POCUS

Mikel Shea Ehntholt Neurocritical Care Fellow, Hospital of the University of Pennsylvania Department of Neurology A 73-year old woman presented to our institution with a three-week duration of headache and dizziness. She had a past known history of an aneurysmal subarachnoid hemorrhage, secondary to a posterior communicating aneurysm that was coiled five years prior, hypertension, and hyperlipidemia. Her symptoms prompted an outpatient evaluation and was recommended for repeat digital subtraction angiography (DSA). On the day of the DSA she ...

Mahammed Khansuheb, MD; Amay Parikh, MD Percutaneous tracheostomy (PcT) is a technique first described by Shelden in 1957. Over 100,000 adults in the United States receive tracheostomies each year.  More than 50% of these are for prolonged mechanical ventilation due to acute respiratory failure.[1] Traditionally, tracheostomy is favored prior to the fourteenth day of mechanical ventilation to minimize injury to the tissue surrounding the endotracheal tube and to initiate aggressive ventilator weaning. Ultrasound-guided PcT (US-PcT) is advantageous ...

Logan Pyle, Vasisht Srinivasan, Kelly Rath, Jordan Bonomo Case Details A 30-year-old man with a past medical history of polysubstance drug abuse, chronic Candida bacteremia and endocarditis status post mitral valve (MV) replacement, prior right middle cerebral artery stroke, and left posterior cerebral artery aneurysm rupture (presumed mycotic) presented to an academic tertiary care hospital in January 2020 with abdominal pain and transaminitis after coil embolization for hepatic pseudoaneurysm. While on the surgical service he developed acute ...

Jennifer Mears, PA, Weill Cornell Medicine/New York-Presbyterian Hospital Judy Ch’ang, MD, Weill Cornell Medicine/New York-Presbyterian Hospital Introduction   The incidence of subarachnoid hemorrhage (SAH) patients who develop Takotsubo cardiomyopathy (TCM) is approximately 4-15%. 1 Vasospasm is another common complication of SAH. Treatments of vasospasm can compromise cardiac function. 2 This case report suggests cardiac point of care ultrasound (cPOCUS) may be assistive in frequent monitoring of cardiac status and management ...

Jon Rosenberg, MD, Weill Cornell Medicine/New York-Presbyterian Hospital Laura Chen, DO, Weill Cornell Medicine/New York-Presbyterian Hospital Judy Ch’ang, MD, Weill Cornell Medicine/New York-Presbyterian Hospital A 34-year-old man presented with a high-grade traumatic brain injury (TBI) after being struck by a motor vehicle. In the emergency department he had a GCS of 3 and was intubated for airway protection. His initial CT showed bilateral frontal subarachnoid hemorrhage, left subdural hematoma and temporal contusion with effacement ...

Bryan Boling, DNP, University of Kentucky Jennifer Mears, PA, Weill Cornell Medicine/New York-Presbyterian Hospital Aarti Sarwal, MD, Wake Forest Baptist Health Judy Ch’ang, MD, Weill Cornell Medicine/New York-Presbyterian Hospital Point-of-care-ultrasound (POCUS) is an indispensable tool used in the diagnosis, screening, procedural guidance, and management of critically ill patients across the world. Unlike other imaging modalities, POCUS is performed and interpreted by the intensivist at the bedside, enabling real-time management ...