Point-of-Care Ultrasound in Clinical Care, An Issue of Medical Clinics of North America

1st Edition, Volume 109-1 - November 20, 2024
Imprint: Elsevier
Editor: Irene Ma
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 3 1 4 1 2 - 4
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 3 1 4 1 3 - 1

In this issue of Medical Clinics of North America, guest editor Dr. Irene Ma brings her considerable expertise to the topic of Point-of-Care Ultrasound in Clinical Care. Top… Read more

Point-of-Care Ultrasound in Clinical Care, An Issue of Medical Clinics of North America

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In this issue of Medical Clinics of North America, guest editor Dr. Irene Ma brings her considerable expertise to the topic of Point-of-Care Ultrasound in Clinical Care. Top experts describe commonly accepted applications in point-of-care ultrasound (POCUS) and incorporate approaches to integrated POCUS in the assessment of the common medical conditions. Articles also discuss the potential pitfalls and limitations in the use of POCUS and describe the infrastructure and educational elements necessary to support its practice.

Cover image
Title page
Table of Contents
Copyright
CME Accreditation Page
Forthcoming Issues
Contributors
Foreword
Preface
Principles and Practice of Internal Medicine Point-of-Care Ultrasound
Key points
Introduction
Internal medicine point-of-care ultrasound: what it is and what it is not
Principles and practice of internal medicine point-of-care ultrasound
Summary
Clinics care points
Basic Lung Ultrasound and Clinical Applications in General Medicine
Key points
Background
How do I scan the lungs?
Pleural effusions
Heart failure
Pneumonia
Interstitial lung diseases
Pneumothorax
Point-of-Care Ultrasound in Clinical Care: Abdomen
Key points
Background
Intraperitoneal free fluid detection
Steatotic liver disease
Cirrhosis
Gallbladder
Spleen
Summary
Clinics care points
Point-of-Care Ultrasound of the Urinary Tract
Key points
Introduction
Image acquisition
Normal sonographic findings
Commonly encountered pathology
Summary
Clinics care points
Basic Cardiac Point-of-Care Ultrasound and Its Clinical Applications
Key points
Introduction
Image acquisition
Parasternal long axis view
Parasternal short axis view
Apical 4-chamber view
Subcostal 4-chamber view
E-point septal separation
Estimation of fractional shortening
Visual estimation of left ventricle systolic function
Left atrial size
Right ventricular size
Right ventricular septal flattening
Tricuspid annular plane systolic excursion
McConnell’s sign
Right ventricle-free wall thickness
Common pitfalls
Image acquisition pitfalls
Pitfalls associated with patient anatomic and physiologic factors
Tachycardia and hyperdynamic heart
Pericardial effusion
Pleural effusion
Ascites
Fat pad
Other pericardial diseases
Summary
Clinics care points
Supplementary data
Advanced Cardiac Point-of-Care Ultrasound: A Systematic Review of Select Cardiac Diseases
Key points
Introduction
Results
Limitations and future directions
Summary
Clinics care points
Supplementary data
Vascular Point-of-Care Ultrasound
Key points
Introduction
Point-of-care ultrasound for the deep venous thrombosis
Summary
Supplementary data
Volume Status: A Preload Assessment by Ultrasound of the Inferior Vena Cava and Jugular Venous Pulsation
Key points
Introduction
The starling curve and venous return
Abnormal central venous pressure and the jugular venous pulsation
Assessment of central venous pressure by ultrasound assessment of inferior vena cava
Assessment of central venous pressure by ultrasound visualization of jugular venous pressure
Discussion
Summary
Clinics care points
Supplementary data
Basic Musculoskeletal Ultrasound
Key points
Imaging fundamentals and knobology for musculoskeletal ultrasound
Definitions of basic pathology
Knee ultrasound
Shoulder ultrasound
Ankle/foot ultrasound
Clinics care points
Soft Tissue and Foreign Body Point-of-Care Ultrasound
Key points
Introduction
General point-of-care ultrasound scanning techniques
Cellulitis
Clinics care points
Abscess
Clinics care points
Necrotizing soft tissue infection
Clinical care points
Soft tissue foreign body
Clinics care points
Sarcopenia
Clinics care points
Intestinal Ultrasound in Common Gastrointestinal Disorders: An Evidence-Based Approach
Key points
Background
Common indications for intestinal ultrasound
Preparing for the examination
Identification of intestinal signature and sono-anatomy
Intestinal evaluation
Bowel pathology and current evidence
Clinical integration of intestinal ultrasound findings
Potential pitfalls of intestinal ultrasound
Summary
Clinics care points
Supplementary data
Integrated Multi-Organ Ultrasound
Key points
Introduction
Clinical applications in select presentations
Summary
Clinics care points
Outpatient Point-of-Care Ultrasound
Key points
Nasal sinus ultrasound
Carpal tunnel ultrasound
Plantar fasciitis ultrasound
Principles of Doppler Ultrasonography and Basic Applications for the Clinician
Key points
Introduction
The Doppler effect
Doppler shift display
Types of Doppler
Continuous wave (CW) Doppler
Pulsed wave (PW) Doppler
Tissue Doppler imaging (TDI)
Color Doppler imaging
Power Doppler imaging (PDI)
Doppler ultrasonography in ultrasound-guided procedures
Cardiac output estimation with Doppler ultrasonography
Multi-organ assessment of venous congestion
Training implications of Doppler ultrasonography in point-of-care
Summary
Clinics care points
Declaration of AI and AI-assisted technologies in the writing process
The Role of Ultrasound in Bedside Procedures
Key points
Introduction
Types of procedural guidance with ultrasound
Sterility
Billing considerations
Paracentesis
Thoracentesis
Lumbar puncture
Central venous catheter insertion
Post-procedural evaluation
Musculoskeletal injection and aspiration
Summary
Clinics care points
Supplementary data
Pitfalls in Point-of-Care Ultrasound
Key points
Introduction
Image acquisition
Image interpretation
Clinical integration
Summary
Clinics care points
Point-of-Care Ultrasound Competency, Credentialing and Policies
Key points
Scope
General competencies in point-of-care ultrasound
Suggested medical education best practice principles
Assessing point-of-care ultrasound competence
Appropriate use of point-of-care ultrasound
Point-of-care ultrasound credentialing
Educational policies and guidelines
Clinic care points
Point-of-Care Ultrasound Infrastructure
Key points
Introduction
Hardware
Data security and device management
Transducer types
Additional hardware
Software
Study categories
Image archiving
Workflows
Middleware
Vendor neutral archiving and enterprise imaging archive
Documentation
Utilization tracking
Quality assurance, quality improvement and performance improvement
Point-of-care ultrasound governance
Clinics care points
Point-of-Care Ultrasound in Resource-Limited Settings
Key points
Introduction
Background
Current uses of point-of-care ultrasound in resource-limited settings
Implementation
Future directions
Clinics care points
Safety, Ergonomics and Patient Centered Point-of-Care Ultrasound
Key points
Ultrasound safety
Infection prevention and control
Patient-centered bedside interactions
Clinics care points

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Point-of-Care Ultrasound in Clinical Care, An Issue of Medical Clinics of North America

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