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Netherlands Journal of Critical Care Volume 26 - No 2 - March 2018 Netherlands Journal of Critical Care Bi-monthly journal of the Dutch Society of Intensive Care REVIEW ORIGINAL ARTICLE CASE REPORT Ultrasound imaging of the diaphragm: facts and To see or not to see: ultrasound-guided Hepatopulmonary syndrome – a rare cause of future: A guide for the bedside clinician percutaneous tracheostomy hypoxaemia M.E. Haaksma, L. Atmowihardjo, L. Heunks, J.E. Lopez Matta, C.V. Elzo Kraemer, D.J. van Westerloo W.A.C. Koekkoek, C.R. Lamers, R. Meiland, A. Spoelstra-de Man, P.R. Tuinman M.J. van der Veen, D.C. Burgers – Bonthuis 2018 NVIC NAJAARSCONGRES 13 september 2018 SAVE THE DATE WWW.NVIC.NL NVIC_SAVE THE DATE 2018_210x275_TBV_NJCC_MAGAZINE.indd 1 08-03-18 18:39 Netherlands Journal of Critical Care 2018 NETHERLANDS JOURNAL OF CRITICAL CARE EXECUTIVE EDITORIAL BOARD N.P. Juffermans, editor in chief CONTENTS I. van Stijn, managing editor H. Dupuis, language editor J. Horn, editorial board EDITORIAL A.P.J. Vlaar, editorial board 56 The golden age of ultrasound is only just beginning M. Kuiper, associate editor P. Spronk, associate editor F.H. Bosch, P.R. Tuinman [email protected] REVIEW COPYRIGHT 58 Ultrasound imaging of the diaphragm: facts and future: A guide for the bedside clinician Netherlands Journal of Critical Care ISSN: 1569-3511 M.E. Haaksma, L. Atmowihardjo, L. Heunks, A. Spoelstra-de Man, P.R. Tuinman NVIC p/a Domus Medica P.O. Box 2124, 3500 GC Utrecht T: +31-(0)30 - 282 38 38 ORIGINAL ARTICLE 66 To see or not to see: ultrasound-guided percutaneous tracheostomy © 2018 NVIC. All rights reserved. Except as outlined below, no part of this publication may J.E. Lopez Matta, C.V. Elzo Kraemer, D.J. van Westerloo be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording CASE REPORT or otherwise, without prior written permission of 70 Pneumatosis intestinally, to treat or not to treat? the publisher. Permission may be sought directly N. Treskes, B. Festen-Spanjer from NVIC. DERIVATIVE WORKS CASE REPORT Subscribers may reproduce tables of contents or prepare lists of articles including abstracts 74 Bilateral vocal cord palsy: An uncommon late complication of cortical ischaemic stroke for internal circulation within their institutions. V. Jain, V. Jain, H. Sapra Permission of the publisher is required for resale or distribution outside the institution. Permission of the publisher is also required for all other CASE REPORT derivative works, including compilations and translations. 77 Hepatopulmonary syndrome – a rare cause of hypoxaemia W.A.C. Koekkoek, C.R. Lamers, R. Meiland, M.J. van der Veen, D.C. Burgers – Bonthuis ELECTRONIC STORAGE Permission of the publisher is required to store or NVIC use electronically any material contained in this RESEARCH NEWS journal, including any article or part of an article. 81 Lung recruitment and titrated PEEP in moderate to severe ARDS SUBSCRIPTIONS J. Pillay NAJAARSCONGRES An annual subscription to the Netherlands Journal of Critical Care consists of 6 issues. Issues within Europe are sent by standard mail and CORRESPONDENCE outside Europe by air delivery. Cancellations should be made, in writing, at least two months 83 Pro/con debate before the end of the year. Conservative oxygenation in the intensive care unit: Pro The annual subscription fee for the Netherlands 13 september 2018 is 5 170, for Europe 5 285, for the rest of the world H.J.F. Helmerhorst 5 380. Subscriptions are accepted on a prepaid basis only and are entered on a calendar year basis. Please transfer the fee to ABNAMRO NL55 ABNA CORRESPONDENCE 0524 5618 93, swift-code: ABNANL2A. Do not 86 Pro/con debate forget to mention the complete address for delivery of the Journal. Conservative oxygenation in the intensive care unit: Con A.M.E. Spoelstra – de Man CLAIMS Claims for missing issues should be made within two months of the date of dispatch. Missing issues will be mailed without charge. Issues claimed beyond the two-month limit must be prepaid at 88 NVIC conference and course agenda back copy rates. 89 Editorial board ADVERTISING/ BUSINESS CONTACTS 89 International advisory board For advertising, please contact Breener 90 Information for authors SAVE THE DATE Breener B.V. Sint Bernulphusstraat 13D 6861 GS Oosterbeek +31 (0)26 202 20 63 [email protected] Netherlands Journal of Critical Care is indexed in: WWW.NVIC.NL NETH J CRIT CARE - VOLUME 26 - NO 2 - MARCH 2018 55 NVIC_SAVE THE DATE 2018_210x275_TBV_NJCC_MAGAZINE.indd 1 08-03-18 18:39 Netherlands Journal of Critical Care Submitted January 2018; Accepted February 2108 EDITORIAL The golden age of ultrasound is only just beginning F.H. Bosch1, P.R. Tuinman2,3,4 1Department of Intensive Care Medicine, Rijnstate Hospital, Arnhem, the Netherlands 2Department of Intensive Care, 3Research Vumc Intensive Care (REVIVE) and, 4Amsterdam Cardiovascular Sciences, Vu Medical Center, Amsterdam, the Netherlands Correspondence F.H. Bosch: [email protected] Keywords - ultrasound, intensive care, training, intervention In the last 10 years, many intensivists have learned that using is also very useful for teaching physiological phenomena. ultrasound in their daily practice leads to faster diagnosis and Determining the flow pattern in an artery, vein or aortic outflow safer patient care.[1,2] Many algorithms have been developed trajectory is helpful in understanding physiology.[6] for the structured approach of the care of an unstable patient. Often people warn about the risks of performing ultrasound Examples of these algorithms are RACE (Rapid Assessment without adequate training. The risk of a wrong diagnosis cannot with Cardiac Echo), FATE (Focus Assessed Transthoracic be underestimated and we agree with these critics that adequate Echo), FAST (Focussed Assessment with Sonography in training is mandatory and should be part of every doctor’s Trauma), and BLUE (ultrasound of the lung in a cyanotic patient curriculum.[7] This is in line with the policy of the Dutch Society without a history of pulmonary disease). Nowadays, diagnostic of Intensive Care with stimulates its members to follow not only ultrasound performed by intensivists is usually called POCUS a beginners course but also an advanced course. (Point of Care UltraSound). What exactly is being covered in this acronym is, however, still being debated. We feel that the golden age of ultrasound is just beginning. There are some developments that have led to more routine use of Ultrasound is also increasingly used during interventions such ultrasound in daily practice. The price of an ultrasound machine as central vein cannulation, insertion of arterial catheters and is decreasing; miniaturisation, digitalisation, connection of drainage of pleural or abdominal fluids. For example, in recent ultrasound equipment with the electronic health record through years it has been demonstrated that possible complications WiFi, etc., all lead to an everincreasing use. More and more doctors of central vein cannulation can be diagnosed with the use of are being trained in the safe use of this technique and every day ultrasound. If the guidewire is clearly visible within the vein new applications are being developed. and in the right atrium during insertion, if there is visible lung In this issue,[8,9] the Netherlands Journal of Critical Care is starting sliding and if turbulence of injected saline is seen in the right an exciting new series on the use of ultrasound beyond the well- atrium after insertion of the catheter, performing an X-ray of the known indications of heart and lungs; some applications may be thorax after insertion of the catheter does not have additional familiar to you, others may be completely new. We hope that you value and can be safely omitted.[3-5] will find them instructive and that they may stimulate you to use We often wonder what our imaging routine would be like if ultrasound even more. X-ray and ultrasound technology were invented on the same day. We are convinced that, in that case, physicians would References perform an ultrasound in many instances where now an X-ray 1. Charron C, Repesse X, Bodson L, Au SM, Vieillard-Baron A. Ten good reasons why is routinely ordered. everybody can and should perform cardiac ultrasound in the ICU. Anaesthesiol Ultrasound is not only a great diagnostic tool, but it is also Intensive Ther. 2014;46:319-22. 2. Via G, Hussain A, Wells M, et al. International evidence-based recommendations tremendously useful in teaching. Young doctors get a much for focused cardiac ultrasound. J Am Soc Echocardiogr. 2014;27:683 e1- e33. better appreciation of normal and abnormal anatomy. Taking in 3. Ablordeppey EA, Drewry AM, Beyer AB, et al. Diagnostic Accuracy of Central Venous Catheter Confirmation by Bedside Ultrasound Versus Chest Radiography dynamic images of organs, arteries and veins with an ultrasound in Critically Ill Patients: A Systematic Review and Meta-Analysis. Crit Care Med. probe in their hands leads to an insight that cannot be obtained 2017;45:715-24. from anatomy books or post-mortem dissections. Ultrasound 56 NETH J CRIT CARE - VOLUME 26 - NO 2 - MARCH 2018 Netherlands Journal of Critical Care Golden age of ultrasound 4. Blans MJ, Endeman H, Bosch FH. The use of ultrasound during and after central 7. Elbers PWG, Kamp O, van der Sluijs JP, Lely R, Tuinman PR. [Should every doctor venous catheter insertion versus conventional chest X-ray after insertion of a be allowed to use ultrasound? Dilemmas surrounding broad application of central venous catheter. Neth J Med. 2016;74:353-7. ultrasound in clinical practice]. NTvG. 2017;161:D1063. 5. Steenvoorden TS, Smit JM, Haaksma ME, Tuinman PR. Necessary additional steps 8. M.E. Haaksma, L. Atmowihardjo, L. Heunks, A. Spoelstra-de Man, P.R. Tuinman, in ultrasound guided central venous catheter placement: getting to the heart of Ultrasound imaging of the diaphragm: facts and future: A guide for the bedside the matter.
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