Determining the cause of respiratory distress in the acutely ill can be challenging. POCUS with a three-point exam (F-TTE, IVC collapsibility, and lung ultrasound), as performed above, has been endorsed in this patient population as it can increase diagnostic accuracy in a timely fashion, especially as it pertains to acute decompensated heart failure.4 Furthermore, the use of a small portable device allows for convenience with rapid setup and use while minimizing the uptake of space. This becomes especially important when caring for patients that often have many providers attempting to provide care and initiate interventions at the same time, given the acute nature of their illness and potential for further rapid de-compensation.
*Results from case studies are not predictive of results in other cases. Results in other cases may vary.
- Deutschaman, C.S., and Neligan, P.J., 2016, Evidence-Based Practice of Critical Care, 2nd Edition, Elsevier, Inc., Philadelphia, PA, 88 - 91 p.
- Manasia, A. R. et al. Feasibility and potential clinical utility of goal-directed transthoracic echocardiography performed by noncardiologist intensivists using a small hand-carried device (SonoHeart) in critically ill patients. J. Cardiothorac. Vasc. Anesth. 19, 155–159 (2005).
- Labovitz, A. J. et al. Focused cardiac ultrasound in the emergent setting: a consensus statement of the American Society of Echocardiography and American College of Emergency Physicians. J. Am. Soc. Echocardiogr. O . Publ. Am. Soc. Echocardiogr. 23, 1225–1230 (2010).
- Mantuani, D., Frazee, B. W., Fahimi, J. & Nagdev, A. Point-of-Care Multi-Organ Ultrasound Improves Diagnostic Accuracy in Adults Presenting to the Emergency Department with Acute Dyspnea. West. J. Emerg. Med. 17, 46–53 (2016).