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

被引:28
|
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
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
收藏
页码:1853 / 1863
页数:11
相关论文
共 50 条
  • [31] The effectiveness of bedside point-of-care ultrasonography in the diagnosis and management of metacarpal fractures
    Kozaci, Nalan
    Ay, Mehmet Oguzhan
    Akcimen, Mehmet
    Sasmaz, Ikbal
    Turhan, Gokcen
    Boz, Ali
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2015, 33 (10) : 1468 - 1472
  • [32] Point-of-Care Ultrasound in the Intensive Care Unit
    Campbell, Steven J.
    Bechara, Rabih
    Islam, Shaheen
    CLINICS IN CHEST MEDICINE, 2018, 39 (01) : 79 - +
  • [33] Point-of-Care Ultrasound
    Linda Lee
    Jeanne M. DeCara
    Current Cardiology Reports, 2020, 22
  • [34] Validation of Point-of-Care ultrasound in the diagnosis of a diaphragmatic hernia
    de la Quintana Gordon, F. de Borja
    Oliver-Fornies, P.
    Garcia, M. Martinez
    Centeno-Perez, A.
    Perez, M. Fajardo
    REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION, 2023, 70 (07): : 404 - 408
  • [35] Diagnostic accuracy of point-of-care ultrasound in detecting upper and lower extremity fractures: An evidence-based approach
    Pourmand, A.
    Shokoohi, H.
    Maracheril, R.
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 2018, 36 (01) : 134 - 136
  • [36] COMPARISON OF THE ACCURACY OF EMERGENCY DEPARTMENT-PERFORMED POINT-OF-CARE-ULTRASOUND (POCUS) IN THE DIAGNOSIS OF LOWER-EXTREMITY DEEP VEIN THROMBOSIS
    Pedraza Garcia, Jorge
    Alonso, Joaquin Valle
    Ceballos Garcia, Pedro
    Rico Rodriguez, Francisca
    Aguayo Lopez, Miguel Angel
    del Carmen Munoz-Villanueva, Maria
    JOURNAL OF EMERGENCY MEDICINE, 2018, 54 (05) : 656 - 664
  • [37] Point-of-care ultrasound for foreign bodies
    Thompson, Arianna
    Graglia, Sally
    EMERGENCY MEDICINE JOURNAL, 2025, 42 (02) : 134 - 137
  • [38] Point-of-Care Ultrasound in Established Settings
    Morrow, Dustin
    Cupp, Julia
    Schrift, David
    Nathanson, Robert
    Soni, Nilam J.
    SOUTHERN MEDICAL JOURNAL, 2018, 111 (07) : 373 - 381
  • [39] Making Waves With Point-of-Care Ultrasound; Investment Begets Impact at the ICU Bedside?
    Bhargava, Vidit
    Kantor, David B.
    Su, Erik
    PEDIATRIC CRITICAL CARE MEDICINE, 2024, 25 (11) : 1065 - 1068
  • [40] Point-of-Care Ultrasound for Pediatric Shock
    Park, Daniel B.
    Presley, Bradley C.
    Cook, Thomas
    Hayden, Geoffrey E.
    PEDIATRIC EMERGENCY CARE, 2015, 31 (08) : 591 - 598