Critical Care Ultrasound

For physicians and nurses in critical care medicine, the increased demand and use of ultrasound necessitates further training. Critical Care Ultrasound helps meet that need. A straightforward, practical approach, an abundance of detailed ultrasound images, and online video demonstrations provide step-by-step guidance on the principles and effective use of this important imaging modality in both diagnosis and assistance with specific procedures. Coverage includes the latest applications of ultrasound for neurologic critical care; vascular problems; chest; hemodynamic monitoring; and abdominal and emergency uses, as well as assistance in a variety of specific procedures in critical care medicine. By Philip Lumb, MB, BS, Chair, Department of Anesthesiology, Keck Medical Center of USC, Department of Anesthesiology Table of Contents: Section I - FUNDAMENTALS 1. Fundamentals: Ultrasound Physics and Principles; Equipment and Imaging Modes; Image Quality and Optimization; Artifacts; Ultrasound Technique and Safety Issues; Emergency Ultrasound; Critical Care Ultrasound   Section II - NEUROCRITICAL CARE 2. Transcranial Doppler Ultrasound in Neurocritical Care 3. Transcranial Doppler in aneurysmal subarachnoid hemorrhage- Consultant level examination 4. Transcranial Doppler in the diagnosis of cerebral circulatory arrest- Consultant level examination 5. Use of Transcranial Doppler Sonography in the Pediatric Intensive Care Unit - Consultant level examination 6. Ocular ultrasound in the intensive care unit- Consultant level examination 7. General Chest Ultrasound in Neurocritical Care   Section III - VASCULAR ULTRASOUND 8. Overview of the arterial system 9. Ultrasonography for Deep Venous Thrombosis 10. Ultrasound guided central venous access: the basics 11. UGVA Trends and Perspectives 12. How to choose the most appropriate ultrasound guided approach for central line insertion: introducing the rapid central venous assessment (RaCeVA) protocol 13. Pediatric Ultrasound Vascular Access 14. Ultrasound Guided Peripheral Intravenous Access 15. Percutaneous Inserted Central Catheters 16. Ultrasound Guided Arterial Catheterization 17. Intravascular Ultrasound (IVUS)- Consultant level examination 18. Ultrasound Guided Placement of IVC Filters- Consultant level examination Section IV - LUNG AND PLEURAL ULTRASOUND 19. Lung Ultrasound: the basics   20. Pleural Ultrasound 21. Lung Ultrasound in Trauma 22. Lung ultrasound in acute respiratory distress syndrome (ARDS) 23. Lung Ultrasound in Mechanically Ventilated Patients 24. Lung Ultrasound: protocols in Acute Dyspnea 25. Endobronchial Ultrasound (EBUS)- Consultant level examination   Section V - ECHOCARDIOGRAPHY 26. Transthoracic echocardiography: an overview 27. Echocardiography for Intensivists 28. Echocardiography: beyond the basics- Consultant level examination 29. Transesophageal Echocardiography 30. Echocardiography in Cardiac Trauma 31. Echocardiography in cardiac arrest 32. Evaluation of left ventricular diastolic function in the intensive care unit (ICU)- Consultant level examination 33. Evaluation of right ventricular function in the intensive care unit (ICU) by echocardiography- Consultant level examination 34. Evaluation of patients at high risk of weaning failure using Doppler echocardiography- Consultant level examinantion 35. Improving cardiovascular imaging diagnostics using patient specific numerical simulations and biomechanical analysis Section VI - HEMODYNAMICS 36. Hemodynamic monitoring considerations in the intensive care unit 37. Measures of volume status in the intensive care unit 38. EVALUATION OF FLUID RESPONSIVENESS BY ULTRASOUND 39. Ultrasonography in Circulatory Failure 40. PERIOPERATIVE SONOGRAPHIC MONITORING IN CARDIOVASCULAR SURGERY Section VII - ABDOMINAL AND EMERGENCY ULTRASOUND 41. Various targets in the abdomen (hepatobiliary system, spleen, pancreas, gastrointestinal tract and peritoneum)- Consultant level examination 42. Approach to the urogenital system 43. Point of Care Pelvic Ultrasound 44. Procedural Ultrasound for Surgeons- Consultant level examination 45. The Extended FAST Protocol 46. Use of Ultrasound (US) in the Evaluation and Treatment of Intra-abdominal Hypertension and Abdominal Compartment Syndrome Section VIII -SPECIALIZED SETTINGS 47. Ultrasound in the neonatal (NICU) and pediatric (PICU) intensive care unit 48. Integrating ultrasound in emergency pre-hospital settings 49. Use of Ultrasound in War Zones 50. Ultrasound Imaging in Space Flight Section IX - SPECIAL ULTRASOUND TECHNIQUES AND APPLICATIONS 51. Soft tissue, musculoskeletal system and miscellaneous targets 52. Ultrasound-guided percutaneous tracheostomy 53. Ultrasound in the Performance of Peripheral Nerve Blocks 54. Ultrasound in Reconstructive Microsurgery- Consultant level examination 55. Ultrasound in Animals   Section X - THE HOLA ULTRASOUND EXPERIENCE / CCU LOGISTICS, TRAINING AND CREDENTIALING 56. Integrating PACS and CPOE in the Intensive care unit (ICU): the challenge of delivering health Information Technology-enabled innovation 57. HOLA and the CCU Laboratory 58. Ultrasound: a Basic Clinical Competency 59. Integrating ultrasound into critical care teaching rounds 60. Training and competence in ultrasound-guided vascular access (UGVA) 61. Training in Critical Care Echocardiography: both sides of the Atlantic 62. Ultrasound training in critical care medicine fellowships