Point-of-care echocardiography for the evaluation of right-to-left cardiopulmonary shunts: a narrative review

Montrief, Tim; Alerhand, Stephen; Denault, André; Scott, J.W.

doi:10.1007/s12630-020-01813-2

Cited by 13 publications

(8 citation statements)

References 101 publications

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“…Children and adolescents are diagnosed due to an abnormal finding leading to an echocardiogram, electrocardiogram, and or chest radiogram [9] . Patients with a post traumatic ASD are typically diagnosed using POCUS or transesophageal echocardiogram (TEE) [ 15 , 16 ]. TEE is primarily used to evaluate the severity and location of the newly onset ASD.…”

Section: Discussionmentioning

confidence: 99%

Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound

Batchelor

Imperato

Wheel

et al. 2022

Radiology Case Reports

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Section: Discussionmentioning

confidence: 99%

Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound

Batchelor

Imperato

Wheel

et al. 2022

Radiology Case Reports

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“…Dilated CS and the presence of concomitant pulmonary and systemic embolisms suggested a more complex clinical situation and the presence of a possible intra‐cardiac defect. Contrast echocardiography using agitated normal saline is a useful tool for bedside evaluation of intra‐cardiac shunt, especially in intensive care setting, 11 even if the most widespread use is the diagnosis of patent foramen ovale. Correct evaluation of the cardiac chamber enhancement sequences may be a powerful tool even in more complex cardiac abnormalities, as in the presented case.…”

Section: Discussionmentioning

confidence: 99%

Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling

et al. 2022

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A 43‐year‐old Caucasian man was admitted to hospital due to shortness of breath, right lumbar pain and lower left limb swelling. Arterial blood gas sample showed mild hypoxemia and respiratory alkalosis. CT scan confirmed pulmonary embolism, splenic and bilateral renal ischemic lesions. Echocardiography showed right ventricular and coronary sinus (CS) dilatation. Using contrast echocardiography, a superior sinus venous atrial septal defect and persistent left superior vena cava (PLSVC) draining in CS were suspected. Cardiac CT confirmed the diagnosis and showed overriding right superior vena cava (RSVC) draining in both atria. The patient underwent successful surgical correction.

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“…POCUS also allows one to verify the correct placement of the central venous catheter (CVC) through a saline flush test with evidence of a rapid atrial vortex within 2 s of starting the saline infusion from one of the CVC lumens [130]. Compared to chest radiography, POCUS allows one to verify the CVC position without radiation and with the possibility of identifying complications (e.g., pneumothoraces) in less time and with a noninferior sensitivity [131,132]. Furthermore, in ICUs, upper-airway POCUS provides valid support in the case of difficult intubations, such as those in patients with anatomies distorted by diseases or trauma, where POCUS helps to evaluate the depth of the endotracheal tube or to guide percutaneous tracheostomies [133].…”

Section: Guidance For Invasive Procedures In Critically Ill Patientsmentioning

confidence: 99%

The Incremental Role of Multiorgan Point-of-Care Ultrasounds in the Emergency Setting

D’Andrea

Giudice

Fabiani

et al. 2023

IJERPH

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Point-of-care ultrasonography (POCUS) represents a goal-directed ultrasound examination performed by clinicians directly involved in patient healthcare. POCUS has been widely used in emergency departments, where US exams allow physicians to make quick diagnoses and to recognize early life-threatening conditions which require prompt interventions. Although initially meant for the real-time evaluation of cardiovascular and respiratory pathologies, its use has been extended to a wide range of clinical applications, such as screening for deep-vein thrombosis and trauma, abdominal ultrasonography of the right upper quadrant and appendix, and guidance for invasive procedures. Moreover, recently, bedside ultrasounds have been used to evaluate the fluid balance and to guide decongestive therapy in acutely decompensated heart failure. The aim of the present review was to discuss the most common applications of POCUS in the emergency setting.

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Point-of-care echocardiography for the evaluation of right-to-left cardiopulmonary shunts: a narrative review

Cited by 13 publications

References 101 publications

Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound

Traumatic atrial septal defect diagnosed by bedside point-of-care ultrasound

Complex connections: A young man presenting with shortness of breath, hypoxemia, right lumbar pain and left limb swelling

The Incremental Role of Multiorgan Point-of-Care Ultrasounds in the Emergency Setting

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