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Duke University School of Medicine, Duke University Health System

3 ARTICLES PUBLISHED IN JoVE

Medicine

Gastric Point of Care Ultrasound in Adults: Image Acquisition and Interpretation

Eric R. Heinz¹, Omar Al-Qudsi², David L. Convissar³, Marianne D. David¹, Jennifer E. Dominguez², Stephen Haskins⁴, Christina Jelly⁵, Anahi Perlas⁶, Anita N. Vincent¹, Yuriy S. Bronshteyn²

¹Department of Anesthesiology and Critical Care Medicine, George Washington University, ²Department of Anesthesiology, Duke University School of Medicine, Duke University Health System, ³Department of Anesthesiology, Massachusetts General Hospital, ⁴Department of Anesthesiology, Critical Care & Pain Management, Hospital for Special Surgery, ⁵Department of Anesthesiology, Vanderbilt University Medical Center, ⁶Department of Anesthesia and Pain Management, Toronto Western Hospital, University Health Network

This protocol introduces two methods for image acquisition in gastric ultrasonography. Additionally, tips are provided for interpreting this information to assist in medical decision-making.

Medicine

Identifying Frailty Using Point-of-Care Ultrasonography: Image Acquisition and Assessment

Eric R. Heinz¹, Rachel Bernardo², Sarah Elizabeth Birk³, William Manson⁴, David B. MacLeod⁵, Jeroen Molinger⁵, Anita Vincent¹, Yuriy S. Bronshteyn⁵

¹Department of Anesthesiology and Critical Care Medicine, George Washington University, ²The George Washington University School of Medicine and Health Sciences Washington, ³Vanderbilt University Medical Center, ⁴Department of Anesthesiology, UVA Health, ⁵Department of Anesthesiology, Duke University School of Medicine, Duke University Health System

Here, we present a protocol to assess frailty in the perioperative setting using point-of-care ultrasound to measure quadriceps thickness. This method offers a practical, non-invasive alternative to traditional assessment methods, potentially enhancing perioperative care by quickly identifying frail patients.

Medicine

Diaphragmatic Ultrasound in Adults: Image Acquisition and Interpretation

Ariana Prinzbach¹, W. Michael Bullock², Amanda H. Kumar², David Convissar¹, Josh Dooley², Eric Heinz³, Erin Manning², Jeff Gadsden², Yuriy Bronshteyn^2,4

¹Department of Anesthesiology, University of Pittsburgh Medical Center, ²Department of Anesthesiology, Duke University School of Medicine, Duke University Health System, ³Department of Anesthesiology, George Washington University, ⁴Durham Veterans Health Administration

Point-of-care ultrasound (POCUS) is an essential technique for screening for diaphragmatic dysfunction due to its portability, non-invasiveness, and real-time imaging capabilities. Although current diaphragmatic POCUS protocols exist, they suffer from poor interoperator reliability and lack consensus guidelines. Here we describe a technique that is reproducible and simple to perform.