Point of Care Ultrasound for the General Internist:  Pleural Effusions

Cotton, Darrel; Lenz, Ryan; Kerr, Brendan; Ma, Irene

doi:10.22374/cjgim.v13i2.231

Cited by 5 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This case illustrates how POCUS can expedite a diagnosis. Studies have demonstrated the improved operational characteristics and diagnostic sensitivity of POCUS in locating pleural effusions, in comparison to traditional methods such as CXR and physical exam [2]. Specifically, the intrigue of this case was how POCUS application determined clinical management at the bedside.…”

Section: Discussionmentioning

confidence: 93%

See 1 more Smart Citation

POCUS for pleural assessment and intervention

Grubic¹,

Chan²

2019

POCUS

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 93%

“…Nicholas Grubic, BScH 1 ; Barry Chan, MD 2 (1) Department of Biochemical and Molecular Sciences, Queen's University, Kingston, Ontario, Canada…”

Section: Pocus For Pleural Assessment and Interventionmentioning

confidence: 99%

POCUS for pleural assessment and intervention

Grubic¹,

Chan²

2019

POCUS

View full text Add to dashboard Cite

show abstract

“… 7 POCUS can detect the presence of ascites with a high degree of accuracy and also has superior sensitivity and specificity for locating pleural effusions, when compared with physical examination or chest radiography. 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

Utilization of Point-of-Care Ultrasound in a Specialist Palliative Care Team Across Multiple Care Settings: A Retrospective Chart Review

Arya

Davey

Sharma

et al. 2022

Palliative Medicine Reports

View full text Add to dashboard Cite

Background: Technological advancements have rapidly increased the use of point-of-care ultrasound (POCUS) across various medical disciplines, leading to real-time information for clinicians at the bed side. However, literature reveals scant evidence of POCUS use in palliative care. The objective of this study was to examine the use of POCUS in a specialist palliative care setting. Methods: A retrospective chart review was conducted from January 2018 to June 2019 in Brampton, Canada, to evaluate characteristics of patients for whom POCUS was utilized. Patients were identified through pre-existing logs and descriptive information was collected from electronic health records, including demographic information, life-limiting diagnosis, patient assessment location, diagnosis made with POCUS, and, if applicable, volume of fluid drained. Results: We identified 126 uses of POCUS in 89 unique patients. Sixty-two patients (69.7%) had a cancer diagnosis, with patients most commonly suffering from gastrointestinal, lung, and breast pathologies. Sixty-one POCUS cases (48.4%) were in the outpatient setting. Eighty-one POCUS cases (64.3%) revealed a diagnosis of ascites and 21 POCUS cases (16.7%) revealed a diagnosis of pleural effusion. Other diagnoses made with POCUS included bowel obstruction, pneumonia, and congestive heart failure. During the study period, 52 paracentesis and 7 thoracentesis procedures were performed using POCUS guidance. Conclusion: We identified multiple indications in our specialist palliative care setting where POCUS aided in diagnosis/management of patients in both inpatient and outpatient settings. Further studies can be conducted to identify the potential benefits in symptom burden, patient and caregiver satisfaction, and health care utilization in palliative care patients receiving POCUS.

show abstract

Handheld Ultrasound As an Adjunct to Physical Examination in the Diagnosis of Cardiopulmonary Disease

Henning

2022

Future Cardiol.

View full text Add to dashboard Cite

Handheld 2D ultrasound devices (HUDs) have become available as an adjunct to physical examinations, visualizing the heart and lungs in real time and facilitating prompt patient diagnosis and treatment of cardiopulmonar.y disorders. These devices provide simple and rapid bedside alternatives to repetitive chest x-rays, standard ultrasound examinations and thoracic CT scans. Two currently available HUDs are described. This paper discusses the use of HUDs in the diagnosis of patients with pericardial effusion and tamponade, ventricular dilation, aortic and mitral regurgitation, cardiogenic pulmonary edema, viral and bacterial pneumonia, pleural effusion and pneumothorax. The use of a HUD by physicians increases clinical diagnostic accuracy, adds quantitative information about cardiopulmonary disease severity and guides the use of medications and interventions.

show abstract

Point of Care Ultrasound for the General Internist: Pleural Effusions

Cited by 5 publications

References 20 publications

POCUS for pleural assessment and intervention

POCUS for pleural assessment and intervention

Utilization of Point-of-Care Ultrasound in a Specialist Palliative Care Team Across Multiple Care Settings: A Retrospective Chart Review

Handheld Ultrasound As an Adjunct to Physical Examination in the Diagnosis of Cardiopulmonary Disease

Contact Info

Product

Resources

About