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  1. Article ; Online: Lung Ultrasound and Electrical Impedance as Long-Term Monitoring Tools for Acute Respiratory Failure: Sometimes No Numbers Are Better Than Bad (or Confusing) Numbers.

    Goffi, Alberto / Piraino, Thomas

    Critical care medicine

    2022  Volume 50, Issue 7, Page(s) 1167–1170

    MeSH term(s) Electric Impedance ; Humans ; Lung/diagnostic imaging ; Respiratory Distress Syndrome/diagnostic imaging ; Respiratory Distress Syndrome/therapy ; Respiratory Insufficiency/therapy ; Tomography
    Language English
    Publishing date 2022-06-13
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 197890-1
    ISSN 1530-0293 ; 0090-3493
    ISSN (online) 1530-0293
    ISSN 0090-3493
    DOI 10.1097/CCM.0000000000005540
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Book ; Online: Lung ultrasonography as an alternative to chest computed tomography in COVID-19 pneumonia?

    Vieillard-Baron, A. / Goffi, A. / Mayo, P.

    Journal Articles

    2020  

    Keywords Critical Care ; Pulmonology ; covid19
    Publishing date 2020-01-01T08:00:00Z
    Publisher Donald and Barbara Zucker School of Medicine Academic Works
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Hemodynamic Insights From Simultaneous Common Carotid and Internal Jugular Doppler Ultrasonography in a Patient With Hypoxemia and Multiple Organ Dysfunction.

    Kenny, Jon-Émile S / Eibl, Joseph K / Horner, Christine / Arcozzi, Daniele / Bonomi, Federico / Fanelli, Vito / Visioli, Antonio / Goffi, Alberto / Piva, Simone

    Chest

    2024  Volume 165, Issue 4, Page(s) e107–e112

    MeSH term(s) Humans ; Multiple Organ Failure ; Ultrasonography ; Hemodynamics ; Ultrasonography, Doppler ; Hypoxia/etiology ; Jugular Veins/diagnostic imaging
    Language English
    Publishing date 2024-03-11
    Publishing country United States
    Document type Case Reports
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2023.11.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A 45-Year-Old Man With Severe Respiratory Failure After Cardiac Arrest.

    Pichette, Maxime / Goffi, Alberto

    Chest

    2018  Volume 153, Issue 6, Page(s) e133–e137

    MeSH term(s) Electrocardiography ; Humans ; Male ; Middle Aged ; Out-of-Hospital Cardiac Arrest/complications ; Out-of-Hospital Cardiac Arrest/diagnosis ; Patient Positioning/methods ; Pneumonia, Ventilator-Associated/complications ; Pneumonia, Ventilator-Associated/diagnosis ; Radiography, Thoracic ; Respiratory Distress Syndrome, Adult/diagnosis ; Respiratory Distress Syndrome, Adult/etiology ; Respiratory Distress Syndrome, Adult/therapy ; Severity of Illness Index
    Language English
    Publishing date 2018-06-08
    Publishing country United States
    Document type Case Reports ; Journal Article ; Video-Audio Media
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2017.12.030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Lung ultrasonography as an alternative to chest computed tomography in COVID-19 pneumonia?

    Vieillard-Baron, Antoine / Goffi, Alberto / Mayo, Paul

    Intensive care medicine

    2020  Volume 46, Issue 10, Page(s) 1908–1910

    MeSH term(s) Betacoronavirus ; COVID-19 ; China ; Coronavirus Infections/epidemiology ; Humans ; Pandemics ; Pneumonia, Viral/epidemiology ; Retrospective Studies ; SARS-CoV-2 ; Tomography ; Tomography, X-Ray Computed ; Ultrasonography
    Keywords covid19
    Language English
    Publishing date 2020-08-25
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-020-06221-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Pseudo B-line in pneumothorax: first look at the patient. Author's reply.

    Wong, Adrian / Olusanya, Olusegun / Goffi, Alberto

    Intensive care medicine

    2020  Volume 47, Issue 1, Page(s) 139–140

    MeSH term(s) Humans ; Pneumothorax/diagnostic imaging
    Keywords covid19
    Language English
    Publishing date 2020-10-08
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-020-06246-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Use of a Novel Three-Dimensional Model to Teach Ultrasound-guided Subclavian Vein Cannulation.

    Tanwani, Jaya / Nabecker, Sabine / Hiansen, Joshua Qua / Mashari, Azad / Siddiqui, Naveed / Arzola, Cristian / Goffi, Alberto / Peacock, Sharon

    ATS scholar

    2023  Volume 4, Issue 3, Page(s) 344–353

    Abstract: Background: Central venous cannulation is an essential skill in perioperative and critical care medicine. Ultrasound guidance is the standard of care for femoral and internal jugular vein access, with the subclavian vein being perceived to be less ... ...

    Abstract Background: Central venous cannulation is an essential skill in perioperative and critical care medicine. Ultrasound guidance is the standard of care for femoral and internal jugular vein access, with the subclavian vein being perceived to be less amenable to ultrasound-guided (UG) insertion, resulting in a lack of procedural competency and low cannulation rate. There is a paucity of resources and a lack of experience among staff physicians to effectively instruct trainees. Simulation-based medical education has the potential to help maintain high-stakes, infrequently performed skills and counteract possible unrecognized skill decline. We aimed to create a novel, low-cost, high-fidelity three-dimensional (3D) model for UG subclavian vein (UG-SCV) access with an accompanying curriculum to improve this important skill.
    Methods: A curriculum was created consisting of preparatory material reviewing UG-SCV access, followed by an in-person didactic lecture focusing on ultrasound use and management of complications and a deliberate practice session scanning volunteers and practicing UG vascular puncture on a 3D model. A qualitative usability test design was used to assess the validity of the curriculum in trainees with advanced vascular access skills (anesthesiologists). Participants were second-year anesthesia residents, anesthesia fellows, and staff physicians. Focus groups conducted after each session explored the face validity of the model and curriculum. By applying a usability design, the curriculum was optimized and finalized.
    Results: Between September 2020 and February 2021, 28 participants tested the curriculum. The focus groups ensured that the curriculum achieved its objective, with iterative changes made after each session in a quality improvement framework Plan-Do-Study-Act approach. After the third cycle, minimal changes were suggested, and the curriculum and 3D model were finalized. An additional group of participants was used to ensure that no new input would help improve the curriculum further.
    Conclusions: A focused curriculum for enhancing skills in UG-SCV cannulation using a novel 3D model was successfully implemented and validated through a usability test design. This curriculum is better targeted for practitioners experienced in central venous access to master a subclavian approach and maintain their skill level.
    Language English
    Publishing date 2023-07-25
    Publishing country United States
    Document type Journal Article
    ISSN 2690-7097
    ISSN (online) 2690-7097
    DOI 10.34197/ats-scholar.2022-0104IN
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Teaching Ultrasound at the Point of Care in Times of Social Distancing.

    Jackson, Robert / Brotherston, Drew / Jain, Aditi / Douflé, Ghislaine / Piquette, Dominique / Goffi, Alberto

    ATS scholar

    2021  Volume 2, Issue 3, Page(s) 341–352

    Abstract: Point-of-care ultrasound has become an integral aspect of critical care training. The Bedside Assessment by Sonography In Critical Care Medicine Curriculum was established at the University of Toronto to train critical care trainees in basic ... ...

    Abstract Point-of-care ultrasound has become an integral aspect of critical care training. The Bedside Assessment by Sonography In Critical Care Medicine Curriculum was established at the University of Toronto to train critical care trainees in basic echocardiography and general critical care ultrasound. During the coronavirus disease (COVID-19) pandemic, our program needed to adapt quickly to ensure staff safety and adherence to infection-control protocols. In this article, we share our experience and reflect on the challenges and benefits of shifting from a primarily in-person teaching model to a hybrid model of remote and in-person teaching. Curricular changes were threefold: the transition to entirely web-based interactive didactic teaching and online imaging interpretation modules, the recruitment of sonographers at multiple academic sites as instructors to facilitate in-person practices with lower instructor to trainee ratio, and the use of a mobile application for informal group case-based discussions. Challenges included lost opportunities for scanning healthy volunteers, variability in attendance at online lectures, and a lower number of study submissions for review. However, curricular changes enabled maintenance of directly observed practice, high levels of engagement with recorded content, and an expansion of our reach to a global audience. We believe that future curricula should combine high-quality online curriculum and resources with the ongoing in-person delivery of key elements of curriculum to allow for direct observation and feedback as well as the maintenance of self-directed point-of-care ultrasound portfolios.
    Language English
    Publishing date 2021-09-08
    Publishing country United States
    Document type Journal Article
    ISSN 2690-7097
    ISSN (online) 2690-7097
    DOI 10.34197/ats-scholar.2021-0023PS
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Critical care echocardiography: a certification pathway for advanced users.

    Millington, Scott J / Goffi, Alberto / Arntfield, Robert T

    Canadian journal of anaesthesia = Journal canadien d'anesthesie

    2018  Volume 65, Issue 4, Page(s) 345–349

    Title translation L’échocardiographie aux soins intensifs: une voie vers la certification pour les utilisateurs avancés.
    MeSH term(s) Certification/methods ; Clinical Competence ; Critical Care/methods ; Echocardiography/standards ; Humans
    Language English
    Publishing date 2018-01-16
    Publishing country United States
    Document type Editorial
    ZDB-ID 91002-8
    ISSN 1496-8975 ; 0832-610X
    ISSN (online) 1496-8975
    ISSN 0832-610X
    DOI 10.1007/s12630-018-1061-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: The sound of air: point-of-care lung ultrasound in perioperative medicine.

    Goffi, Alberto / Kruisselbrink, Richelle / Volpicelli, Giovanni

    Canadian journal of anaesthesia = Journal canadien d'anesthesie

    2018  Volume 65, Issue 4, Page(s) 399–416

    Abstract: Purpose: Lung ultrasound (LUS) has emerged as an effective and accurate goal-directed diagnostic tool that can be applied in real time for the bedside assessment of patients with respiratory symptoms and signs. Lung ultrasound has definite and easily ... ...

    Title translation Le bruit de l’air : échographie pulmonaire au point d’intervention en médecine périopératoire.
    Abstract Purpose: Lung ultrasound (LUS) has emerged as an effective and accurate goal-directed diagnostic tool that can be applied in real time for the bedside assessment of patients with respiratory symptoms and signs. Lung ultrasound has definite and easily recognized findings and has been shown to outperform physical examination and chest radiography for the diagnosis and monitoring of many pulmonary and pleural conditions. In this article, we review the principles of LUS image acquisition and interpretation, summarizing key terms and sonographic findings.
    Principal findings: Although LUS is easy to learn, adequate training and performance in an organized fashion are crucial to its clinical effectiveness and to prevent harm. Therefore, we review normal LUS findings and propose step-wise approaches to the most common LUS diagnoses, such as pneumothorax, pleural effusion, interstitial syndrome, and lung consolidation. We highlight potential pitfalls to avoid and review a recently published practical algorithm for LUS use in clinical practice.
    Conclusions: Because of the unique physical properties of the lungs, only a careful and systematic analysis of both artifacts and anatomical images allows accurate interpretation of sonographic findings. Future studies exploring the use of software for automatic interpretation, quantitative methods for the assessment of interstitial syndrome, and continuous monitoring devices may further simplify and expand the use of this technique at the bedside in acute medicine and the perioperative setting.
    MeSH term(s) Humans ; Lung/diagnostic imaging ; Lung/physiopathology ; Lung Diseases/diagnostic imaging ; Lung Diseases/physiopathology ; Perioperative Care/methods ; Point-of-Care Systems ; Ultrasonography/instrumentation ; Ultrasonography/methods
    Language English
    Publishing date 2018-02-06
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 91002-8
    ISSN 1496-8975 ; 0832-610X
    ISSN (online) 1496-8975
    ISSN 0832-610X
    DOI 10.1007/s12630-018-1062-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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