scholarly journals Prevalence and utility of point‐of‐care ultrasound in the emergency department: A prospective observational study

2019 ◽  
Vol 22 (4) ◽  
pp. 273-278 ◽  
Author(s):  
Pourya Pouryahya ◽  
Alastair D. McR Meyer ◽  
Mei Ping Melody Koo

Anaesthesia ◽  
2017 ◽  
Vol 73 (1) ◽  
pp. 15-22 ◽  
Author(s):  
L. Zieleskiewicz ◽  
A. Noel ◽  
G. Duclos ◽  
M. Haddam ◽  
A. Delmas ◽  
...  


2015 ◽  
Vol 41 (9) ◽  
pp. 1638-1647 ◽  
Author(s):  
Laurent Zieleskiewicz ◽  
Laurent Muller ◽  
Karim Lakhal ◽  
Zoe Meresse ◽  
Charlotte Arbelot ◽  
...  


2018 ◽  
Vol 10 (11) ◽  
pp. 6221-6229 ◽  
Author(s):  
Yiwen Koh ◽  
Mui Teng Chua ◽  
Weng Hoe Ho ◽  
Chengjie Lee ◽  
Gene Wai Han Chan ◽  
...  


2021 ◽  
Vol 10 (11) ◽  
pp. 2389
Author(s):  
Davinder Ramsingh ◽  
Sumit Singh ◽  
Cecilia Canales ◽  
Elyse Guran ◽  
Zach Taylor ◽  
...  

Introduction: Point-of-care ultrasound (POCUS) is the most rapidly growing imaging modality for acute care. Despite increased use, there is still wide variability and less evidence regarding its clinical utility for the perioperative setting compared to other acute care settings. This study sought to demonstrate the impact of POCUS examinations for acute hypoxia and hypotension occurring in the post-anesthesia care unit (PACU) versus traditional bedside examinations. Methods: This study was designed as a multi-center prospective observational study. Adult patients who experienced a reduced mean arterial blood pressure (MAP < 60mmHG) and/or a reduced oxygen saturation (SpO2 < 88%) in the PACU from 7AM to 4PM were targeted. POCUS was available or not for patient assessment based on PACU team training. All providers who performed POCUS exams received standardized training on cardiac and pulmonary POCUS. All POCUS exam findings were recorded on a standardized form and the number of suspected mechanisms to trigger the acute event were captured before and after the POCUS exam. PACU length of stay (minutes) across groups was the primary outcome. Results: In total, 128 patients were included in the study, with 92 patients receiving a POCUS exam. Comparison of PACU time between the POCUS group (median = 96.5 min) and no-POCUS groups (median = 120.5 min) demonstrated a reduction for the POCUS group, p = 0.019. Hospital length of stay and 30-day hospital readmission did not show a significant difference between groups. Finally, there was a reduction in the number of suspected diagnoses from before to after the POCUS examination for both pulmonary and cardiac exams, p-values < 0.001. Conclusions: Implementation of POCUS for assessment of acute hypotension and hypoxia in the PACU setting is associated with a reduced PACU length of stay and a reduction in suspected number of diagnoses.



2018 ◽  
Vol 38 (3) ◽  
pp. 114-115
Author(s):  
L. Zieleskiewicz ◽  
A. Noel ◽  
G. Duclos ◽  
M. Haddam ◽  
A. Delmas ◽  
...  


The Lancet ◽  
2017 ◽  
Vol 390 ◽  
pp. S67
Author(s):  
Ronson S L Lo ◽  
Kevin K C Hung ◽  
Ling Y Leung ◽  
Kwok H Lee ◽  
Chun Y Yeung ◽  
...  


POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.



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