Point-of-Care Ultrasound for Bedside Diagnosis of Lower Extremity DVT

被引：36

作者：

Barrosse-Antle, Mary E. ^{[1
]}

Patel, Kamin H. ^{[2
]}

Kramer, Jeffrey A. ^{[4
]}

Baston, Cameron M. ^{[3
]}

机构：

[1] Hosp Univ Penn, Dept Med, 3400 Spruce St, Philadelphia, PA 19104 USA

[2] Hosp Univ Penn, Vasc Lab, 3400 Spruce St, Philadelphia, PA 19104 USA

[3] Hosp Univ Penn, Dept Med, Div Pulm & Crit Care, 3400 Spruce St, Philadelphia, PA 19104 USA

[4] Penn Presbyterian Med Ctr, Dept Emergency Med, Div Emergency Ultrasound, Philadelphia, PA USA

来源：

CHEST | 2021年 / 160卷 / 05期

关键词：

critical care; DVT; pulmonary embolism; training (internal medicine); ultrasound; DEEP-VEIN THROMBOSIS; PHYSICIAN-PERFORMED ULTRASONOGRAPHY; CRITICALLY-ILL PATIENTS; VENOUS THROMBOEMBOLISM; COMPRESSION ULTRASONOGRAPHY; AMERICAN-COLLEGE; D-DIMER; GUIDELINES; MANAGEMENT; ACCURACY;

D O I：

10.1016/j.chest.2021.07.010

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

The point-of-care ultrasound DVT (POCUS DVT) examination can facilitate rapid bedside diagnosis and treatment of lower extremity DVT. Awaiting radiology-performed Doppler ultra-sonography and interpretation by radiologists can lead to delays in lifesaving anticoagulation, and the POCUS DVT examination can provide timely diagnostic information in the patient with lower extremity symptoms. This article outlines accepted techniques for the POCUS DVT ex-amination, discusses the historical context from which the current recommendations have evolved, and provides illustrations alongside ultrasound images of relevant venous anatomy to orient the clinician. Finally, common pitfalls and methods to avoid them are described.

引用

页码：1853 / 1863

页数：11

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