Marsha A. Elkhunovich

Diaphragm Thickening Fraction for Predicting Esophageal Pressure and Ventilator Weaning in Children

Daniel J. Chang, Marsha A. Elkhunovich, Justin Christian Hotz, Dinnel Bornstein et autres

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Diaphragm Thickening Fraction is Not Predictive of Spontaneous Breathing Trial or Extubation Outcomes in Critically Ill Children

Daniel Chang, Marsha A. Elkhunovich, Justin Christian Hotz, Dinnel Bornstein et autres

Abstract Rationale: Diaphragm ultrasound is increasingly being used to predict spontaneous breathing trial (SBT) and extubation success, but pediatric data are limited. We aimed to evaluate the relationship between diaphragm thickening fraction (DTF) and SBT/extubation outcomes in critically ill children. Methods: Secondary …

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Prospective Observational Study of Emergency Department Point‐of‐Care Ultrasound to Differentiate Between Complicated and Uncomplicated Appendicitis

Almaz S. Dessie, Maria Y. Kwok, Lisa D. Mills, Adam Brand Sivitz et autres

OBJECTIVES: Acute appendicitis is a common surgical emergency in children. Prior radiology studies have described Puylaert staging on ultrasound to determine the severity of appendicitis. We investigated the feasibility and utility of assessing Puylaert staging on emergency department (ED) point-of-care ultrasound (POCUS) …

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Diaphragm Ultrasounds Vs. Esophageal Manometry: The Lack of Correlation Between Diaphragm Thickening Fractions and ΔPes in Pediatric Acute Respiratory Distress Syndrome Patients

Daniel Chang, Marsha A. Elkhunovich, Dinnel Bornstein, Kurt N. Kohler et autres

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Establishing the international research priorities for pediatric emergency medicine point‐of‐care ultrasound: A modified Delphi study

Peter James Snelling, Allan Evan Shefrin, Matthew M. Moake, Kelly R. Bergmann et autres

BACKGROUND: The Pediatric Emergency Medicine (PEM) Point-of-care Ultrasound (POCUS) Network (P2Network) was established in 2014 to provide a platform for international collaboration among experts, including multicenter research. The objective of this study was to use expert consensus to identify and prioritize PEM …

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Development of a Consensus-Based Definition of Focused Assessment With Sonography for Trauma in Children

Aaron E. Kornblith, Newton Addo, Monica Plasencia, Ashkon Shaahinfar et autres

Importance: The wide variation in the accuracy and reliability of the Focused Assessment With Sonography for Trauma (FAST) and the extended FAST (E-FAST) for children after blunt abdominal trauma reflects user expertise. FAST and E-FAST that are performed by experts tend to …

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Evaluating Changes in Diagnostic Accuracy of Ultrasound for Appendicitis: Does Practice Make Perfect?

Lukas Austin-Page, Phung Khanh Pham, Marsha A. Elkhunovich

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Ultrasound-guided placement of peripherally inserted intravenous catheters increase catheter dwell time in children

James Thomas Cottrell, Todd P. Chang, Jennifer D. Baird, Joanna L. Barreras et autres

Objective: To compare the dwell times of ultrasound-guided and non-ultrasound-guided short peripheral intravenous catheters in hospitalized children. Methods: This was a retrospective analysis of data from 256 ultrasound-guided and 287 traditional peripheral intravenous catheters placed in hospitalized children between 1 September2016 and …

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Pediatric Emergency Ultrasound

Marsha A. Elkhunovich, Tarina Lee Kang

This concise, portable manual provides practitioners and future practitioners with a basic guide to pediatric emergency ultrasound, enabling them to learn the fundamentals of bedside ultrasound and use these to refresh their skills prior to, or when, performing it on a patient.

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Focused assessment sonography in trauma (FAST)

Marsha A. Elkhunovich, Tarina Lee Kang, Courtney Brennan, Kathryn H. Pade et autres

Assess active and persistent bleeding in hemodynamically stable patients.

Endotracheal tube confirmation

Marsha A. Elkhunovich, Tarina Lee Kang, Courtney Brennan, Kathryn H. Pade et autres

Confirm proper endotracheal tube placement.

Central line placement

Marsha A. Elkhunovich, Tarina Lee Kang, Courtney Brennan, Kathryn H. Pade et autres

Improves visualization of vessel and surrounding structures.