scholarly journals The Use of Point-of-Care Ultrasound (POCUS) in the Diagnosis of Deep Vein Thrombosis

2021 ◽  
Vol 10 (17) ◽  
pp. 3903
Author(s):  
Dimitrios Varrias ◽  
Leonidas Palaiodimos ◽  
Prasanth Balasubramanian ◽  
Christian A Barrera ◽  
Peter Nauka ◽  
...  
Keyword(s):  
Care Setting ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Significant Heterogeneity ◽  
Future Directions ◽  
Vein Thrombosis ◽  
Medical Wards ◽  
Deep Vein ◽  
Test Probability

Acute lower extremity proximal deep venous thrombosis (DVT) requires accurate diagnosis and treatment in order to prevent embolization and other complications. Point-of-care ultrasound (POCUS), a clinician performed, and clinician interpreted bedside ultrasound examination has been increasingly used for DVT evaluation mainly in the urgent and critical care setting, but also in the ambulatory clinics and the medical wards. Studies have demonstrated that POCUS has excellent diagnostic accuracy for acute proximal DVT when performed by well-trained users. However, there is significant heterogeneity among studies on the necessary extent of training and universally acceptable standardized education protocols are needed. In this review, we summarize the evidence that supports the use of POCUS to diagnose acute proximal DVT and focus on methodology and current technology, sensitivity and specificity, pre-test probability and the role of D-dimer, time and resources, education, limitations, and future directions.

scholarly journals Role of Ultrasound in Neurocritical Care

2020 ◽  
Author(s):  
Rashmi Bhatt ◽  
Puneet Khanna
Keyword(s):  
Neurocritical Care ◽  
Point Of Care ◽  
Circulatory Arrest ◽  
Clinical Findings ◽  
Transcranial Sonography ◽  
Point Of Care Ultrasound ◽  
Vein Thrombosis ◽  
Neurosurgical Patient ◽  
Cerebral Circulatory Arrest ◽  
Deep Vein

AbstractBedside point of care ultrasound has acquired an extremely significant role in diagnosis and management of neurocritical care, just as it has in other specialties. Easy availability and increasing expertise have allowed the intensivists to use it in a wide array of situations, such as confirming clinical findings as well as for interventional and prognostic purposes. At present, the clinical applications of ultrasonography (USG) in a neurosurgical patient include estimation of elevated intracranial pressure (ICP), assessment of cerebral blood flow (CBF) and velocities, diagnosis of intracranial mass lesion and midline shifts, and examination of pupils, apart from the systemic applications. Transcranial sonography has also found use in the diagnosis of the cerebral circulatory arrest. An increasing number of clinicians are now relying on the use of ultrasound in the neurointensive care unit for neurological as well as non-neurological indications. These uses include the diagnosis of shock, respiratory failure, deep vein thrombosis and performing bedside procedures.

scholarly journals A Case Report on Paget-Schroetter Syndrome Presenting as Acute Localized Rhabdomyolysis

2020 ◽  
Vol 4 (3) ◽  
pp. 358-361
Author(s):  
Jonathan Lee ◽  
Ami Kurzweil ◽  
Shadi Lahham
Keyword(s):  
Case Report ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Axillary Vein ◽  
Vein Thrombosis ◽  
Chiari Type 1 Malformation ◽  
Arm Swelling ◽  
History Of ◽  
Vein Stenosis ◽  
Deep Vein

Introduction: The life- or limb-threatening differential diagnosis for upper extremity swelling can include deep vein thrombosis (DVT), infectious processes, and compartment syndrome. Chronic anatomic abnormalities such as axillary vein stenosis are rarely a consideration in the emergency department. Case Report: We present a 26-year-old female with history of Chiari type 1 malformation who presented with acute left arm swelling. Initial workup, including point-of-care ultrasound, revealed the presence of significant soft tissue swelling without evidence of DVT. Conclusion: Further workup revealed an early, localized rhabdomyolysis secondary to axillary vein stenosis or venous thoracic outlet syndrome, also known as Paget-Schroetter syndrome.

scholarly journals Considerations for Implementing Point-of-Care Ultrasound in a Community-Based Family Medicine Residency Program

2019 ◽  
Vol 6 ◽  
pp. 238212051988432
Author(s):  
Megan Weemer ◽  
Matt Hutchins ◽  
Eric Beachy ◽  
Nicole McGuire
Keyword(s):  
Family Medicine ◽  
Residency Program ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Family Medicine Residency ◽  
Vein Thrombosis ◽  
Recent Graduates ◽  
Barriers To Implementation ◽  
Procedural Guidance ◽  
Deep Vein

Background: Prior to implementing Point-of-Care Ultrasound (POCUS) training into our Family Medicine Residency Program, we sought to determine opinions on the most relevant applications according to current Family Medicine residents and recent graduates. As there are so many POCUS applications relevant to Family Medicine, it would be efficient to teach only the most relevant scans. Objective: Examine current POCUS use and the perception of future use among current residents and recent graduates of a Family Medicine Residency Program. Methods: In 2017, an electronic survey was used to examine differences in perceptions regarding the value of POCUS applications, benefits of use, and potential barriers to implementation. Results: Of the 88 surveys sent, 21 of 21 current residents (100%) and 28 of 67 recent graduates (41.8%) completed the survey with a total completion rate of 55.7%. The POCUS practices differed between groups. Current residents were significantly more likely than recent graduates to use POCUS for vascular procedural guidance and other procedural guidance. Recent graduates were significantly more likely to report POCUS use for abdominal aortic aneurysm screening and lower extremity Doppler screening for deep vein thrombosis. All P values were significant at the .05 level. Conclusions: Point-of-Care Ultrasound training is generally desired by current residents. Some applications are perceived to be of sufficient utility by current residents and recent graduates. Findings would justify investment of time and effort required to implement POCUS training in Family Medicine Residency curriculums. Curriculum should focus on applications viewed as high priority based on usage rates.

scholarly journals Left lower extremity swelling with a normal Doppler study

2020 ◽  
pp. 102490792094128
Author(s):  
Jonathan Chun-Hei Cheung ◽  
Chi Hung Koo ◽  
Koon Ngai Lam
Keyword(s):  
Emergency Department ◽  
Deep Vein Thrombosis ◽  
Lower Extremity ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Vein Thrombosis ◽  
Left Lower Extremity ◽  
Doppler Study ◽  
Deep Vein ◽  
Paraplegic Patient

A 65-year-old paraplegic patient just discharged from the medical ward 2 days ago with a negative left lower extremity Doppler study for deep vein thrombosis. He presented to the emergency department for deteriorating lower extremity swelling. Point-of-care ultrasound helped to swiftly arrive at the diagnosis and facilitate prompt management.

Comparison of the Accuracy of Emergency Department-Performed Point-of-Care-Ultrasound (POCUS) in the Diagnosis of Lower-Extremity Deep Vein Thrombosis

2018 ◽  
Vol 54 (5) ◽  
pp. 656-664 ◽  
Author(s):  
Jorge Pedraza García ◽  
Joaquín Valle Alonso ◽  
Pedro Ceballos García ◽  
Francisca Rico Rodríguez ◽  
Miguel Ángel Aguayo López ◽  
...  
Keyword(s):  
Emergency Department ◽  
Deep Vein Thrombosis ◽  
Lower Extremity ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Vein Thrombosis ◽  
Deep Vein
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