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Central retinal artery occlusion or retinal stroke: a neurosonologist's perspective.
Front Neurol
June 2024
Clinic of Neurology and Neurosurgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
In central retinal artery occlusion (CRAO) or retinal stroke, which is usually a vision-threatening condition, timely diagnosis is imperative to improve the chances of retinal preservation and to establish adequate secondary prevention measures. Even though retinal strokes have been traditionally assigned to the field of ophthalmology, while considering reperfusion therapy as the only way to avoid permanent vision loss, we suggest prompt evaluation of CRAO causes (primarily related to cardiovascular risk factors) performed by a well-organized interdisciplinary team (ophthalmologist and neurologist) in a neurovascular center with stroke expertise. Therefore, the most suitable adjunct method for rapidly diagnosing non-arteritic CRAO could be target transorbital ultrasound, performed by an experienced neurologist/neurosonologist in the stroke unit.
View Article and Find Full Text PDFHemodialysis Catheter-Associated Right Atrial Thrombus Diagnosed via Point of Care Transesophageal Echocardiogram.
POCUS J
April 2024
Division of Pulmonary and Critical Care Medicine, Indiana University School of Medicine Indianapolis, IN USA.
Catheter-associated right atrial thrombus (CRAT) is a potential complication of central venous catheter placement and is associated with an increase in morbidity and mortality. The precise incidence of CRAT is unknown, and there is a lack of clear screening and management guidelines for this condition. Additionally, the diagnosis is often missed when using transthoracic echocardiography (TTE) alone.
View Article and Find Full Text PDFThe POCUS Imperative.
J Grad Med Educ
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is Associate Professor of Medicine, Division of Hospital Medicine, Oregon Health & Science University.
Point-of-care ultrasound training in low-income countries: a need of time.
Ann Med Surg (Lond)
April 2023
Aga Khan University, Karachi, Pakistan.
Point of care ultrasound (POCUS) is "an ultrasonography performed at the bedside in real-time by the treating physician." It is a powerful imaging modality used as an adjunct to physical examination and has gained momentum to become the future stethoscope. By using POCUS, the treating physician performs all image acquisition and interpretation and uses the information immediately to address specific hypotheses and guide the ongoing therapy.
View Article and Find Full Text PDFCurrent State of Point-of-Care Ultrasound Use Within Family Medicine.
J Am Board Fam Med
July 2022
From Department of Family Medicine, Michigan Medicine (JNC, MO, WF, MP, DMH); Department of Emergency Medicine, Michigan Medicine (RT, NT).
Background And Objectives: Following the publication of Point-of-Care-Ultrasound (POCUS) curriculum guidelines from the American Academy of Family Physicians in 2016, there has been a rapid expansion in POCUS curricula across family medicine departments in the US. There is growing appreciation for the potential role of POCUS in enhancing the clinical care family physicians provide to patients. The primary aim of our study was to evaluate the utilization of POCUS in outpatient clinic care across Family Medicine departments nationwide and to identify perceived or realized barriers in integrating POCUS use for clinic care.
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