— In This Issue —
• Certifications, Reimbursement & Lab Accreditation Updates
• Ultrasound-Guided Regional Anesthesia
• Ultrasound Scanning Tips & Procedures
• Keeping up to date with MSK Ultrasound
• What’s Your Diagnosis
Certifications, Reimbursement & Lab
Ever changing certification, lab accreditation and reimbursement standards for echocardiography and vascular ultrasound can be confusing and hard to keep up with. To help out we've bundled it up, listed useful links to the right resources and summarized the key points to help answer all those burning questions.
Ultrasound-Guided Regional Anesthesia
By Mike MacKinnon MSN CRNA, Peoria, AZ
By offering reduced complication rates and greater patient outcomes, regional nerve block procedures have only increased in popularity as both an adjunct and an alternative to general anesthesia. Today peripheral nerve block skills are a basic staple in every Nurse Anesthetists (CRNAs) and Anesthesiologists armamentarium.
Ultrasound Scanning Tips & Procedures
Question submitted by a GUI participant...
Q: Is seeing the common hepatic duct the same as or "good enough" when trying to evaluate the common bile duct?
A: No! Sonography students are often taught to locate the CBD by turning a patient left lateral decubitus and then use the GB neck to locate the CBD. This can often lead them to the common hepatic duct and does not fully evaluate the CBD.
Try This Procedure
Keeping up to date with MSK Ultrasound
Since the first recorded use of Musculoskeletal Ultrasound by K.T. Dussik in 1958, advancements have been made that have revolutionized standards in patient diagnosis and treatment. With the use of ultrasound in the MSK arena becoming more widely accepted, protocols are now being established across the board within the diagnostic and interventional fields. With the high demand has now come the credentialing for those interested in utilizing the benefits of sonography within practice. This year the American Registry for Diagnostic Medical Sonography (ARDMS.org) released the outline for the initial board exam scheduled to be launched in September, 2012 with applications being accepted in March 2012. With the designation of RMSK being the goal of many medical professionals, we can soon expect credentialing requirements to be set by insurance companies and facilities for anyone using Sonography as a diagnostic and interventional tool. Click Here to view the official ARDMS press release. For practices interested in obtaining lab accreditation in MSK, the American Institute of Ultrasound in Medicine (AIUM.org) has released practice guidelines and procedures for filing your application, simply Click Here for more information.
WHAT'S YOUR DIAGNOSIS?
72 year old female with complaint of epigastic pain, diarrhea, increasing anorexia and fatigue.
Medical history includes ETOH abuse, smoking and hyperlipidemia. Lab values indicate slight increase in AST, ALT and total bilirubin otherwise unremarkable.
Given the information and the ultrasound images provided of the patient's liver... What's your diagnosis?
B) Fatty liver infiltration
C) Liver metastatic disease
Click to enlarge
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