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  1. Book: Pediatric emergency and critical care ultrasound

    Doniger, Stephanie J.

    (Cambridge medicine)

    2013  

    Author's details ed. by Stephanie J. Doniger
    Series title Cambridge medicine
    Keywords Ultrasonography / methods ; Child ; Critical Care / methods ; Emergency Medical Services / methods ; Infant
    Language English
    Size XII, 357 S. : zahlr. Ill.
    Publisher Cambridge Univ. Press
    Publishing place Cambridge u.a.
    Publishing country Great Britain
    Document type Book
    HBZ-ID HT018252630
    ISBN 978-1-107-06234-4 ; 1-107-06234-9
    Database Catalogue ZB MED Medicine, Health

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    In stock of ZB MED Cologne/Königswinter

    Shelf markLoan statusLocation
    2014 A 1842 available for loan (reading room) Lesesaal EG

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  2. Article ; Online: Cardiac point-of-care ultrasound reveals unexpected, life-threatening findings in two children.

    Doniger, Stephanie J / Ng, Nicholas

    The ultrasound journal

    2020  Volume 12, Issue 1, Page(s) 4

    Abstract: Background: The diagnosis of pericardial effusion with cardiac tamponade can at times be elusive in pediatric patients since it is relatively uncommon. Point-of-care ultrasound (POCUS) can readily be performed at the bedside to assess for the presence ... ...

    Abstract Background: The diagnosis of pericardial effusion with cardiac tamponade can at times be elusive in pediatric patients since it is relatively uncommon. Point-of-care ultrasound (POCUS) can readily be performed at the bedside to assess for the presence of a pericardial effusion, tamponade, and can occasionally yield unexpected results.
    Case presentation: Two cases where POCUS unexpectedly identified pericardial effusions, with one patient who also had an anterior mediastinal mass.
    Conclusions: Though underutilized, cardiac POCUS in children can be immediately life-saving and drastically change the clinical management at the patient's bedside.
    Language English
    Publishing date 2020-02-04
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2965029-X
    ISSN 2524-8987 ; 2036-3176
    ISSN (online) 2524-8987
    ISSN 2036-3176
    DOI 10.1186/s13089-020-0154-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Point-of-Care Ultrasound and the Discovery of Pulmonary Arterial Hypertension in a Teenager.

    Assaf, Raymen Rammy / Siembieda, Joshua / Recto, Michael R / Doniger, Stephanie J

    Pediatric emergency care

    2022  Volume 38, Issue 12, Page(s) 702–704

    Abstract: Abstract: We present a case of a teenage patient with new-onset cardiac symptoms discovered to have primary pulmonary arterial hypertension. Point-of-care ultrasound used early in the patient's presentation identified significant right-sided heart ... ...

    Abstract Abstract: We present a case of a teenage patient with new-onset cardiac symptoms discovered to have primary pulmonary arterial hypertension. Point-of-care ultrasound used early in the patient's presentation identified significant right-sided heart dilatation and dysfunction despite the patient's relatively unrevealing physical examination. This article emphasizes the utility of performing focused cardiac ultrasound in pediatric patients early in their presentation. We briefly review focused cardiac ultrasound technique and highlight relevant literature.
    MeSH term(s) Humans ; Adolescent ; Child ; Pulmonary Arterial Hypertension ; Point-of-Care Systems ; Point-of-Care Testing ; Ultrasonography ; Echocardiography
    Language English
    Publishing date 2022-11-10
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 632588-9
    ISSN 1535-1815 ; 0749-5161
    ISSN (online) 1535-1815
    ISSN 0749-5161
    DOI 10.1097/PEC.0000000000002881
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2083: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Point-of-Care Ultrasound for the Pediatric Hospitalist's Practice.

    Hopkins, Akshata / Doniger, Stephanie J

    Hospital pediatrics

    2019  Volume 9, Issue 9, Page(s) 707–718

    Abstract: Point-of-care ultrasound (POCUS) has the potential to provide real-time valuable information that could alter diagnosis, treatment, and management practices in pediatric hospital medicine. We review the existing pediatric POCUS literature to identify ... ...

    Abstract Point-of-care ultrasound (POCUS) has the potential to provide real-time valuable information that could alter diagnosis, treatment, and management practices in pediatric hospital medicine. We review the existing pediatric POCUS literature to identify potential clinical applications within the scope of pediatric hospital medicine. Diagnostic point-of-care applications most relevant to the pediatric hospitalist include lung ultrasound for pneumothorax, pleural effusion, pneumonia, and bronchiolitis; cardiac ultrasound for global cardiac function and hydration status; renal or bladder ultrasound for nephrolithiasis, hydronephrosis, and bladder volumes; soft tissue ultrasound for differentiating cellulitis from abscess; and procedural-guidance applications, including line placement, lumbar puncture, and abscess incision and drainage. We discuss POCUS applications with reviews of major pathologic findings, research gaps, the integration of POCUS into practice, and barriers to implementation.
    MeSH term(s) Child ; Hospitalists ; Hospitals, Pediatric ; Humans ; Point-of-Care Testing ; Ultrasonography/methods
    Language English
    Publishing date 2019-08-12
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2154-1671
    ISSN (online) 2154-1671
    DOI 10.1542/hpeds.2018-0118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Cardiac point-of-care ultrasound reveals unexpected, life-threatening findings in two children

    Stephanie J. Doniger / Nicholas Ng

    The Ultrasound Journal, Vol 12, Iss 1, Pp 1-

    2020  Volume 4

    Abstract: Abstract Background The diagnosis of pericardial effusion with cardiac tamponade can at times be elusive in pediatric patients since it is relatively uncommon. Point-of-care ultrasound (POCUS) can readily be performed at the bedside to assess for the ... ...

    Abstract Abstract Background The diagnosis of pericardial effusion with cardiac tamponade can at times be elusive in pediatric patients since it is relatively uncommon. Point-of-care ultrasound (POCUS) can readily be performed at the bedside to assess for the presence of a pericardial effusion, tamponade, and can occasionally yield unexpected results. Case presentation Two cases where POCUS unexpectedly identified pericardial effusions, with one patient who also had an anterior mediastinal mass. Conclusions Though underutilized, cardiac POCUS in children can be immediately life-saving and drastically change the clinical management at the patient’s bedside.
    Keywords Focused cardiac ultrasound ; Point-of-care ultrasound ; Pediatric emergency medicine ; Pericardial effusion ; Tamponade ; Anterior mediastinal mass ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Language English
    Publishing date 2020-02-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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    Inter-library loan at ZB MED

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  6. Article: Icterus and abdominal pain: an unexpected, rare sonographic finding in a Peruvian Emergency Department.

    Doniger, Stephanie J / Wang, Alexander

    Critical ultrasound journal

    2018  Volume 10, Issue 1, Page(s) 14

    Abstract: Background: The use of point-of-care ultrasound (POCUS) has become increasingly important in resource-limited settings. It can rapidly diagnose both tropical infectious diseases and more common pathology at the bedside. In these practice settings, POCUS ...

    Abstract Background: The use of point-of-care ultrasound (POCUS) has become increasingly important in resource-limited settings. It can rapidly diagnose both tropical infectious diseases and more common pathology at the bedside. In these practice settings, POCUS can have a significant impact on management strategies and patient care. Ultrasonography has been the gold standard for the diagnosis and staging of Echinococcus disease. However, even in the "classic" clinical scenario and setting, the clinician must maintain a broad differential diagnosis. Point-of-care ultrasound can be helpful in performing the rapid diagnosis and therefore direct appropriate treatment strategies based on the results.
    Case presentation: We present a case of a 27-year-old woman presenting to an emergency department in Peru with jaundice and abdominal pain. Initially given the region of her origin, the working diagnosis was an Echinococcus cyst. However, when POCUS was performed, the findings were not consistent with hydatid disease. Ultimately, surgical pathology revealed a choledochal cyst, a rare finding in adulthood.
    Conclusions: This case initially appears as a "classic" finding of Echinococcus disease. It is important for the clinician sonographer to appreciate the features consistent with Echinococcus cysts and distinguish from those features that are more consistent with other pathology.
    Language English
    Publishing date 2018-07-12
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2673587-8
    ISSN 2036-7902 ; 2036-3176
    ISSN (online) 2036-7902
    ISSN 2036-3176
    DOI 10.1186/s13089-018-0091-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Point-of-Care Ultrasound Integrated Into a Staged Diagnostic Algorithm for Pediatric Appendicitis.

    Doniger, Stephanie J / Kornblith, Aaron

    Pediatric emergency care

    2018  Volume 34, Issue 2, Page(s) 109–115

    Abstract: Objectives: We hypothesized that point-of-care ultrasound (POCUS) is as accurate as radiology-performed ultrasound in evaluating children with clinical concern for appendicitis. As part of a staged approach, we further hypothesized that POCUS could ... ...

    Abstract Objectives: We hypothesized that point-of-care ultrasound (POCUS) is as accurate as radiology-performed ultrasound in evaluating children with clinical concern for appendicitis. As part of a staged approach, we further hypothesized that POCUS could ultimately decrease computed tomography (CT) utilization.
    Methods: This was a prospective, convenience sampling of patients aged 2 to 18 years presenting with abdominal pain to a pediatric emergency department. Those patients with prior abdominal imaging, pregnant, or unable to tolerate the examination were excluded. An algorithm was followed: POCUS was first performed, followed by a radiology-performed ultrasound, and then a CT as necessary. The main outcome measure was the accuracy of the POCUS in diagnosing of appendicitis. This was compared with radiology-performed ultrasound. We also examined whether certain patient or clinical characteristics influenced the performance of POCUS. Lastly, we determined the amount by which CT scans were decreased through this staged algorithm.
    Results: Forty patients were enrolled and underwent a POCUS examination. A total of 16 (40%) had pathology-confirmed appendicitis. Point-of-care ultrasound had a sensitivity of 93.8% (95% confidence interval [CI], 69.7%-98.9%) and specificity of 87.5% (95% CI, 67.6%-97.2%). Radiology-performed ultrasound had a sensitivity of 81.25% (95% CI, 54.3%-95.7%) and specificity of 100% (95% CI, 85.6%-100%). The radiology-performed and POCUS examinations had very good agreement (κ = 0.83, P < 0.0005). Patient characteristics including body mass index did not have an affect on the POCUS. However, POCUS identified all patients with an Alvarado score higher than 6. Overall, the reduction in CT examinations was 55%.
    Conclusions: In pediatric patients presenting with clinical concern for acute appendicitis, a staged algorithm that incorporates POCUS is accurate and has the potential to decrease CT scan utilization.
    MeSH term(s) Abdominal Pain/etiology ; Adolescent ; Algorithms ; Appendicitis/diagnosis ; Child ; Child, Preschool ; Cohort Studies ; Emergency Service, Hospital ; Female ; Humans ; Male ; Point-of-Care Systems ; Prospective Studies ; Sensitivity and Specificity ; Ultrasonography/methods
    Language English
    Publishing date 2018-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 632588-9
    ISSN 1535-1815 ; 0749-5161
    ISSN (online) 1535-1815
    ISSN 0749-5161
    DOI 10.1097/PEC.0000000000000773
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2083: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  8. Article ; Online: Icterus and abdominal pain

    Stephanie J. Doniger / Alexander Wang

    Critical Ultrasound Journal, Vol 10, Iss 1, Pp 1-

    an unexpected, rare sonographic finding in a Peruvian Emergency Department

    2018  Volume 3

    Abstract: Abstract Background The use of point-of-care ultrasound (POCUS) has become increasingly important in resource-limited settings. It can rapidly diagnose both tropical infectious diseases and more common pathology at the bedside. In these practice settings, ...

    Abstract Abstract Background The use of point-of-care ultrasound (POCUS) has become increasingly important in resource-limited settings. It can rapidly diagnose both tropical infectious diseases and more common pathology at the bedside. In these practice settings, POCUS can have a significant impact on management strategies and patient care. Ultrasonography has been the gold standard for the diagnosis and staging of Echinococcus disease. However, even in the “classic” clinical scenario and setting, the clinician must maintain a broad differential diagnosis. Point-of-care ultrasound can be helpful in performing the rapid diagnosis and therefore direct appropriate treatment strategies based on the results. Case presentation We present a case of a 27-year-old woman presenting to an emergency department in Peru with jaundice and abdominal pain. Initially given the region of her origin, the working diagnosis was an Echinococcus cyst. However, when POCUS was performed, the findings were not consistent with hydatid disease. Ultimately, surgical pathology revealed a choledochal cyst, a rare finding in adulthood. Conclusions This case initially appears as a “classic” finding of Echinococcus disease. It is important for the clinician sonographer to appreciate the features consistent with Echinococcus cysts and distinguish from those features that are more consistent with other pathology.
    Keywords Jaundice ; Point-of-care ultrasound ; Choledochal cyst ; Echinococcosis ; Hydatid disease ; Tropical medicine ; Medical physics. Medical radiology. Nuclear medicine ; R895-920
    Subject code 610
    Language English
    Publishing date 2018-07-01T00:00:00Z
    Publisher SpringerOpen
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

    Full text online

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  9. Article ; Online: Point-of-Care Ultrasonography for Appendicitis Uncovers Two Alternate Diagnoses.

    Kornblith, Aaron E / Doniger, Stephanie J

    Pediatric emergency care

    2016  Volume 32, Issue 4, Page(s) 262–265

    Abstract: We present two cases of pediatric patients initially presenting with a clinical suspicion of acute appendicitis. In these cases, point-of-care ultrasonography was performed early in the patient's emergency department course, leading to alternate ... ...

    Abstract We present two cases of pediatric patients initially presenting with a clinical suspicion of acute appendicitis. In these cases, point-of-care ultrasonography was performed early in the patient's emergency department course, leading to alternate diagnoses. This article highlights a role for point-of-care ultrasound in the diagnoses of two alternate conditions that clinically mimic appendicitis: Meckel diverticulitis and acute ileocecitis. We offer a brief overview of terminology, relevant literature, and ultrasound scanning technique for the right-lower-quadrant point-of-care ultrasound evaluation.
    MeSH term(s) Adolescent ; Appendicitis/diagnostic imaging ; Appendicitis/surgery ; Child, Preschool ; Crohn Disease/diagnostic imaging ; Diagnosis, Differential ; Diverticulitis/diagnostic imaging ; Diverticulitis/surgery ; Humans ; Male ; Pediatrics ; Point-of-Care Systems ; Tomography, X-Ray Computed ; Ultrasonography/methods
    Language English
    Publishing date 2016-04
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 632588-9
    ISSN 1535-1815 ; 0749-5161
    ISSN (online) 1535-1815
    ISSN 0749-5161
    DOI 10.1097/PEC.0000000000000623
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2083: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  10. Article ; Online: Bedside emergency cardiac ultrasound in children.

    Doniger, Stephanie J

    Journal of emergencies, trauma, and shock

    2010  Volume 3, Issue 3, Page(s) 282–291

    Abstract: Bedside emergency ultrasound has rapidly developed over the past several years and has now become part of the standard of care for several applications. While it has only recently been applied to critically ill pediatric patients, several of the well- ... ...

    Abstract Bedside emergency ultrasound has rapidly developed over the past several years and has now become part of the standard of care for several applications. While it has only recently been applied to critically ill pediatric patients, several of the well-established adult indications may be applied to pediatric patients. One of the most important and life-saving applications is bedside echocardiography. While bedside emergency ultrasonography does not serve to replace formal comprehensive studies, it serves as an extension of the physical examination. It is especially useful as a rapid and effective tool in the diagnosis of pericardial effusions, tamponade and in distinguishing potentially reversible causes of pulseless electrical activity from asystole. Most recently, left ventricular function and inferior vena cava measurements have proven helpful in the assessment of undifferentiated hypotension and shock in adults and children. Future research remains to be carried out in determining the efficacy of bedside ultrasonography in pediatric-specific pathology such as congenital heart disease. This article serves as a comprehensive review of the adult literature and a review of the recent applications in the pediatric emergency department. It also highlights the techniques of bedside ultrasonography with examples of normal and pathologic images.
    Language English
    Publishing date 2010-10-07
    Publishing country India
    Document type Journal Article
    ZDB-ID 2461111-6
    ISSN 0974-519X ; 0974-519X
    ISSN (online) 0974-519X
    ISSN 0974-519X
    DOI 10.4103/0974-2700.66535
    Database MEDical Literature Analysis and Retrieval System OnLINE

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