Point of Care Cardiac Ultrasound Applications in the Emergency Department and Intensive Care Unit - A Review

Arntfield, Robert; Millington, Scott J.

doi:10.2174/157340312801784952

Cited by 133 publications

(93 citation statements)

References 117 publications

(118 reference statements)

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“…Point-of-care cardiac ultrasound can be very useful in these scenarios. Echocardiography in the emergency department is a well-established technique [3,6,7], butitsuseisnotascommonineveryday practice as it might be. It has been shown that FoCUS echocardiography can be a valuable tool for rapid assessment in the emergency department where predefined clinical questions can be answered with a limited number of views by noncardiologist operators [6,8,9].…”

Section: Introductionmentioning

confidence: 99%

Pocket-sized point-of-care cardiac ultrasound devices

Colclough

Nihoyannopoulos

2017

Herz

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Section: Introductionmentioning

confidence: 99%

Pocket-sized point-of-care cardiac ultrasound devices

Colclough

Nihoyannopoulos

2017

Herz

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“…En choque, la morbimortalidad también depende de la duración y el tratamiento rápido de la causa, sin embargo, la diferenciación clínica entre choque hipovolémico, distributivo, cardiogénico u obstructivo no siempre puede realizarse correctamente 24 , pues el examen físico solo detecta el 57% de las anomalías cardíacas 25 .…”

Section: Paro Cardíaco Y Choqueunclassified

Utilidad de la ecografía en reanimación

Pérez-Coronado

Franco-Gruntorad

2015

Revista Colombiana de Anestesiología

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información del artículo Historia del artículo: Recibido el 10 de septiembre de 2014 Aceptado el 2 de marzo de 2015 On-line el xxx Palabras clave: Ecografía Resucitación cardiopulmonar Taponamiento Cardíaco Volumen Sistólico Disfunción ventricular Derecha r e s u m e nLa ecografía se ha convertido en una herramienta diagnóstica y terapéutica en situaciones críticas. Este artículo revisa la evolución de la ecografía en eventos críticos y su impacto a través de la disminución de morbimortalidad en trauma abdominal y torácico, en el reconocimiento de causas reversibles en actividad eléctrica sin pulso, en la toma de decisiones en falla ventilatoria aguda, en predicción de supervivencia y en la disminución de complicaciones en procedimientos invasivos. Se revisa cómo la ecografía realizada por no expertos con mínimo entrenamiento enfocado al reconocimiento de situaciones específicas tiene una adecuada correlación con el experto. Se revisan algunos protocolos de ecografía en reanimación descritos en la literatura y se hace una descripción de las variables más relevantes en situaciones críticas como la función ventricular izquierda, respuesta a volumen, taponamiento cardíaco, dilatación del ventrículo derecho y la evaluación pulmonar. a b s t r a c tUltrasound has become a diagnostic and therapeutic tool for critical situations. This article reviews the development of ultrasound with respect to critical events and its impact on reducing morbidity and mortality from abdominal and chest trauma, on the recognition of reversible causes of pulseless electrical activity, on decision-making in acute respiratory failure, and on predicting survival and reducing complications associated with invasive procedures. We revised how ultrasounds performed by non-experts with a minimum of training and focused on recognizing specific situations have a good degree of correlation with expert * Autor para correspondencia: Calle 163a Número 13B -60. Segundo Piso Torre A. Fundación

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“…Ultrasound (US) technology was integrated in the emergency department (ED) in the last decades to help the rapid identification of the etiology of diseases and to integrate physical examination, which is often not reliable enough. 2,3 Point-of-care critical ultrasound is brought to the bed of patients, images are immediately available and interpreted according with clinical symptoms and signs. It can be either multiorgan in more complex and critical conditions (cardiac arrest, unknown hypotension, shock) [4][5][6] or focal, limited, goal-directed to answer just one or few clinical questions (deep venous thrombosis, renal colic, pneumothorax).…”

Section: Introductionmentioning

confidence: 99%

Point-of-care critical ultrasound in a rural emergency department

Zanatta¹,

Benato²,

Battisti³

et al. 2015

Emerg Care J

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Point-of-care critical ultrasound (CCUS) has changed the management of critically ill patients in the emergency department. It is brought to the bed of patient, images are immediately available and therapy can be monitored making real time changes. Although it is difficult to estimate the real efficacy of CCUS, we evaluated the impact of ultrasound in our emergency department. This study is a cross sectional observational study with 241 cases enrolled. All patients were evaluated by the emergency physician and underwent clinical examination and then CCUS. Patients were then independently evaluated by at least one consultant. A final diagnosis was made after an agreement between the emergency physician and the consultant. Percentages of correct final diagnosis were higher after CCUS than after primary survey: 82.5% vs 49.1% of patients with dyspnea (P<0.001), 71.9% vs 40.6 % with thoracic pain (P=0.03), 76.2% vs 45% with abdominal pain (P<0.001), 80.0% vs 43.6% with suspected deep venous thrombosis (P=0.03) and 80.0% vs 20% with shock (P=0.014). Extended fast assessment for trauma was effective for the management of traumatic patients and correctly ruled out complications in 81.1% of patients (P=0.04). A small number of ultrasound guided invasive procedures were safely and successfully performed. In our study the integration of primary survey with CCUS increased diagnostic capability of the emergency physician and improved overall quality of medical assistance.

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Point of Care Cardiac Ultrasound Applications in the Emergency Department and Intensive Care Unit - A Review

Cited by 133 publications

References 117 publications

Pocket-sized point-of-care cardiac ultrasound devices

Pocket-sized point-of-care cardiac ultrasound devices

Utilidad de la ecografía en reanimación

Point-of-care critical ultrasound in a rural emergency department

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