Lower extremity deep venous thrombosis is a common, serious, often under-recognized diagnosis in the critically ill patient. Its high association with pulmonary embolus necessitates both prompt diagnosis and constant surveillance. Point of care ultrasonography by the treating physician is gaining popularity because of its high accuracy and ease of performance coupled with an immediate response to a question often asked at the bedside. This review will highlight the advantages of compression ultrasonography compared to other diagnostic modalities and gives a practical approach in performing this simple exam by the critical care team.
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