Paracentesis is a procedure routinely performed at the bedside in the evaluation and management of ascites. While point of care ultrasound (POCUS) assistance during paracentesis is known to reduce the risk of procedure-related complications, intraprocedural POCUS to overcome commonly occurring issues, such as obstructed flow through the centesis catheter, remain poorly described. In this report, we present two cases in which bowel adhered to the catheter during paracentesis. POCUS was used in an attempt to restore flow. Based on our literature review and procedural experience, we propose an algorithm to surmount this routinely encountered problem.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10721288 | PMC |
| http://dx.doi.org/10.24908/pocus.v8i2.16265 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A Rare Case of Hemoperitoneum Diagnosed with Point of Care Ultrasound (POCUS).
POCUS J
November 2024
Department of General Internal Medicine, Section of Hospital Medicine, Weill Cornell Medical Center NYC, NY USA.
A 68-year-old man presented with one week of vague abdominal symptoms and was found to have new ascites and pulmonary embolism for which a heparin drip was initiated. We report a case diagnosing hemoperitoneum with point of care ultrasound (POCUS). Identifying hemoperitoneum can be challenging, but POCUS can be a useful tool for its diagnosis.
View Article and Find Full Text PDFPoint-of-care ultrasound in palliative medicine residency programs: report of a national survey and local workshop.
Support Care Cancer
December 2024
Division of Palliative Medicine, Department of Medicine, Queen's University, Kingston, ON, Canada.
Purpose: Point-of-care ultrasound (POCUS) is used in various clinical specialties to improve diagnostic and procedural accuracy and has many potential applications in palliative care. However, it is unclear what is the current state of training and use of POCUS in palliative care in Canada. Our objectives were to understand the current state of training and use of POCUS in Canadian Palliative Medicine subspecialty residency programs and to develop and implement a local training workshop for POCUS in palliative care.
View Article and Find Full Text PDFCommon Ultrasound-Guided Procedures.
Emerg Med Clin North Am
November 2024
Division of Emergency Ultrasound, Department of Emergency Medicine, Johns Hopkins University School of Medicine, 1830 East Monument Street, Suite 6-100, Baltimore, MD 21287, USA.
Article Synopsis
- Ultrasound guidance is crucial for ensuring safety and effectiveness in medical procedures, especially in emergency departments.
- Using ultrasound significantly enhances the chances of success on the first attempt, reduces the time needed to complete procedures, and lowers the risk of complications compared to traditional methods that rely on physical landmarks.
- The principles of ultrasound guidance can be easily adapted for various bedside procedures once they are mastered.
Role of point-of-care ultrasound (POCUS) in clinical hepatology.
Hepatology
July 2024
Division of Gastroenterology and Hepatology, University of Pennsylvania, Philadelphia, USA.
Hospitalized patients with cirrhosis frequently require critical care management for sepsis, HE, respiratory failure, acute variceal bleeding, acute kidney injury (AKI), shock, and optimization for liver transplantation, while outpatients have unique care considerations. Point-of-care ultrasonography (POCUS) enhances bedside examination of the hepatobiliary system and relevant extrahepatic sites. POCUS includes cardiac US and is used to assess volume status and hemodynamic parameters like cardiac output, systemic vascular resistance, cardiac contractility, and pulmonary artery pressure, which aid in the early and accurate diagnosis of heart failure, cirrhotic cardiomyopathy, porto-pulmonary hypertension, hepatopulmonary syndrome, arrhythmia, and pulmonary embolism.
View Article and Find Full Text PDFPrehospital Ultrasound Use to Guide Emergent Pericardiocentesis: A Case Report.
Air Med J
June 2024
BerbeeWalsh Department of Emergency Medicine, University of Wisconsin-Madison, Madison, WI; Med Flight, University of Wisconsin-Madison Hospitals and Clinics, Madison, WI. Electronic address:
Point-of-care ultrasound (POCUS) has been shown to be a valuable tool in the management of acutely ill patients in the prehospital setting. POCUS not only has utility from a diagnostic perspective but also has been shown to reduce the rate of complications from otherwise traditionally "blind" procedures, such as pericardiocentesis. This case report highlights the utility of POCUS in the prehospital setting to guide emergent pericardiocentesis to treat cardiac tamponade.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!