Comment on: Using Point‐of‐Care Ultrasound on Home Visits

Flores, Christopher; Simon, Lauren M.

doi:10.1111/jgs.16319

Cited by 2 publications

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[57] Performance of visceral sympathetic blocks, peripheral nerve blocks, fascial plane blocks, ganglion blocks, musculoskeletal pain interventions, corticosteroid injections, botulinum toxin injections (for troublesome siallorhea secondary to progressive neurological diseases) and securing definitive vascular access are POCUS-based interventions in palliative care setup. [1,10,58] POCUS applications possess the advantage over other conventional modalities of radiological imaging (X-ray, fluoroscopy and computed tomography) by being available bedside, avoiding ionising radiation exposure, the risk associated with contrast exposure, function as a combined diagnostic as well as an interventional tool, portable and bring cost efficacy. Renal damage secondary to intravenous contrast in a debilitated patient may predispose to further debility.…”

Section: Pocus Guided Interventions In Palliative Care Patientsmentioning

confidence: 99%

Section: Pocus Guided Interventions In Palliative Care Patientsmentioning

confidence: 99%

“…[7][8][9] POCUS has found its application in hospital, hospice and home care settings. [10,11] POCUS for palliative care medicine is fast emerging as an important diagnostic and interventional modality. [12][13][14] It is utilised to acquire, interpret, diagnose…”

mentioning

confidence: 99%

See 2 more Smart Citations

Time to FOCUS - ‘Palliative Medicine Point-of-Care Ultrasound’

Thota

Ramkiran

Ramanjulu³

2023

IJPC

View full text Add to dashboard Cite

Point-of-care diagnosis has become the need of the hour and along with its guided interventions, ultrasound could be utilised bedside in a palliative care patient. Point-of-care ultrasound (POCUS) in palliative care medicine is fast emerging and has varied applications ranging from performing bedside diagnostic evaluation to the performance of interventional paracentesis, thoracocentesis and chronic pain interventions. Handheld ultrasound devices have transformed the application of POCUS and should revolutionise the future of home-based palliative care. Palliative care physicians should be enabled to carry out bedside ultrasounds at home care and hospice setting for achieving rapid symptom relief. The aim of POCUS in palliative care medicine should be adequate training of palliative care physicians, transforming the applicability of this technology to OPD as well as community driven to achieve home outreach. The goal is towards empowering technology by reaching out to the community rather than the terminally ill patient transported for the hospital admission. Palliative care physicians should receive mandatory training in POCUS to enable diagnostic proficiency and early triaging. The inclusion of ultrasound machine in an outpatient palliative care clinic brings about value addition in rapid diagnosis. Limiting POCUS application to certain selected sub-specialities such as emergency medicine, internal medicine and critical care medicine should be overcome. This would need acquiring higher training as well as improvised skill sets to perform bedside interventions. Ultrasonography competency among palliative care providers proposed as palliative medicine point-of-care ultrasound (PM-POCUS) could be achieved by imparting dedicated POCUS training within the core curriculum.

show abstract

Section: Pocus Guided Interventions In Palliative Care Patientsmentioning

confidence: 99%

Section: Pocus Guided Interventions In Palliative Care Patientsmentioning

confidence: 99%

See 1 more Smart Citation

Time to FOCUS - ‘Palliative Medicine Point-of-Care Ultrasound’

Thota

Ramkiran

Ramanjulu³

2023

IJPC

View full text Add to dashboard Cite

show abstract

“…To the Editor : We would like to thank Flores and Simon for their interest in our initial letter regarding the Home‐Oriented Ultrasound Examination (HOUSE) protocol . They raise several opportunities for additional point‐of‐care ultrasound (POCUS) modalities as useful in the home visit including examinations of soft tissue, the musculoskeletal system, and the abdomen . Our initial cohort of 16 patients was drawn from a population heavily composed of those receiving high‐dose diuretic therapy at home (75%).…”

mentioning

confidence: 99%