Overview Percutaneous tracheostomy (PT) is a common bedside procedure in the intensive care unit (ICU). Successful outcome requires midline needle puncture between the second and fourth tracheal rings and avoidance of posterior wall and vascular trauma. Kearney et al reported…
Overview Besides encompassing specific focused techniques, the holistic approach (HOLA) ultrasound concept, introduced in Chapter 1 , promotes generic scanning of any body part (head-to-toe ultrasound imaging) as modulated by current clinical indications. Any ultrasound view obtained through the skin…
Throughout the 5 decades of human space flight, the space medical support systems provided for onboard treatment of minor medical events and evacuation of the seriously ill or injured to Earth. In the absence of adequate objective information, however, it…
Overview War zones are unpredictable and austere environments that present unique challenges to medical providers. The hazards of combat as well as common nontraumatic pathology must be cared for in a diverse range of settings, from the combat medic caring…
As previous and future chapters will attest, ultrasonography (US) is an indispensable modality in assessing patients in the hospital and outpatient setting. In the past few years, compact, robust, and portable US machines have been developed for use in various…
Overview Children and neonates are ideal candidates for the implementation of the holistic approach (HOLA) critical care ultrasound concept (see Chapter 1 ). This is mainly due to their small body size, which permits the fast application of all possible…
Overview Intraabdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are well-documented causes of morbidity and mortality in the critically ill. IAH and ACS may affect almost every organ system. The World Society of the Abdominal Compartment Syndrome ( www.wsacs.org )…
Overview Ultrasound has become a permanent part of the evaluation of trauma patients ever since its first use in the emergency department more than 30 years ago. First used in Europe in the 1970s, abdominal ultrasound ultimately replaced diagnostic peritoneal…
Ultrasound (US) has become an indispensable part of the surgeon’s armamentarium, useful in both bedside assessment and operative treatment. Because the diagnostic and critical care applications of US are discussed elsewhere, this chapter will focus on intraoperative and US-guided surgical…
Overview This chapter illustrates the basic features of pelvic ultrasound by outlining the exploration of the female genital system, concluding thus the holistic approach (HOLA) ultrasound concept of the abdominal examination (see Chapters 1 and 44 ). Clinician-performed point-of-care pelvic…