Article Tags: Pregnancy

The SHARP Exam: A Standardized POCUS Approach to Undifferentiated Acute Right Lower Quadrant Abdominal Pain in Young Women

Michael Halperin; Maia Winkel; Ashley Aiken; Nora McNulty; Michelle Montenegro; Nicole Leonard Shiu; Trevor Dixon; Alyssia McEwan; William Murk; Ariella Gartenberg – This study presents The SHARP Exam, a novel point of care ultrasound (POCUS) protocol designed to aid in the evaluation of undifferentiated, acute, right-sided, lower abdominal pain in women of child-bearing age. The SHARP Exam is both an acronym ([S]ono [H]er [A]bdomen for [R]ight-sided [P]ain) and a diagnostic tool for emergency physicians to focus on specific pathology ([S]ize of ovary, [H]ydronephrosis, [A]ppendicitis, [R]ight upper quadrant free fluid, [P]regnancy).

A Prospective Cohort Study to Evaluate Needle Passes Using a Portable Ultrasound Device versus Traditional Landmark Approach for Epidural Anesthesia in a Busy Obstetric Tertiary Care Center

Antonio Gonzalez Fiol; Pedro Acevedo Rodriguez; Xiwen Zhao; Robert Gaiser; Adriana Herrera; Aymen Alian – Despite its many cited benefits, ultrasound guidance for neuraxial procedures is not widespread in anesthesiology. Some cited limitations include device cost and accessibility. We test the hypothesis that a handheld and relatively inexpensive ultrasound can improve neuraxial proficiency (e.g., decreased needle manipulations and block time). This prospective study compared the number of needle passes, redirections, and procedural time between epidural placed with a handheld ultrasound versus landmarks.

Intrauterine Pregnancy Detection and Gestational Age Assessment During Early Pregnancy by a Handheld Point-Of-Care Ultrasound Device Compared to a High-End Ultrasound System. An Accuracy and Reliability Study

Mariela Skendi , MD, MSc; Roxane Liard , MD, MSc; Charlotte Besacier , MD; Jean-Michel Correas , MD, PhD; Sohela Moussaoui , MD, MSc; Julie Chastang , MD, MSc; Gladys Ibanez , MD, PhD – The main objective of this study is the evaluation of the accuracy and reliability of a handheld point of care ultrasound device (POCUS-hd) for intrauterine pregnancy (IUP) detection compared to comprehensive reference transabdominal ultrasound (TU).

Postpartum reverse-Takotsubo from pheochromocytoma diagnosed by bedside point-of-care ultrasound: A case report

Jordan K. Leitch, MD, FRCPC; Anthony M.-H. Ho, MD, FRCPC, FCCP; Rene Allard, MD, FRCPC; Glenio B. Mizubuti, MD, MSc – Point-of-care ultrasound is invaluable in the setting of obstetric anesthesia, where the differential diagnosis for dyspnea, hypoxemia and/or hemodynamic abnormalities is broad. This report describes a previously apparently healthy parturient with an uncomplicated pregnancy at 35-weeks gestation who underwent an emergency cesarean section under general anesthesia due to severe acute abdominal pain and fetal bradycardia.