更新日期:2006-10-01 00:00:00

  • Epidemiology, management, and outcome of severe acute renal failure of critical illness in Australia.

    abstract:OBJECTIVE:To study the epidemiology, style of management, and outcome of intensive care patients with acute renal failure requiring replacement therapy in Australia. DESIGN:Prospective epidemiologic study. SETTING:Australian adult intensive care units providing acute renal replacement therapy. PATIENTS:Adult intensi...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Silvester W,Bellomo R,Cole L

    更新日期:2001-10-01 00:00:00

  • Molecular biology of inflammation and sepsis: a primer.

    abstract:BACKGROUND:Remarkable progress has been made during the last decade in defining the molecular mechanisms that underlie septic shock. This rapidly expanding field is leading to new therapeutic opportunities in the management of severe sepsis. AIM:To provide the clinician with a timely summary of the molecular biology o...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Cinel I,Opal SM

    更新日期:2009-01-01 00:00:00

  • Deadspace to tidal volume ratio predicts successful extubation in infants and children.

    abstract:OBJECTIVE:Using a modification of the Bohr equation, single-breath carbon dioxide capnography is a noninvasive technology for calculating physiologic dead space (V(D)/V(T)). The objective of this study was to identify a minimal V(D)/V(T) value for predicting successful extubation from mechanical ventilation in pediatri...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章


    authors: Hubble CL,Gentile MA,Tripp DS,Craig DM,Meliones JN,Cheifetz IM

    更新日期:2000-06-01 00:00:00

  • Association Between Cardiac Injury and Mortality in Hospitalized Patients Infected With Avian Influenza A (H7N9) Virus.

    abstract:OBJECTIVES:To evaluate the prevalence of cardiac injury and its association with mortality in hospitalized patients infected with avian influenza A (H7N9) virus. DESIGN:Retrospective cohort study. SETTING:A total of 133 hospitals in 17 provinces, autonomous regions, and municipalities of mainland China that admitted ...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Gao C,Wang Y,Gu X,Shen X,Zhou D,Zhou S,Huang JA,Cao B,Guo Q,Community-Acquired Pneumonia–China Network.

    更新日期:2020-04-01 00:00:00

  • Therapy of shock based on pathophysiology, monitoring, and outcome prediction.

    abstract::High-risk patients who survived general (noncardiac) surgery were observed to have cardiac index (CI) values averaging 4.5 L/min.m2, oxygen delivery (DO2) greater than 600 ml/min.m2, and oxygen consumption (VO2) 170 ml/min.m2 during the first 2 or three days postoperatively. Patients who subsequently died maintained r...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Shoemaker WC,Kram HB,Appel PL

    更新日期:1990-01-01 00:00:00

  • Protective effects of a selective neutrophil elastase inhibitor (sivelestat) on lipopolysaccharide-induced acute dysfunction of the pulmonary microcirculation.

    abstract:OBJECTIVE:The purpose of this study was to evaluate the effect of a neutrophil elastase inhibitor, sivelestat, on lipopolysaccharide-induced acute lung injury through analysis of hemodynamic changes in the pulmonary microcirculation. DESIGN:Randomized animal study. SETTING:Medical school laboratory. SUBJECTS:Twenty-...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Inoue Y,Seiyama A,Tanaka H,Ukai I,Akimau P,Nishino M,Shimazu T,Sugimoto H

    更新日期:2005-08-01 00:00:00

  • Do autopsies of critically ill patients reveal important findings that were clinically undetected?

    abstract:OBJECTIVE:To determine if autopsies performed on patients who die in the medical intensive care unit (ICU) provide clinically important new information. DESIGN:Retrospective review. SETTING:A 16-bed medical-coronary ICU. PATIENTS:Patients who underwent autopsy during a 1-yr period. INTERVENTIONS:Pre mortem diagnose...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Blosser SA,Zimmerman HE,Stauffer JL

    更新日期:1998-08-01 00:00:00

  • Tumor necrosis factor-alpha and interleukin-10 gene expression in peripheral blood mononuclear cells after cardiac surgery.

    abstract:OBJECTIVE:Cytokine response after cardiac surgery may be genetically influenced. A study was carried out to investigate the relation between cytokine gene expression in peripheral blood mononuclear cells, genotype, and clinical events after cardiac surgery. DESIGN:A case-control study was performed. SETTING:Cardiac i...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Duggan E,Caraher E,Gately K,O'Dwyer M,McGovern E,Kelleher D,McManus R,Ryan T

    更新日期:2006-08-01 00:00:00

  • High-dose exogenous iron following cecal ligation and puncture increases mortality rate in mice and is associated with an increase in gut epithelial and splenic apoptosis.

    abstract:OBJECTIVES:Despite having dysregulated iron metabolism, critically ill patients may receive exogenous iron for the treatment of anemia. Iron is associated with increased tissue apoptosis and may facilitate bacterial growth. We hypothesized that exogenous iron administration given after the onset of sepsis would lead to...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Javadi P,Buchman TG,Stromberg PE,Husain KD,Dunne WM,Woolsey CA,Turnbull IR,Hotchkiss RS,Karl IE,Coopersmith CM

    更新日期:2004-05-01 00:00:00

  • Quality of life among long-term survivors of intensive care.

    abstract::Quality of life was examined in 717 individuals 1 yr after their admission to a multidisciplinary ICU. Of these, 87% were able to live at home 6 months after their admission. Of patients 65 yr and older, 90% had been living independently before admission compared to 80% 1 yr afterward. Of those younger than 65 yr, mos...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Zarén B,Hedstrand U

    更新日期:1987-08-01 00:00:00

  • The effect of anti-L-selectin (aselizumab) in multiple traumatized patients--results of a phase II clinical trial.

    abstract:OBJECTIVE:The objectives of this study were to evaluate safety (primary) and clinical efficacy (secondary) of the humanized monoclonal anti-L-selectin antibody aselizumab in severely injured patients. DESIGN:Prospective phase II, parallel group, double-blind, randomized, placebo-controlled clinical trial. SETTING:Fou...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Seekamp A,van Griensven M,Dhondt E,Diefenbeck M,Demeyer I,Vundelinckx G,Haas N,Schaechinger U,Wolowicka L,Rammelt S,Stroobants J,Marzi I,Brambrink AM,Dziurdzik P,Gasiorowski J,Redl H,Beckert M,Khan-Boluki J

    更新日期:2004-10-01 00:00:00

  • Economic evaluation of chlorhexidine-impregnated sponges for preventing catheter-related infections in critically ill adults in the Dressing Study.

    abstract:BACKGROUND:The randomized two-way factorial Dressing Study (1,636 patients, 28,931 catheter days) showed that a chlorhexidine-impregnated sponge decreased the incidence of major catheter-related infections from 1.4‰ to 0.6‰ catheter days, and that scheduled dressing changes every 7 days was not inferior to scheduled ch...

    journal_title:Critical care medicine

    pub_type: 杂志文章,随机对照试验


    authors: Schwebel C,Lucet JC,Vesin A,Arrault X,Calvino-Gunther S,Bouadma L,Timsit JF

    更新日期:2012-01-01 00:00:00

  • Clinical practice guidelines for the maintenance of patient physical safety in the intensive care unit: use of restraining therapies--American College of Critical Care Medicine Task Force 2001-2002.

    abstract:OBJECTIVE:To develop clinical practice guidelines for the use of restraining therapies to maintain physical and psychological safety of adult and pediatric patients in the intensive care unit. PARTICIPANTS:A multidisciplinary, multispecialty task force of experts in critical care practice was convened from the members...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Maccioli GA,Dorman T,Brown BR,Mazuski JE,McLean BA,Kuszaj JM,Rosenbaum SH,Frankel LR,Devlin JW,Govert JA,Smith B,Peruzzi WT,American College of Critical Care Medicine, Society of Critical Care Medicine.

    更新日期:2003-11-01 00:00:00

  • Physiologic evaluation of noninvasive mechanical ventilation delivered with three types of masks in patients with chronic hypercapnic respiratory failure.

    abstract:OBJECTIVE:The efficacy of noninvasive mechanical ventilation (NIMV) in improving breathing pattern and arterial blood gases (ABG) in hypercapnic patients has been well documented; however, little attention has been given to the choice of the interface and the ventilatory mode. We evaluated the effects of three types of...

    journal_title:Critical care medicine

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Navalesi P,Fanfulla F,Frigerio P,Gregoretti C,Nava S

    更新日期:2000-06-01 00:00:00

  • Fever in adult ICUs: an interrupted time series analysis*.

    abstract:OBJECTIVES:Fever is common and associated with increased mortality among patients admitted to adult ICUs, yet recent literature suggests that the incidence of fever may be decreasing. The objective of this study was to determine whether the incidence of fever in adult ICUs changed over time and the factors responsible ...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Niven DJ,Stelfox HT,Shahpori R,Laupland KB

    更新日期:2013-08-01 00:00:00

  • Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.

    abstract::Checklists have been recently promulgated as a method to enhance patient safety and improve outcomes for critically ill patients. Specifically, recent work performed by researchers from the Johns Hopkins Medical Institutions has demonstrated that the addition of checklists to usual care in the intensive care unit is a...

    journal_title:Critical care medicine

    pub_type: 杂志文章,评审


    authors: Savel RH,Goldstein EB,Gropper MA

    更新日期:2009-02-01 00:00:00

  • Physicians' decision-making roles for an acutely unstable critically and terminally ill patient.

    abstract:OBJECTIVES:There is substantial variation in use of life sustaining technologies in patients near the end of life but little is known about variation in physicians' initial ICU admission and intubation decision making processes. Our objective is to describe variation in hospital-based physicians' communication behavior...

    journal_title:Critical care medicine

    pub_type: 杂志文章,多中心研究


    authors: Uy J,White DB,Mohan D,Arnold RM,Barnato AE

    更新日期:2013-06-01 00:00:00

  • Comparison of two simplified severity scores (SAPS and APACHE II) for patients with acute myocardial infarction.

    abstract::The Simplified Acute Physiology Score (SAPS), the Acute Physiology and Chronic Health Evaluation II (APACHE II), the Acute Physiology Score (APS), and the Coronary Prognostic Index (CPI), calculated within the first 24 h of ICU admission, were compared in 76 patients with acute myocardial infarction (AMI). Sixteen (21...

    journal_title:Critical care medicine

    pub_type: 杂志文章


    authors: Moreau R,Soupison T,Vauquelin P,Derrida S,Beaucour H,Sicot C

    更新日期:1989-05-01 00:00:00