The POCUS Consult: How Point of Care Ultrasound Helps Guide Medical Decision Making

Rice, Jake A; Brewer, Jonathan; Speaks, Tyler; Choi, Christopher Y.; Lahsaei, P.; Romito, Bryan T.

doi:10.2147/ijgm.s339476

Cited by 30 publications

(27 citation statements)

References 154 publications

(237 reference statements)

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“…Increasingly portable devices in tablet form and in the form of smartphone transducers (“the stethoscope of the 21 st century”) that are suitable for examinations at the patient bedside are advantageous for interdisciplinary use in the clinical routine. The almost ubiquitous use of ultrasound, also referred to as point-of-care ultrasound (POCUS – the physician goes to the patient), greatly facilitates the use and distribution of ultrasound and accelerates the decision process in the clinical routine 16 .…”

Section: Ultrasound Systemsmentioning

confidence: 99%

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Concepts in the Establishment of Interdisciplinary Ultrasound Centers: The Role of Radiology

Clevert

Jung

Weber

et al. 2022

Rofo

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Background Ultrasound (US) is widely used as a fast and cost-efficient first-choice imaging technique without relevant side effects for a variety of diagnostic tasks. Due to technical advances, more complex and sophisticated methods such as color-coded duplex ultrasound, image fusion, contrast-enhanced ultrasound (CEUS), and ultrasound-guided interventions have become increasingly important in diagnostic algorithms. Method This study presents an overview of all aspects regarding the establishing of an interdisciplinary US center based on five representative examples in Germany. These aspects include topics of ultrasound education, research, economics, and administration. Results The goal of an interdisciplinary US center is to bundle the use of equipment, staff, rooms, and infrastructure resources (optimization of equipment availability and use of new techniques) to expand the range of examinations, to promote resident training, and to boost continuing medical education of residents. This should result in better patient care and has additionally improved patient care while considering the added value for the participating institutions involved. Interdisciplinary US centers allow a reduction of the number of US devices needed in a hospital and more efficient use of available equipment through bedside time optimization by central organization within interdisciplinary management. The focused application of special US techniques such as CEUS or image fusion for complex, difficult interventions as well as the training and education of younger colleagues in using these techniques is centrally organized by experts and can be improved through the multidisciplinary experience available. Conclusion Organizational structures, sharing of materials, and standardization of diagnostic reports facilitate and accelerate cooperation with the referring specialty. Key Points: Citation Format

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Section: Ultrasound Systemsmentioning

confidence: 99%

“…Das auch als Point-of-Care Ultrasound (engl. für POCUS) bezeichnete Konzept des nahezu ubiquitären Einsatzes (der Arzt/die Ärztin geht zum/zur Patienten/Patientin) erleichtert den Einsatz und die Verbreitung der Sonografie wesentlich und beschleunigt den Entscheidungsprozess im klinischen Alltag deutlich [16].…”

Section: Sonografie-geräteunclassified

Concepts in the Establishment of Interdisciplinary Ultrasound Centers: The Role of Radiology

Clevert

Jung

Weber

et al. 2022

Rofo

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“…Nas situações de insuficiência respiratória (IR), as linhas B avaliam a perda progressiva de ar, tendo demonstrado 100% de sensibilidade e de valor preditivo negativo para exclusão de pneumotórax. Nos casos de insuficiência cardíaca (IC), as linhas B demonstram sensibilidade de 85% e especificidade de 91% (RICE, 2021;.…”

Section: De Acordo Comunclassified

“…O uso do Point-of-care-ultrasound (POCUS) vem crescendo exponencialmente nos últimos anos, principalmente em setores de emergência e unidades de terapia intensiva. O POCUS é um ultrassom que pode ser utilizado no local do atendimento, de maneira rápida e não invasiva, com uma alta acurácia no diagnóstico de emergências respiratórias e cardiovasculares, que poderiam passar despercebidas ao exame físico, além de também ser utilizado para o monitoramento de pacientes (ZIELESKIEWICZ, 2021;RICE, 2021;.…”

Section: Introductionunclassified

Valor Do Point-of-Care Ultrasound (Pocus) Em Distintas Situações De Insuficiência Cardíaca E Respiratória

Souza¹,

Aguiar²,

Sousa³

et al. 2022

REMS

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Introdução: O Point-of-Care-Ultrasound (POCUS) trata-se da ultrassonografia transtorácica realizada à beira-leito do paciente. A aparelhagem, além de ser portátil, é de fácil aplicação e interpretação de seus achados. A sua utilização tem sido relacionada à melhora propedêutica e terapêutica de casos conduzidos em distintos setores intra-hospitalares. Métodos: Realizou-se uma revisão integrativa da literatura com busca no PubMed. Utilizou-se 14 artigos, selecionados a partir dos descritores “lung ultrasound”, “POCUS”, “respiratory failure” e “heart failure”, encontrados no MesH. Foram selecionados: metanálises, estudos controlados randomizados e revisões sistemáticas, em inglês, publicados entre 2012 e 2022. Resultados: As vantagens mais citadas foram: facilidade do manuseio, fornecimento de dados em tempo real e disponibilidade à beira-leito. As linhas B são o achado mais validado, apresentando em um trabalho 85% de sensibilidade e 91% de especificidade para insuficiência cardíaca (IC) e 100% de sensibilidade e de valor preditivo negativo para a exclusão do pneumotórax. A quantificação dessas consegue predizer a descompensação da IC (>15) e risco de hospitalização e morte (>30) em Centros de Terapia Intensiva. No intra operatório da cardiologia pediátrica, um estudo randomizado com 122 crianças demonstrou haver menos eventos adversos relacionados à dessaturação no grupo intervenção (55% versus 73%). Conclusões: A utilização do POCUS em ambiente hospitalar tem se mostrado de grande valia em diferentes setores. Alguns de seus achados, como as slinhas B, estão cada vez mais elucidados e demonstram alto potencial diagnóstico e propedêutico, permitindo intervenções terapêuticas mais precocemente. Mais estudos são necessários para melhorar a validação de seus achados.

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“…It assists the physician with immediate decision-making, hence saving the need for more complex imaging and thus saving time. 3 …”

Section: Introductionmentioning

confidence: 99%

POCUS in Internal Medicine Curriculum: Quest for the Holy-Grail of Modern Medicine

Ramgobin¹,

Gupta²,

Mittal³

et al. 2022

Journal of Community Hospital Internal Medicine Perspectives

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Point of care ultrasound (POCUS) is an essential component of emergency medicine training that has not taken hold in internal medicine training programs. Internal medicine residents can use POCUS to perform focused examinations and aid complicated procedures. However, while there is widespread interest in learning POCUS, training is not standardized amongst residency curriculums. Therefore, more strides are necessary to correctly implement POCUS training during residency training.

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The POCUS Consult: How Point of Care Ultrasound Helps Guide Medical Decision Making

Cited by 30 publications

References 154 publications

Concepts in the Establishment of Interdisciplinary Ultrasound Centers: The Role of Radiology

Concepts in the Establishment of Interdisciplinary Ultrasound Centers: The Role of Radiology

Valor Do Point-of-Care Ultrasound (Pocus) Em Distintas Situações De Insuficiência Cardíaca E Respiratória

POCUS in Internal Medicine Curriculum: Quest for the Holy-Grail of Modern Medicine

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