2018
DOI: 10.29252/beat-060402
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Diagnostic Accuracy of Rapid Ultrasound in Shock (RUSH) Exam; A Systematic Review and Meta-analysis

Abstract: Objective:To perform a diagnostic accuracy of the rapid ultrasound in shock (RUSH) to diagnose the etiology of undifferentiated shock in patients presenting to the emergency department (ED). Methods:We searched the Medline via PubMed, Scopus, and ISI Web of Knowledge till July 2017. Two independent reviewers screened studies for eligibility. Our study analysis is planned in accordance with the guidelines for meta–analysis of diagnostic studies. In the systematic search, of 397 references, 295 were excluded on … Show more

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Cited by 44 publications
(35 citation statements)
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References 12 publications
(18 reference statements)
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“…Table 1 summarises the salient ultrasonographic features of the different types of shock. A meta-analysis of the diagnostic accuracy of using the RUSH protocol in the emergency department by Keikha et al (2018) reported a higher sensitivity and specificity in diagnosing hypovolemic, cardiogenic and obstructive shock but lower sensitivity for shock with distributive or mixed aetiology [26]. Despite its limitations, there is growing popularity for the use of POCUS in the intensive care setting.…”
Section: Discussionmentioning
confidence: 99%
“…Table 1 summarises the salient ultrasonographic features of the different types of shock. A meta-analysis of the diagnostic accuracy of using the RUSH protocol in the emergency department by Keikha et al (2018) reported a higher sensitivity and specificity in diagnosing hypovolemic, cardiogenic and obstructive shock but lower sensitivity for shock with distributive or mixed aetiology [26]. Despite its limitations, there is growing popularity for the use of POCUS in the intensive care setting.…”
Section: Discussionmentioning
confidence: 99%
“…Bedside ultrasound in the form of the rapid ultrasound for shock and hypotension (RUSH) protocol showed no other abnormalities or cause of cardiac arrest. [13] After a total of 12 defibrillations, cannulation was performed using a femoral approach with the venous (drainage) cannula inserted into the right groin and the arterial (return) cannula into the left groin, and ECLS was instituted using the Novalung iLA device (Novalung GmbH, Germany).…”
Section: Case Reports Casementioning
confidence: 99%
“…However, the current technological resource that had the most significant impact in improving diagnostic accuracy at the bedside was portable ultrasound (connected to a cell phone or tablet) as an extension of the physical examination. A broad and progressive scientific evidence, mainly in patients with acutely manifested dyspnea and undifferentiated shock, shows that the positive and negative likelihood ratio of the lung, heart, and large veins for diagnosis of various etiologies, is greater than the clinical, electrocardiographic evaluation, radiographic and with biomarkers 12,13 . A good emergency room has an ultrasound device; in a Unit of excellence, ultrasonography is an integral part of clinical evaluation.…”
Section: Editorialmentioning
confidence: 99%