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Healthcare
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Adult Critical Care Ultrasound
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Adult Critical Care Ultrasound

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Critical Care".

Deadline for manuscript submissions: closed (30 September 2024) | Viewed by 4171

Special Issue Editors

Prof. Dr. Luigi Vetrugno

E-Mail Website
Guest Editor
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Via dei Vestini n 33, 66100 Chieti, Italy
Interests: lung ultrasound; cardiac ultrasound; diaphragm ultrasound; critical care medicine; mechanical ventilation; intensive care medicine; airway management; ventilation; cardiopulmonary resuscitation; resuscitation; sepsis; anesthesiology; emergency management
Special Issues, Collections and Topics in MDPI journals
Dr. Marco Ventin

E-Mail Website
Co-Guest Editor
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA 02114, USA
Interests: surgical oncology; whole body ultrasound

Special Issue Information

Dear Colleagues,

Ultrasound is a non-irradiating bedside tool that has become increasingly accessible, now being available in hand-held devices. It allows integrative head-to-toe clinical assessment and offers guidance for invasive procedures. For these reasons, ultrasound has recently become progressively present in the hands of anesthetists, critical care physicians, and surgeons, as well as physiotherapists and nurses.

We would like to invite you to submit your work to this Special Issue, “Adult Critical Care Ultrasound”, to further supplement the body of evidence on the role of this invaluable tool in the management of critically ill patients. Topics to be covered in this issue include cardiac, lung, and diaphragm ultrasound, with a particular emphasis on mechanical ventilation evaluation, the weaning phase, and invasive procedures.

Case series, original research articles, and review articles are all welcome.

We look forward to receiving your contributions.

Prof. Dr. Luigi Vetrugno
Dr. Marco Ventin
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • critical care ultrasound
  • whole body ultrasound
  • lung ultrasound
  • cardiac ultrasound
  • diaphragm ultrasound

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (3 papers)

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Research

11 pages, 617 KiB  
Article
Evaluating Muscle Mass Changes in Critically Ill Patients: Rehabilitation Outcomes Measured by Ultrasound and Bioelectrical Impedance
by Mijoo Kim, Soyun Kim, Yerin Ju, Soyoung Ahn and Song I Lee
Healthcare 2024, 12(21), 2128; https://doi.org/10.3390/healthcare12212128 - 25 Oct 2024
Viewed by 598
Abstract
Background/Objectives: The loss of muscle mass is common in critically ill patients and is associated with poor prognosis, and efforts have been made to mitigate muscle loss through rehabilitation. This study aimed to evaluate changes in muscle mass in critically ill patients following [...] Read more.
Background/Objectives: The loss of muscle mass is common in critically ill patients and is associated with poor prognosis, and efforts have been made to mitigate muscle loss through rehabilitation. This study aimed to evaluate changes in muscle mass in critically ill patients following rehabilitation. Methods: We enrolled 53 patients expected to stay in the ICU for more than 7 days, dividing them into rehabilitation (15 patients) and no rehabilitation groups (38 patients). Muscle mass was measured using ultrasound and bioelectrical impedance analysis (BIA). Results: Baseline characteristics and comorbidities showed no statistical differences between the two groups. Initial measurements of muscles showed no significant differences between the groups in rectus femoris thickness, total anterior thigh muscle thickness, cross-sectional area, echogenicity, or in-body skeletal muscle mass at baseline and 7 days. However, at 14 days, significant differences emerged. The rehabilitation group had greater rectus femoris thickness (1.42 cm vs. 0.81 cm, p = 0.007) and total anterior thigh muscle thickness (3.79 cm vs. 2.32 cm, p = 0.007) compared to the no rehabilitation group. Additionally, the rehabilitation group experienced a significantly smaller reduction in rectus femoris cross-sectional area (−4.6% vs. −22.8%, p = 0.021). Although survival rates were higher in the rehabilitation group (73.3% vs. 52.6%), this difference was not statistically significant (p = 0.096). Conclusions: Our findings suggest that rehabilitation in critically ill patients is associated with a slower rate of muscle loss, particularly in the cross-sectional area of the rectus femoris muscle, which may be beneficial for patient recovery. Full article
(This article belongs to the Special Issue Adult Critical Care Ultrasound)
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11 pages, 11696 KiB  
Article
A Retrospective Analysis of High Resolution Ultrasound Evaluation of the “Split Fat Sign” in Peripheral Nerve Sheath Tumors
by Jeena B. Deka, Ritu Shah, Miguel Jiménez, Nidhi Bhatnagar, Alfredo Bravo-Sánchez, Inés Piñas-Bonilla, Javier Abián-Vicén and Fernando Jiménez
Healthcare 2023, 11(24), 3147; https://doi.org/10.3390/healthcare11243147 - 12 Dec 2023
Viewed by 1379
Abstract
Peripheral nerve sheath tumors (PNST) comprise schwannomas and neurofibromas. The finding of increased adipose tissue around benign PNSTs has been described as the “split fat sign” on magnetic resonance imaging exams, which is suggestive of an intramuscular or intermuscular location of the tumor. [...] Read more.
Peripheral nerve sheath tumors (PNST) comprise schwannomas and neurofibromas. The finding of increased adipose tissue around benign PNSTs has been described as the “split fat sign” on magnetic resonance imaging exams, which is suggestive of an intramuscular or intermuscular location of the tumor. However, few studies have described this sign as a salient ultrasound feature of PNSTs. The main purpose of this study was to retrospectively evaluate the presence of increased fatty tissue deposition around benign PNSTs diagnosed by high-resolution ultrasound. In addition, we aimed to corroborate the presence of vascularization around the affected area. A retrospective analysis of ten cases of PNSTs and two cases of post-traumatic neuromas diagnosed by high-resolution ultrasound was performed with a Logiq® P8 ultrasound with a 2–11 MHz multifrequency linear probe L3-12-D (central frequency: 10 MHz). Localized types of neurofibromas and schwannomas in any location were seen as predominantly hypoechoic tumors with an oval or fusiform shape. Exiting and entering nerves (tail sign) were observed in six cases, showing localized lesions both in intermuscular and subcutaneous locations. The presence of increased hyperechoic tissue (the split fat sign) was noted in cases of solitary intermuscular and intramuscular peripheral nerve sheath tumors, mainly the schwannomas. Though small tumors did not demonstrate the tail sign, the increase in adipose tissue and vascularity on US was well demonstrated. In conclusion, the nerve in continuity forms the basis of the ultrasonographic diagnosis of PNSTs. However, high-resolution US can convincingly demonstrate the increased presence of fat in the upper and lower poles as well as circumferentially in intermuscular or intramuscular benign PNSTs. Full article
(This article belongs to the Special Issue Adult Critical Care Ultrasound)
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8 pages, 2665 KiB  
Communication
Contrast-Enhanced Ultrasound Follow-Up for Acute Pyelonephritis Patients
by Andrea Boccatonda, Stefano Venerato, Damiano D’Ardes, Giulio Cocco, Cosima Schiavone and Susanna Vicari
Healthcare 2023, 11(21), 2899; https://doi.org/10.3390/healthcare11212899 - 3 Nov 2023
Cited by 1 | Viewed by 1528
Abstract
Contrast-enhanced ultrasound (CEUS) is increasingly used in clinical practice as the first diagnostic method in patients with suspected pyelonephritis rather than abdominal CT with contrast medium, especially in young subjects. We performed a retrospective analysis on patients in for whom a CEUS examination [...] Read more.
Contrast-enhanced ultrasound (CEUS) is increasingly used in clinical practice as the first diagnostic method in patients with suspected pyelonephritis rather than abdominal CT with contrast medium, especially in young subjects. We performed a retrospective analysis on patients in for whom a CEUS examination was utilized as a follow-up method after acute pyelonephritis as normal clinical practice. Through evaluating all patients, in terms duration between CEUS examination and normalization (healing) of the renal disease, we found that the mean duration is 25.9 days. Our ultrasound findings did not induce any therapeutic modifications, not even in the cases in which the examination was repeated several times. Therefore, setting up a CEUS follow-up examination after 25 days from the first diagnosis can reduce the number of repeated tests, benefitting patients and the healthcare system in terms of reducing costs. Full article
(This article belongs to the Special Issue Adult Critical Care Ultrasound)
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