Point-of-care ultrasound in cardiorespiratory arrest (POCUS-CA): narrative review article

Ávila-Reyes, Diana; Acevedo-Cardona, Andrés O.; Gómez-González, José F.; Echeverry-Piedrahita, David Ricardo; Flórez, Mateo Aguirre; Giraldo-Diaconeasa, Adrian

doi:10.1186/s13089-021-00248-0

Cited by 38 publications

(33 citation statements)

References 71 publications

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“…There are many protocols as listed [Table 2] [21,28,[44][45][46][47][48][49][50][51][52][53][54] for POCUS in various specialities. FASC protocol utilises six predefined probe placement positions [Figure 6] (Courtesy: Dr. Benjamin Galen, MD, Editor-In-Chief, POCUS JOURNAL) to localise fluid collection in closed anatomical spaces to rapidly identify ascites, pleural and pericardial effusion.…”

Section: Focused Assessment With Sonography In Cancer (Fasc Protocol)mentioning

confidence: 99%

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

Thota

Ramkiran

Ramanjulu³

2023

IJPC

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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.

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Section: Focused Assessment With Sonography In Cancer (Fasc Protocol)mentioning

confidence: 99%

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

Thota

Ramkiran

Ramanjulu³

2023

IJPC

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“…Ultrasound findings of pneumothorax include absence of normal pleural sliding by 2D scanning as well as the barcode sign and the absence of lung pulse on motion mode (Table 3). Once diagnosed, ultrasound can safely guide acute decompression of pneumothorax [52].…”

Section: Anaesthesia Emergenciesmentioning

confidence: 99%

“…motion mode (Table 3). Once diagnosed, ultrasound can safely guide acute decompression of pneumothorax [52].…”

Section: Pulmonary Embolismmentioning

confidence: 99%

Point‐of‐care ultrasound use in emergencies: what every anaesthetist should know

et al. 2022

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Summary Point‐of‐care ultrasound has been embraced by anaesthetists as an invaluable tool for rapid diagnosis of haemodynamic instability, to ensure procedural safety and monitor response to treatments. Increasingly available, affordable and portable, with emerging evidence of improved patient outcomes, point‐of‐care ultrasound has become a valuable tool in the emergency setting. This state‐of‐the‐art review describes the feasibility of point‐of‐care ultrasound practice, training and maintenance of competence. It also describes the many uses of point‐of‐care ultrasound for the anaesthetist and describes the most salient point‐of‐care ultrasound views for anaesthetic emergencies including: undifferentiated shock; hypoxemia; and trauma. Procedural safety is also discussed in addition to relevant important governance aspects. Cardiac function should be assessed using the parasternal long axis, parasternal short basal/mid‐papillary/apical, apical four chamber and subcostal four chamber views, and should include a visual estimation of global left ventricular ejection fraction. Other cardiovascular conditions that can be identified using point‐of‐care ultrasound include: pericardial effusion; cardiac tamponade; and pulmonary embolism. Pulmonary emergency conditions that can be diagnosed using point‐of‐care ultrasound include pneumothorax; pleural effusion; and interstitial syndrome. The extended focused assessment with sonography for trauma examination may of value in patients who are hypotensive in order to identify intra‐abdominal haemorrhage, pneumothoraces and haemothoraces.

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“…POCUS wird in zunehmender Häufigkeit als diagnostisches Tool zur Differenzialdiagnose bei einem Herzstillstand außerhalb des Krankenhauses implementiert. Jüngste Daten deuten trotz weiterhin fehlender Evidenz auf eine Verbes-serung des klinischen Behandlungsergebnisses durch präklinischen POCUS hin [9].…”

Section: Introductionunclassified

Kreislaufstillstand nach Geschlechtsverkehr

Kozlov

Hoffmann

Ridwan

et al. 2022

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ZusammenfassungDie akute aneurysmatische Subarachnoidalblutung (SAB) ist ein oft junge, beruflich tätige Menschen treffendes Krankheitsbild mit hoher Morbidität und Mortalität. Obwohl kardiologische Komplikationen wie ischämietypische EKG-Veränderungen oder eine Stresskardiomyopathie häufig beobachtete Epiphänomene einer SAB darstellen, tragen sie häufig zu einer Fehltriage und verzögerten Behandlung der SAB bei. Wir schildern die Schwierigkeiten der prä- und innerklinischen Entscheidungsfindung in diesem klinischen Setting am Fall eines 48-jährigen Patienten, welcher sich im Rettungsdienst mit Herz-Kreislauf-Stillstand präsentierte und in der innerklinischen Diagnostik das Bild einer Tako-Tsubo-Kardiomyopathie bot.

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Point-of-care ultrasound in cardiorespiratory arrest (POCUS-CA): narrative review article

Cited by 38 publications

References 71 publications

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

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

Point‐of‐care ultrasound use in emergencies: what every anaesthetist should know

Kreislaufstillstand nach Geschlechtsverkehr

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