Utilization of Point-of-Care Ultrasonography (POCUS) for Small Bowel Obstruction

2019 ◽  
Vol 41 (2) ◽  
pp. 107-110
Author(s):  
Kyle R. Elliott ◽  
Matthew J. Dunn ◽  
Timothy D. Krueger ◽  
David A. Steele
CJEM ◽  
2015 ◽  
Vol 17 (2) ◽  
pp. 206-209 ◽  
Author(s):  
Joshua Guttman ◽  
Michael B. Stone ◽  
Heidi H. Kimberly ◽  
Joshua S. Rempell

AbstractSmall bowel obstruction (SBO) is a common cause of acute abdominal pain presenting to the emergency department (ED). Although the literature is limited, point-of-care ultrasonography (POCUS) has been found to have superior diagnostic accuracy for SBO compared to plain radiography; however, it is rarely used in North America for this. We present the case of a middle-aged man who presented with abdominal pain where POCUS by the emergency physician early in the hospital course expedited the diagnosis of SBO and led to earlier surgical consultation. The application of POCUS for SBO is easily learned and applied in the ED. POCUS for SBO may obviate the need for plain radiography and expedite patient care.


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
A. Pourmand ◽  
U. Dimbil ◽  
A. Drake ◽  
H. Shokoohi

Radiological imaging plays an essential role in the evaluation of a patient with suspected small bowel obstruction (SBO). In a few studies, point-of-care ultrasound (POCUS) has been utilized as a primary imaging modality in patients with suspected SBO. POCUS has been shown to be an accurate tool in the diagnosis of SBO with multiple research studies noting a consistent high sensitivity with a range of 94–100% and specificity of 81–100%. Specific sonographic findings that increase the likelihood of SBO include dilatation of small bowel loops > 25 mm, altered intestinal peristalsis, increased thickness of the bowel wall, and intraperitoneal fluid accumulation. Studies also reported that emergency physicians could apply this technique with limited and short-term ultrasound training. In this article, we aim to review the sensitivity and specificity of ultrasound examinations performed by emergency physicians in patients with suspected SBO.


2020 ◽  
Vol 38 (5) ◽  
pp. 979-982
Author(s):  
Misaki Murasaki ◽  
Taizo Nakanishi ◽  
Ken-ichi Kano ◽  
Ryo Shigemi ◽  
Shinsuke Tanizaki ◽  
...  

2019 ◽  
Vol 26 (8) ◽  
pp. 921-930 ◽  
Author(s):  
Brent A. Becker ◽  
Shadi Lahham ◽  
Mark A. Gonzales ◽  
Jason T. Nomura ◽  
Michelle K. Bui ◽  
...  

2020 ◽  
Vol 38 (11) ◽  
pp. 2356-2360
Author(s):  
Hamid Shokoohi ◽  
Keith S. Boniface ◽  
Michael A. Loesche ◽  
Nicole M. Duggan ◽  
Jordan B. King

2016 ◽  
Vol 34 (12) ◽  
pp. 2464.e1-2464.e2 ◽  
Author(s):  
Vigil James ◽  
Faisal S. Alsani ◽  
Claudio Fregonas ◽  
Jade Seguin ◽  
Mark O. Tessaro

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