{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:01:49Z","timestamp":1791234109120,"version":"4.1.0"},"reference-count":15,"publisher":"Medical Communications Sp. z.o.o.","issue":"101","license":[{"start":{"date-parts":[[2025,6,3]],"date-time":"2025-06-03T00:00:00Z","timestamp":1748908800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Ultrason"],"abstract":"<jats:p>Aim: To evaluate the benefit of abdominal ultrasonography performed routinely and thus independently\nof symptomatology in patients in the intensive care unit, and to assess the value of a portable ultrasound\ndevice. Diagnostic yield and documented results with clinical consequences were considered and\ncompared with findings obtained using a high-end ultrasound device. Material and methods: A total of\n120 patients of an internal medicine intensive care unit were included over 12 months. The investigator\nhad limited experience in sonography (approximately 300 abdominal sonographies performed). The\nabdomen and basal portions of the thorax were examined. Results: The most common pathological\nfindings were renal cysts in 34\/120 (28.3%), left-sided or right-sided pleural effusions in 33\/120 (27.5%)\nand 29\/120 (24.2%) patients, respectively, dilatation of the vena cava in 24\/120 (20.0%), and urinary\nretention in 14\/120 (11.7%) patients. In 13\/120 (10.8%) patients, the sonographic examination resulted\nin a diagnostic consequence, while in 38\/120 (31.7%) patients in a therapeutic consequence. Among the\nfalse-negative findings using the hand-held ultrasound device, no finding was of therapeutic relevance.\nFour findings that were missed by the hand-held ultrasound device were diagnostically significant: two\nlesions of the kidney, one lesion of the liver, and one case of urinary stasis kidney. Conclusions: With\nthe hand-held ultrasound device, only 33 of 52 focal lesions were detected. Thus, a high-end ultrasound\ndevice cannot be replaced by a hand-held ultrasound device for this purpose, but certain clinical questions\ncan be answered reliably with a hand-held ultrasound device (such as the presence of a puncture-worthy\npleural effusion in patients with dyspnea, or verification of the volume status based on the diameter of\nthe vena cava).<\/jats:p>","DOI":"10.15557\/jou.2025.0016","type":"journal-article","created":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T14:23:19Z","timestamp":1767018199000},"source":"Crossref","is-referenced-by-count":2,"title":["Ultrasound in intensive care unit patients: applications, observations, and comparison of two established ultrasound methods"],"prefix":"10.15557","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2388-2945","authenticated-orcid":false,"given":"Andr\u00e9","family":"Ignee","sequence":"first","affiliation":[{"name":"Gastroenterology, Klinikum Wuerzburg Mitte Juliusspital, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-1040-4073","authenticated-orcid":false,"given":"Matthias","family":"Dusik","sequence":"additional","affiliation":[{"name":"Internal Medicine 2, Caritas-Krankenhaus, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8099-0718","authenticated-orcid":false,"given":"Daniel","family":"Wasal","sequence":"additional","affiliation":[{"name":"Internal Medicine, Hochtaunus Klinikum, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9492-0141","authenticated-orcid":false,"given":"Kathleen","family":"Moeller","sequence":"additional","affiliation":[{"name":"Medical Department \/ Gastroenterology, SANA Hospital Lichtenberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1820-9430","authenticated-orcid":false,"given":"Beatrice","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Beth Israel Deaconess Medical Center, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6015-6347","authenticated-orcid":false,"given":"Christoph Frank","family":"Dietrich","sequence":"additional","affiliation":[{"name":"Department General Internal Medicine, Hirslanden Clinics Beau-Site, Salem and Permancence, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6250","published-online":{"date-parts":[[2025,6,3]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"1. \u00d8degaard S, Nesje LB, Hausken T, Gilja OH: Ultrasonography in gastroenterology. Scand J Gastroenterol 2015; 50: 698\u2013707. doi: 10.3109\/00365521.2015.1028436.","DOI":"10.3109\/00365521.2015.1028436"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"2. Dietrich CF, Nols\u00f8e CP, Barr RG, Berzigotti A, Burns PN, Cantisani V et al.: Guidelines and Good Clinical Practice Recommendations for Contrast-Enhanced Ultrasound (CEUS) in the Liver-Update 2020 WFUMB in Cooperation with EFSUMB, AFSUMB, AIUM, and FLAUS. Ultrasound Med Biol 2020; 46: 2579\u20132604. doi:","DOI":"10.1016\/j.ultrasmedbio.2020.04.030"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"10.1016\/j.ultrasmedbio.2020.04.030.","DOI":"10.1016\/j.ultrasmedbio.2020.04.030"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"3. Sidhu PS, Cantisani V, Dietrich CF, Gilja OH, Saftoiu A, Bartels E et al.: The EFSUMB Guidelines and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound (CEUS) in Non-Hepatic Applications: Update 2017 (Long Version). Ultraschall Med 2018; 39: e2\u2013e44. English. doi: 10.1055\/a-0586-1107.","DOI":"10.1055\/a-0586-1107"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"4. Abinader R, Warsof SL: Benefits and Pitfalls of Ultrasound in Obstetrics and Gynecology. Obstet Gynecol Clin North Am 2019; 46: 367\u2013378. doi: 10.1016\/j.ogc.2019.01.011.","DOI":"10.1016\/j.ogc.2019.01.011"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"5. Sch\u00f6ppler G, Heinzelbecker J, Michaely HJ, Dinter D, Clevert DA, Pelzer AE: Stellenwert des Ultraschalls in der Urologie [The impact of ultrasound in urology]. Urologe A 2012; 51: 81\u201398. German. doi: 10.1007\/s00120-011-2662-z.","DOI":"10.1007\/s00120-011-2662-z"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"6. Breitkreutz R, Walcher F, Seeger FH: Focused echocardiographic evaluation in resuscitation management: concept of an advanced life support-conformed algorithm. Crit Care Med 2007; 35 (5 Suppl): S150\u2013161. doi: 10.1097\/01.CCM.0000260626.23848.FC.","DOI":"10.1097\/01.CCM.0000260626.23848.FC"},{"key":"ref7","unstructured":"7. Chardoli M, Heidari F, Rabiee H, Sharif-Alhoseini M, Shokoohi H, Rahimi-Movaghar V: Echocardiography integrated ACLS protocol versus conventional cardiopulmonary resuscitation in patients with pulseless electrical activity cardiac arrest. Chin J Traumatol 2012; 15: 284\u2013287."},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"8. Salen P, Melniker L, Chooljian C, Rose JS, Alteveer J, Reed J, Heller M: Does the presence or absence of sonographically identified cardiac activity predict resuscitation outcomes of cardiac arrest patients? Am J Emerg Med 2005; 23: 459\u2013462. doi: 10.1016\/j.ajem.2004.11.007.","DOI":"10.1016\/j.ajem.2004.11.007"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"9. Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW et al.; International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 2012 ; 38: 577\u2013591. doi: 10.1007\/s00134-012-2513-4.","DOI":"10.1007\/s00134-012-2513-4"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"10. Silva S, Biendel C, Ruiz J, Olivier M, Bataille B, Geeraerts T et al.: Usefulness of cardiothoracic chest ultrasound in the management of acute respiratory failure in critical care practice. Chest 2013; 144: 859\u2013865. doi: 10.1378\/chest.13-0167.","DOI":"10.1378\/chest.13-0167"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"11. Campbell SJ, Bechara R, Islam S: Point-of-Care Ultrasound in the Intensive Care Unit. Clin Chest Med 2018; 39: 79\u201397. doi: 10.1016\/j.ccm.2017.11.005.","DOI":"10.1016\/j.ccm.2017.11.005"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"12. Schacherer D, Klebl F, Goetz D, Buettner R, Zierhut S, Schoelmerich J, Langgartner J: Abdominal ultrasound in the intensive care unit: a 3-year survey on 400 patients. Intensive Care Med 2007; 33: 841\u2013844. doi: 10.1007\/s00134-007-0577-3.","DOI":"10.1007\/s00134-007-0577-3"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"13. Fr\u00f6hlich E, Beller K, Muller R, Herrmann M, Debove I, Klinger C et al.: Point of Care Ultrasound in Geriatric Patients: Prospective Evaluation of a Portable Handheld Ultrasound Device. Ultraschall Med 2020; 41: 308\u2013316. English. doi: 10.1055\/a-0889-8070.","DOI":"10.1055\/a-0889-8070"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"14. N\u00fcrnberg D, Jenssen C, Lucius C, Klingenberg-Noftz R, W\u00fcstner M, Worlicek H: Klinischer Ultraschall (ClinUS) \u2013 Konzepte und Kontroversen [Clinical Ultrasound (ClinUS) \u2013 Concepts and Controversies]. Z Gastroenterol 2025; 63: 279\u2013292. German. doi: 10.1055\/a-2495-2677.","DOI":"10.1055\/a-2495-2677"}],"container-title":["Journal of Ultrasonography"],"original-title":[],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T14:23:23Z","timestamp":1767018203000},"score":1,"resource":{"primary":{"URL":"https:\/\/jultrason.pl\/index.php\/issues\/volume-25-no-101\/ultrasound-in-intensive-care-unit-patients-applications-observations-and-comparison-of-two-established-ultrasound-methods-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,3]]},"references-count":15,"journal-issue":{"issue":"101","published-online":{"date-parts":[[2025,6,3]]}},"URL":"https:\/\/doi.org\/10.15557\/jou.2025.0016","relation":{},"ISSN":["2084-8404","2451-070X"],"issn-type":[{"value":"2084-8404","type":"print"},{"value":"2451-070X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,3]]}}}