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  1. Article ; Online: Flash card Lung Ultrasound and COVID-19.

    Segura-Grau, E

    Revista espanola de anestesiologia y reanimacion

    2020  Volume 67, Issue 6, Page(s) 351–353

    Title translation Guía básica ecografía pulmonar y COVID-19.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/diagnostic imaging ; Humans ; Lung/diagnostic imaging ; Pandemics ; Pneumonia, Viral/diagnostic imaging ; SARS-CoV-2 ; Tomography, X-Ray Computed ; Ultrasonography
    Keywords covid19
    Language Spanish
    Publishing date 2020-05-15
    Document type Journal Article
    ISSN 2341-1929
    ISSN (online) 2341-1929
    DOI 10.1016/j.redar.2020.05.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Anaesthetic peripheral nerve blocks for a total knee replacement revision due to infection in a patient with symptomatic chronic coronary syndrome: A case report.

    Pires, Marta R / Rodrigues, Diana S / Segura-Grau, Elena

    Journal of perioperative practice

    2023  Volume 34, Issue 3, Page(s) 75–77

    Abstract: This report aims to describe the perioperative management of a high-risk cardiovascular patient proposed for urgent total knee replacement revision. We discuss the use of peripheral nerve blocks and its impact on haemodynamic stability and clinical ... ...

    Abstract This report aims to describe the perioperative management of a high-risk cardiovascular patient proposed for urgent total knee replacement revision. We discuss the use of peripheral nerve blocks and its impact on haemodynamic stability and clinical outcomes, including major cardiovascular adverse events and myocardial injury after non-cardiac surgery.
    MeSH term(s) Humans ; Arthroplasty, Replacement, Knee ; Anesthetics ; Heart Injuries ; Patients
    Chemical Substances Anesthetics
    Language English
    Publishing date 2023-03-22
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2226186-2
    ISSN 2515-7949 ; 1750-4589
    ISSN (online) 2515-7949
    ISSN 1750-4589
    DOI 10.1177/17504589231159196
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    Zs.A 4006: Show issues Location:
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  3. Article ; Online: Minute Zero: an essential assessment in peri-operative ultrasound for anaesthesia.

    Segura-Grau, Elena / Antunes, Pedro / Magalhães, Juliana / Vieira, Inęs / Segura-Grau, Ana

    Anaesthesiology intensive therapy

    2022  Volume 54, Issue 1, Page(s) 80–84

    Abstract: In recent years, ultrasonography has gained unmatched importance in medical practice. After the initial use for central vascular access placement and regional anaesthesia, its application has expanded to airway, ocular, abdominal, lung and cardiac ... ...

    Abstract In recent years, ultrasonography has gained unmatched importance in medical practice. After the initial use for central vascular access placement and regional anaesthesia, its application has expanded to airway, ocular, abdominal, lung and cardiac ultrasound, with the concept of point of care ultrasound (POCUS) gaining acceptability and applicability in the most diverse situations. In fact, it has recently been acclaimed as the fifth pillar to bedside evaluation [1]. Performing a POCUS-guided eva-luation has proved to be of value in emergency medicine, with studies demonstrating improved diagnosis and better outcomes [2]. Similarly, in critical care, systematic ultrasound evaluation has been shown to decrease the use of conventional diagnostic imaging tools and time on mechanical ventilation and improve the management of fluid therapy [3]. Recognition of the benefit of ultrasound evaluation in the perioperative period has been increasing. In fact, the need to master clinical ultrasound evaluation has led the Canadian anaesthesiology academic centres to issue recommendations regarding the scope of practice and required training for perioperative POCUS [4].
    MeSH term(s) Anesthesia ; Anesthesiology ; Canada ; Humans ; Point-of-Care Systems ; Ultrasonography/methods
    Language English
    Publishing date 2022-03-18
    Publishing country Poland
    Document type Letter
    ISSN 1731-2531
    ISSN (online) 1731-2531
    DOI 10.5114/ait.2022.112886
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  4. Article ; Online: Single puncture clavipectoral fascial block as a potential effective analgesic strategy for clavicle surgery.

    Magalhães, Juliana / Segura-Grau, Elena

    Journal of clinical anesthesia

    2020  Volume 67, Page(s) 110062

    MeSH term(s) Analgesics ; Clavicle/diagnostic imaging ; Clavicle/surgery ; Fascia ; Humans ; Punctures ; Shoulder
    Chemical Substances Analgesics
    Language English
    Publishing date 2020-09-23
    Publishing country United States
    Document type Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2020.110062
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    Zs.A 2622: Show issues Location:
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  5. Article: Guía básica ecografía pulmonar y COVID-19./ Guía básica ecografía pulmonar y COVID-19./ Flash card Lung Ultrasound and COVID-19

    Segura-Grau, E

    Rev Esp Anestesiol Reanim

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #301294
    Database COVID19

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  6. Article ; Online: Flash card Lung Ultrasound and COVID-19

    Segura-Grau, E.

    Revista Española de Anestesiología y Reanimación (English Edition)

    2020  Volume 67, Issue 6, Page(s) 351–353

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ISSN 2341-1929
    DOI 10.1016/j.redare.2020.05.004
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Guía básica ecografía pulmonar y COVID-19

    Segura-Grau, E.

    Revista Española de Anestesiología y Reanimación

    2020  Volume 67, Issue 6, Page(s) 351–353

    Keywords Anesthesiology and Pain Medicine ; Critical Care and Intensive Care Medicine ; covid19
    Language Spanish
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 604162-0
    ISSN 2340-3284 ; 0034-9356 ; 1131-4044
    ISSN (online) 2340-3284
    ISSN 0034-9356 ; 1131-4044
    DOI 10.1016/j.redar.2020.05.003
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    Zs.A 445: Show issues Location:
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  8. Article ; Online: Clinical ultrasound in the management of polytraumatized patients in the daily practice of the anesthesiologist.

    Segura-Grau, E / Afonso, A

    Revista espanola de anestesiologia y reanimacion

    2019  Volume 66, Issue 8, Page(s) 434–438

    Abstract: Ultrasound has an important role in the diagnosis and prognosis of polytrauma patients. We describe a case of a 52-year-old man with hemodynamic instability and multiple injuries. Abdominal ultrasound evaluation was positive for hemoperitoneum, so an ... ...

    Title translation Ecografía clínica en el manejo de paciente politraumatizado en la práctica diaria del anestesiólogo.
    Abstract Ultrasound has an important role in the diagnosis and prognosis of polytrauma patients. We describe a case of a 52-year-old man with hemodynamic instability and multiple injuries. Abdominal ultrasound evaluation was positive for hemoperitoneum, so an exploratory laparotomy was performed. During the intraoperative period, lung ultrasound was used to exclude traumatic lung injury. In the right lung, lung ultrasound suggested the presence of pneumothorax, and in the left a subpleural consolidation. Subsequently, a computed tomography was performed, confirming the sonographic findings. On the fourth admission day, he underwent surgical correction of a left hip fracture. A type 2 quadratus lumborum block (ultrasound-guided) was performed before surgical incision. The procedure was uneventful. The patient remained hemodynamically stable, without indirect signs of pain. This case shows that ultrasound-guided examination plays a crucial role in the management of polytrauma patients. It was a fundamental diagnostic tool in the initial evaluation, and was also used during surgery.
    MeSH term(s) Anesthesiologists ; Anesthesiology/methods ; Focused Assessment with Sonography for Trauma ; Hemoperitoneum/diagnostic imaging ; Hemoperitoneum/etiology ; Hemoperitoneum/surgery ; Hip Fractures/diagnostic imaging ; Hip Fractures/etiology ; Hip Fractures/surgery ; Humans ; Laparotomy ; Liver/injuries ; Liver/surgery ; Male ; Middle Aged ; Multiple Trauma/diagnostic imaging ; Multiple Trauma/surgery ; Nerve Block ; Pneumothorax/diagnostic imaging ; Pneumothorax/etiology ; Point-of-Care Systems ; Preoperative Care/methods ; Professional Practice ; Spleen/diagnostic imaging ; Spleen/injuries ; Spleen/surgery ; Splenectomy ; Tomography, X-Ray Computed ; Ultrasonography/methods ; Ultrasonography, Interventional
    Language Spanish
    Publishing date 2019-08-26
    Document type Case Reports ; Journal Article
    ISSN 2341-1929
    ISSN (online) 2341-1929
    DOI 10.1016/j.redar.2019.06.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Quadratus lumborum type 2 block as a complementary regional anesthesia for polytrauma intensive care patient.

    Segura-Grau, Elena / Afonso, Ana

    Journal of clinical anesthesia

    2018  Volume 54, Page(s) 141

    MeSH term(s) Abdominal Muscles/diagnostic imaging ; Abdominal Muscles/innervation ; Anesthesia, Local/methods ; Anesthetics, Local/administration & dosage ; Critical Care/methods ; Humans ; Male ; Middle Aged ; Multiple Trauma/surgery ; Nerve Block/methods ; Ultrasonography, Interventional
    Chemical Substances Anesthetics, Local
    Language English
    Publishing date 2018-12-04
    Publishing country United States
    Document type Case Reports ; Letter
    ZDB-ID 1011618-7
    ISSN 1873-4529 ; 0952-8180
    ISSN (online) 1873-4529
    ISSN 0952-8180
    DOI 10.1016/j.jclinane.2018.10.018
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Reinforcing the valuable role of gastric ultrasound for volume and content assessment: an observational study.

    Segura-Grau, Elena / Segura-Grau, Ana / Ara Jo, Ricardo / Payeras, Guillermo / Cabral, Jorge / Afreixo, Vera

    Brazilian journal of anesthesiology (Elsevier)

    2021  Volume 72, Issue 6, Page(s) 749–756

    Abstract: Background: Pulmonary aspiration is one of the most important complications in anesthesiology. Assessment of gastric content by ultrasound is a good method to quantify gastric volume and to determine the risk of intraoperative pulmonary aspiration. The ... ...

    Abstract Background: Pulmonary aspiration is one of the most important complications in anesthesiology. Assessment of gastric content by ultrasound is a good method to quantify gastric volume and to determine the risk of intraoperative pulmonary aspiration. The aim of this study is to determine the accuracy of the gastric ultrasonography in the qualitative analysis of gastric content, mainly in the analysis of small amounts of liquid content.
    Methods: Gastric ultrasound was performed to 36 patients before upper gastrointestinal endoscopy (UGI), making two longitudinal scans at the epigastric level, one in supine position and the other in right lateral decubitus position, measuring two diameters and the area of the gastric antrum and assessing the content characteristics determining whether it was an empty stomach or contained fluid or solid content. Subsequently, the ultrasound findings were compared with UGI findings.
    Results: Gastric areas were analyzed by the trace and the lengths of the craniocaudal and anteroposterior axes concluding that there are no significant differences between the two methods. No statistically significant difference was found between UGI and US assessment technics. No statistically significant difference was found between the estimated volume by UGI and US.
    Conclusions: Though our study has some limitations, qualitative analysis of gastric content using ultrasound followed by endoscopy enabled the conclusion that there are no differences in the qualitative assessment regarding these two techniques, supporting the important role of point-of-care gastric ultrasound (POCGUS) in the assessment of pulmonary aspiration risk by the anesthesiologist in the perioperative period.
    MeSH term(s) Humans ; Prospective Studies ; Stomach/diagnostic imaging ; Gastrointestinal Contents/diagnostic imaging ; Pyloric Antrum/diagnostic imaging ; Ultrasonography/methods
    Language English
    Publishing date 2021-07-26
    Publishing country Brazil
    Document type Observational Study ; Journal Article
    ISSN 2352-2291
    ISSN (online) 2352-2291
    DOI 10.1016/j.bjane.2021.07.008
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