TY - JOUR
T1 - Emergency and critical care applications for contrast-enhanced ultrasound
AU - Kummer, Tobias
AU - Oh, Laura
AU - Phelan, Mary Beth
AU - Huang, Robert D.
AU - Nomura, Jason T.
AU - Adhikari, Srikar
N1 - Publisher Copyright:
© 2018 Elsevier Inc.
PY - 2018/7
Y1 - 2018/7
N2 - Introduction: Contrast-enhanced ultrasound (CEUS) using intravascular microbubbles has potential to revolutionize point-of-care ultrasonography by expanding the use of ultrasonography into clinical scenarios previously reserved for computed tomography (CT), magnetic resonance imaging, or angiography. Methods: We performed a literature search and report clinical experience to provide an introduction to CEUS and describe its current applications for point-of-care indications. Results: The uses of CEUS include several applications highly relevant for emergency medicine, such as solid-organ injuries, actively bleeding hematomas, or abdominal aortic aneurysms. Compared with CT as the preeminent advanced imaging modality in the emergency department, CEUS is low cost, radiation sparing, repeatable, and readily available. It does not require sedation, preprocedural laboratory assessment, or transportation to the radiology suite. Conclusions: CEUS is a promising imaging technique for point-of-care applications in pediatric and adult patients and can be applied for patients with allergy to CT contrast medium or with impaired renal function. More high-quality CEUS research focusing on accuracy, patient safety, health care costs, and throughput times is needed to validate its use in emergency and critical care settings.
AB - Introduction: Contrast-enhanced ultrasound (CEUS) using intravascular microbubbles has potential to revolutionize point-of-care ultrasonography by expanding the use of ultrasonography into clinical scenarios previously reserved for computed tomography (CT), magnetic resonance imaging, or angiography. Methods: We performed a literature search and report clinical experience to provide an introduction to CEUS and describe its current applications for point-of-care indications. Results: The uses of CEUS include several applications highly relevant for emergency medicine, such as solid-organ injuries, actively bleeding hematomas, or abdominal aortic aneurysms. Compared with CT as the preeminent advanced imaging modality in the emergency department, CEUS is low cost, radiation sparing, repeatable, and readily available. It does not require sedation, preprocedural laboratory assessment, or transportation to the radiology suite. Conclusions: CEUS is a promising imaging technique for point-of-care applications in pediatric and adult patients and can be applied for patients with allergy to CT contrast medium or with impaired renal function. More high-quality CEUS research focusing on accuracy, patient safety, health care costs, and throughput times is needed to validate its use in emergency and critical care settings.
KW - Abdominal trauma
KW - CEUS
KW - Contrast-enhanced ultrasound
KW - Point-of-care ultrasonography
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U2 - 10.1016/j.ajem.2018.04.044
DO - 10.1016/j.ajem.2018.04.044
M3 - Review article
C2 - 29716799
AN - SCOPUS:85046150959
SN - 0735-6757
VL - 36
SP - 1287
EP - 1294
JO - American Journal of Emergency Medicine
JF - American Journal of Emergency Medicine
IS - 7
ER -