The Evolution of Cardiovascular Ultrasound: A Review of Cardiac Point-of-Care Ultrasound (POCUS) Across Specialties

Johri, Amer M.; Glass, Casey; Hill, Braeden; Jensen, Trevor; Puentes, Wilfredo; Olusanya, Olusegun; Capizzano, Juana Nicoll; Dancel, Ria; Reierson, Kreegan; Reisinger, Nathaniel; Liblik, Kiera; Galen, Benjamin T.

doi:10.1016/j.amjmed.2023.02.020

Cited by 9 publications

(20 citation statements)

References 62 publications

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“…POCUS for cardiac diagnosis involves the assessment of the heart and its vessels by a healthcare practitioner directly at the patient's bedside using ultrasound [ 4 ]. Various machines are employed for these examinations, spanning from compact handheld, battery-powered devices to portable ultrasound machines.…”

Section: Reviewmentioning

confidence: 99%

“…The characteristics of cardiac POCUS may differ based on the specialty, but a shared attribute across these specialties is its differentiation from the standard echocardiogram [ 4 ]. A detailed comparison between POCUS and the comprehensive full echocardiogram is outlined in Table 1 .…”

Section: Reviewmentioning

confidence: 99%

“…The extent of this flexibility varies depending on factors, such as available resources, institutional guidelines (spanning from care delivered at home to clinics and encompassing every facet of the hospital), and established policies. The degree of freedom also evolves in accordance with the scope of practice among different specialties [ 4 ]. Cardiac POCUS is widely utilized across various medical specialties, indicating its extensive applicability.…”

Section: Reviewmentioning

confidence: 99%

“…As the primary method for diagnosing heart conditions, echocardiography utilizes ultrasound to examine the heart [ 3 ]. The landscape of cardiovascular ultrasound has shifted over time, moving from dedicated echocardiography labs to the hands of nontraditional users [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Evolving the Scope of Cardiac Point-of-Care Ultrasound in the Current Era

Maheshwari,

Dagor

2024

Cureus

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Point-of-care ultrasound (POCUS) has become a flexible and multifaceted diagnostic instrument in the realm of cardiac care, transforming the landscape of cardiovascular assessment. This review aims to explore the extensive scope of POCUS applications in cardiac care, highlighting its diverse utility across various medical specialties. POCUS, conducted at the patient's bedside, offers real-time insights into cardiac anatomy and function, providing a valuable adjunct to traditional diagnostic methods. In critically ill patients, POCUS has demonstrated its effectiveness in the rapid evaluation of the left and right ventricular function, identification of pericardial effusion and tamponade, assessment of volume status, and detection of valvular lesions. Its role as an adjunct to the physical examination has been particularly impactful, leading to early diagnoses and significantly influencing medical management decisions. The review also discusses the current limitations of POCUS technology. As the utilization of POCUS continues to expand across diverse medical disciplines, its ability to offer timely and accurate diagnostic information is poised to reshape the standard of care in cardiac medicine. This comprehensive review provides insights into the evolving role of POCUS in cardiac care and underscores its potential to enhance patient outcomes through rapid and informed decision-making at the point of care.

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Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evolving the Scope of Cardiac Point-of-Care Ultrasound in the Current Era

Maheshwari,

Dagor

2024

Cureus

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“…Cardiac POCUS is widely used across multiple specialties and probably needs more training than other POCUS modalities [30 ▪ ]. Cardiac POCUS is a simple and valuable tool for evaluating hemodynamic status and cardiac function throughout the perioperative period.…”

Section: Cardiac Point Of Care Ultrasoundmentioning

confidence: 99%

HOCUS POCUS: ultrasound beyond regional anesthesia in the ambulatory setting

Arumugam,

Siddaiah,

Kalagara

2023

Current Opinion in Anaesthesiology

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Purpose of review Application of ultrasound in clinical anesthesia practice extends beyond regional anesthesia. In this review, we have discussed other point of care applications of ultrasound in perioperative care and anesthetic management with special emphasis on ambulatory practice. Recent findings Point of care ultrasound (POCUS) for anesthesiologists has gained widespread interest and popularity. Recent literature has highlighted multiple perioperative POCUS applications on various organ systems and its benefits. We have analyzed the recent available data and evidence for perioperative POCUS, its benefits and limitations in perioperative medicine. Summary Perioperative POCUS skill is a natural extension of ultrasound guided regional anesthesia. Utilizing POCUS in the perioperative period would accelerate the level of appropriate care, safety and improve outcomes in ambulatory centers. More anesthesiologists embracing POCUS would enhance patient care in a timely fashion at the ambulatory centers. POCUS in ambulatory practice can be valuable in avoiding delay or cancellation of surgeries and improving patient satisfaction.

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