OBJECTIVE To investigate whether the visualization modality (ultrasound or fluoroscopy) used during shockwave lithotripsy (SWL) affects the clinical outcome in those instances where both imaging modalities are optional. METHODS Between November 2014 and July 2016, 114 patients with radiopaque upper urinary tract calculi were randomly assigned to an ultrasound- or fluoroscopy-guided SWL group ...

A 49-year-old man presented to the emergency department (ED) with shoulder pain after intramuscular injection of heroin into his right deltoid muscle. Point-of-care (POC) ultrasound identified a subdeltoid abscess, and ultrasound-guided aspiration of the fluid collection was performed. The patient was admitted and improved on antibiotics and made a complete recovery. POC ultrasound and ultrasou...

Background: Ultrasound-guided supraclavicular nerve block is a popular approach for anesthesia upper limb surgeries. Perfusion index can considered as an objective measure peripheral perfusion that predict success. Early and accurate detection of success would enable rapid corrective action this save the operating room time improve patient satisfaction. The main was to evaluate quality brachial...

Background: Interscalene nerve blocks are commonly performed for surgeries of the upper limb. Assessment methods evaluation conventional and subjective. Aims Objectives: The aim study was to evaluate perfusion index (PI) as an objective indicator assessing successful ultrasound guided interscalene block. Materials Methods: This prospective, observational included adult patients undergoing limb ...

Brachial plexus block (BPB) under ultrasound guidance has come to be widely used. However, nerve injury has been reported following ultrasound-guided BPB. We hypothesized that BPB under ultrasound guidance in conjunction with real-time electrical nerve stimulation would help us prevent nerve injury and do more successful procedure. Here, we report the successful induction and maintenance of ult...

Introduction: Recent applications in ultrasound imaging include ultrasound assessment and ultrasound guided therapeutic injections of the spine and brachial plexus. Discussion: Ultrasound is an ideal modality for these regions as it allows accurate safe and quick injection of single or multiple sites. It has the added advantages of lack of ionising radiation, and can be done without requiring l...

BACKGROUND Vascular access is a critical skill for emergency physicians. However, it can be unpredictably challenging in some patients. While ultrasound-guided vascular access has been encouraged in emergency departments, there have been few studies evaluating echo-enhanced needles and their usefulness in performing vascular access. AIMS Our purpose was to determine if the use of an echo-enha...