The Incremental Role of Multiorgan Point-of-Care Ultrasounds in the Emergency Setting

Antonello D’Andrea (), Carmen Del Giudice, Dario Fabiani, Adriano Caputo, Francesco Sabatella, Luigi Cante, Stefano Palermi, Alfonso Desiderio, Ercole Tagliamonte, Biagio Liccardo and Vincenzo Russo
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Antonello D’Andrea: Department of Cardiology and Intensive Coronary Care, Umberto I Hospital, 84014 Nocera Inferiore, Italy
Carmen Del Giudice: Division of Cardiology, Department of Traslational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy
Dario Fabiani: Division of Cardiology, Department of Traslational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy
Adriano Caputo: Division of Cardiology, Department of Traslational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy
Francesco Sabatella: Division of Cardiology, Department of Traslational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy
Luigi Cante: Division of Cardiology, Department of Traslational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy
Stefano Palermi: Public Health Department, University of Naples Federico II, 80131 Naples, Italy
Alfonso Desiderio: Department of Cardiology and Intensive Coronary Care, Umberto I Hospital, 84014 Nocera Inferiore, Italy
Ercole Tagliamonte: Department of Cardiology and Intensive Coronary Care, Umberto I Hospital, 84014 Nocera Inferiore, Italy
Biagio Liccardo: Division of Cardiology, Department of Traslational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy
Vincenzo Russo: Division of Cardiology, Department of Traslational Medical Sciences, University of Campania Luigi Vanvitelli, 80131 Naples, Italy

IJERPH, 2023, vol. 20, issue 3, 1-24

Abstract: Point-of-care ultrasonography (POCUS) represents a goal-directed ultrasound examination performed by clinicians directly involved in patient healthcare. POCUS has been widely used in emergency departments, where US exams allow physicians to make quick diagnoses and to recognize early life-threatening conditions which require prompt interventions. Although initially meant for the real-time evaluation of cardiovascular and respiratory pathologies, its use has been extended to a wide range of clinical applications, such as screening for deep-vein thrombosis and trauma, abdominal ultrasonography of the right upper quadrant and appendix, and guidance for invasive procedures. Moreover, recently, bedside ultrasounds have been used to evaluate the fluid balance and to guide decongestive therapy in acutely decompensated heart failure. The aim of the present review was to discuss the most common applications of POCUS in the emergency setting.

Keywords: POCUS; point-of-care; emergency medicine (EM); echocardiography; lung ultrasound (LUS); VE x US; congestion; deep-vein thrombosis (DTV) (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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