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Research
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Abstracts
The following are among the abstracts that have been presented by our fellows:
Levinson M, Brooks AJ, Gracias VH, Kinkle WC, Johnson L, Dean AJ: Clinician-performed emergency ultrasound (US) for the diagnosis of pneumothorax in the setting of trauma. Society of Academic Emergency Medicine National Assembly, New York, NY, May 2005.
Ku BS, Levinson ML, Barnhart KT, Huang N, Hummel AC, Dean AJ: Presence of a double decidual sign effectively rules out the possibility of ectopic pregnancy. Presented at the Society of Academic Emergency Medicine National Assembly, San Francisco, CA, May 2006, and at the Second World congress of Ultrasound in Emergency Medicine and Critical care, New York, NY, June 2006.
Dean AJ, Gracias VH, Huang N, Horan AD Ku BS: Effectiveness of a training program in clinician performed ultrasound in the diagnosis of pneumothorax in trauma. Presented at the Society of Academic Emergency Medicine National Assembly, San Francisco, CA, May 2006, and at the Second World congress of Ultrasound in Emergency Medicine and Critical care, New York, NY, June 2006.
Dean AJ, Carr BC, Gracias VH, Huang N, Ku BS: Ultrasound evaluation of the thorax as a component of the Focused Assessment by Sonography in Trauma. Presented at the Second World congress of Ultrasound in Emergency Medicine and Critical care, New York, NY, June 2006 and presented at the American College of Emergency Physicians National Scientific Assembly, New Orleans, LA, October 2006.
Mark DG, Ku BS, Vining DK, Okusanya G, Carr BG, Everett WW, Gracias VH, Dean AJ: Parasternal long axis is the preferred echocardiographic view for estimation of ejection fraction by emergency and critical care physicians in surgical intensive care patients. Presented at the Second World congress of Ultrasound in Emergency Medicine and Critical care, New York, NY, June 2006, and presented at the American College of Emergency Physicians National Scientific Assembly, New Orleans, LA, October 2006.
Dean AJ, Zeserson EM, Ku BS: The utility of handheld ultrasound evaluation in an austere medical setting after a natural disaster. Presented at the Second World congress of Ultrasound in Emergency Medicine and Critical care, New York, NY, June 2006 and presented at the American College of Emergency Physicians National Scientific Assembly, New Orleans, LA, October 2006.
Breyer M, Ku BS, Pines J, Halluska M, Dean AJ: Emergency Ultrasound Usage Among Recent Emergency Medicine Residency Graduates. Presented at the Second World congress of Ultrasound in Emergency Medicine and Critical care, New York, NY, June 2006, and at the American College of Emergency Physicians National Scientific Assembly, New Orleans, LA, October 2006.
Carr BG, Ku BS, Everett WW, Mark D, Horan A, Dean AJ, Gracias VH
Intensivist bedside ultrasound for volume assessment (inbu): The (sound)wave of the future. Podium presentation at the Eastern Association for the Surgery of Trauma meeting, Fort Myers, Florida, January 2007.
Dean AJ, Hayden GE, Mark DG, Ky B, Gracias VH, Kirkpatrick JN, Horan A, Everett WW: Bedside ultrasonography assessment of mitral valve inflow velocity and tissue Doppler are similar to echocardiology measurements. Presented at the Society of Academic Emergency Medicine National Assembly, Chicago, IL, May 2007, and at the Third World Congress of Ultrasound in Emergency Medicine and Critical care, Paris, France, June 2007.
Mark DG, Hayden GE, Everett WW, Paszczuk A, Horan A, Ky B, Kirkpatrick JN, Dean AJ. Left ventricular ejection fraction estimation using handheld ultrasonography in critically ill patients. Presented at the Society of Academic Emergency Medicine National Assembly, Chicago, IL, May 2007, and at the Third World Congress of Ultrasound in Emergency Medicine and Critical care, Paris, France, June 2007.
Panebianco N, Stawicki SP, Kirkpatrick J, Hayden GE, Gracias V, Dean AJ: Intensivist Use of Hand Carried Ultrasound to Measure E/e' and IVC Collapsibility in Estimating Volume Status: Correlations with Pulmonary Artery and Central Venous Pressures. Winner of prize for Best Abstract at the Pennsylvania Chapter of the Society of Critical Care Medicine 12th Annual Challenges in Critical Care symposium, Hershey, Pennsylvania, August 24, 2007.
Hayden GE, Everett WW, Mark DG, Ky B, Horan A, Gracias VH, Kirkpatrick JN, Dean AJ. Transverse and longitudinal measurements of the inferior vena cava by bedside ultrasonography in critically ill patients are similar. Presented at the Third World Congress of Ultrasound in Emergency Medicine and Critical care, Paris, France, June 2007. Accepted for presentation at the American College of Emergency Physicians National Scientific Assembly, Seattle, WA, October 2007.
Hayden GE, Everett WW, Mark DG, Paszuk A, Gracias VH, Horan A, Kirkpatrick JN, Dean AJ. The right intercostal window for ivc measurement in critically ill patients are an alternative to subxiphoid views. Presented at the Third World Congress of Ultrasound in Emergency Medicine and Critical care, Paris, France, June 2007. Accepted for presentation at the American College of Emergency Physicians National Scientific Assembly, Seattle, WA, October 2007.
Hayden GE, Everett WW, Mark DG, Ky B, Horan A, Gracias VH, Kirkpatrick JN, Dean AJ. Inferior vena cava measurements by intensivists are different from those of echocardiologists. Presented at the Third World Congress of Ultrasound in Emergency Medicine and Critical care, Paris, France, June 2007. Accepted for presentation at the American College of Emergency Physicians National Scientific Assembly, Seattle, WA, October 2007.
Mark DG, Hayden GE, Ky B, Paszuk A, Pugh M, Mcgovern S, Wiegers S, Gracias VH,Kirkpatrick JN, Dean AJ. Assessment of Left Ventricular Filling in Critically Ill Patients by Echocardiography and Hand-Carried Ultrasonography. Presented at SAEM Annual Meeting, Washington, DC. May 2008. Acad Emerg Med., 2008;15 (5 suppl):S31.
Fields JM, Lee P, Jenq K, Mark DG, Panebianco NL and Dean AJ.: Gross Visual Estimation of Inferior Vena Cava Size and Collapsibility by Bedside Ultrasound is Accurate and Useful. Presented at the American College of Emergency Physicians National Scientific Assembly, Chicago, IL, October, 2008.
Lee P, Fields JM, Jenq K, Mark DG, Panebianco NL and Dean AJ.: Gestalt Estimation of Inferior Vena Cava Collapse Index Between Different Emergency Sonographers is Reliable and Accurate. Presented at the American College of Emergency Physicians National Scientific Assembly, Chicago, IL, October, 2008.
Mark DG, Hayden GE, Ky B, Paszuk A, Pugh M, McGovern S, Wiegers S, Gracias VH, Kirkpatrick JN and Dean AJ.: Assessment of Left-Ventricular Filling in Critically Ill Patients by Echocardiography and Hand-Carried Ultrasonography. Presented at SAEM Annual Meeting, Washington, DC, May, 2008. Published in Academic Emergency Medicine15(5 Suppl): S31, 2008.
Panebianco NL, Fredette JM, Szyld D, Sagalyn EB, Pines JM, Dean AJ. The Effect of Vessel Depth and Diameter on Success Rates for Ultrasound-Guided IV Placement in Patients with Difficult Access. Presented at SAEM Annual Meeting, Washington, DC. May 2008. Acad Emerg Med., 2008;15 (5 suppl):S215.
Panebianco NL, Fredette JM, Szyld D, Sagalyn ED, Pines JM and Dean AJ.: Ultrasound-Guided Peripheral IV Access: Patient Pain, Anxiety and Preference. Presented at the American College of Emergency Physicians National Scientific Assembly, Chicago, IL, October, 2008.
Fields MJ, Lee PA, Jenq KY, Dean, AJ. : Visual estimation of Inferior Vena Cava Collapse Index is more reliable than measured values in the Emergency Department. Presented at Society for Academic Emergency Medicine Annual Meeting, New Orleans, LA. May 2009. Academic Emergency Medicine (Suppl), May 2009.
Presentations
Our fellows make regular presentations to the medical students rotating through the department and to reidents during their ultrasound rotation. They are also actively involved in the first year medical student Ultrasound in Gross Anatomy program which we initated in 2007. Fellows are also involved in teaching and proctoring the MICU fellows in their Introduction to Bedside Ultrasonography Module which has been developed and designed by our Department.
Manuscripts
Some of the papers that our fellows have co-authored include:
Carr BG, Dean AJ, Everett WW, Ku BS, Mark DG, Okusanya O, Horan AD, Gracias VH. Intensivist Bedside Ultrasound (INBU) for Volume Assessment in the Intensive Care Unit: A Pilot Study. Journal of Trauma-Injury Infection & Critical Care. 63(3):495-502, 2007.
Mark DG, Ku B, Carr BG, Everett WW, Okusanya O, Horan AM, Gracias VH, Dean AJ: Directed bedside transthoracic echocardiography: preferred cardiac window for left ventricular ejection fraction estimation in critically ill patients. American Journal of Emergency Medicine 25, 894-900 2007.
Dean AJ, Ku BS, Zeserson EM. The utility of handheld ultrasound in an austere medical setting in Guatemala after a natural disaster. Am J Disaster Med. 2007 Sep-Oct;2(5):249-56.
Dean AJ, Breyer MJ, Ku BS, Mills AM and Pines JM.: Emergency Ultrasound Usage among Recent Emergency Medicine Residency Graduates of a Convenience Sample of 14 Residency Programs. Journal of Emergency Medicine Page: http://www.jem-journal.com/search/quick, Aug 2008
Stawicki SP, Panebianco NL, Kirkpatrick JN, Gracias VH, Hayden GE, Dean AJ. Intensivist use of hand-carried ultrasound to measure E/e' and IVC collapsibility in estimating volume status: correlations with pulmonary artery and central venous pressures. 101(8): 861, August 2008.
Jenq KY, Panebianco NL, Lee PA, Chen EH, Dean AJ.: Diagnosis of a Facial Artery Pseudoaneurysm Using Emergency Bedside Ultrasound. Journal of Emergency Medicine. Feb 2009. Notes: [EPub ahead of print].
Stawicki SP, Braslow BM, Panebianco NL, Kirkpatrick JN, Gracias VH, Hayden GE, Dean AJ: Intensivist use of hand carried ultrasound to measure inferior vena cava collapsibility in estimating intravascular volume status: Correlations with central venous pressures. J. Am Coll Surg. In Press.
Mark DG, Hayden GE, Ky B, Paszczuk A, Matthews S, Pugh M, Mathews S, Horan AM, Gracias VH, Kirkpatrick JN and Dean AJ.: Hand-Carried Echocardiography for Assessment of Left Ventricular Filling and Ejection Fraction in the Surgical Intensive Care Unit. Journal of Critical Care In Press.
Panebianco NL, Fredette JM, Szyld D, Sagalyn EB, Pines JM, DeanAJ. What You See (Sonographically) is What You Get: Vein and Patient Characteristics Associated with Successful Ultrasound-Guided Peripheral Intravenous Placement in Patients with Difficult Access. Academic Emergency Medicine. In Press.