Utility of POCUS in Undifferentiated Shock

Features| April 2024 Utility of POCUS in Undifferentiated Shock Santhalakshmi Angappan, MD; Santhalakshmi Angappan, MD Search for other works by this author on: This Site PubMed Google Scholar Jose C. Humanez, MD, FASA, FCCP, CMQ; Jose C. Humanez, MD, FASA, FCCP, CMQ Search for other works by this author on: This Site PubMed Google Scholar Krassimir L. Denchev, MD; Krassimir L. Denchev, MD Search for other works by this author on: This Site PubMed Google Scholar Steven C. Minear, MD, MBA, FASA Steven C. Minear, MD, MBA, FASA Search for other works by this author on: This Site PubMed Google Scholar ASA Monitor April 2024, Vol. 88, e4–e5. https://doi.org/10.1097/01.ASM.0001010736.65252.4e Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Search Site Citation Santhalakshmi Angappan, Jose C. Humanez, Krassimir L. Denchev, Steven C. Minear; Utility of POCUS in Undifferentiated Shock. ASA Monitor 2024; 88:e4–e5 doi: https://doi.org/10.1097/01.ASM.0001010736.65252.4e Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsASA Monitor Search Advanced Search Topics: point-of-care ultrasonography, shock Point-of-care ultrasound (POCUS) refers to the "acquisition, interpretation, and clinical integration of ultrasonographic imaging performed by a treating clinician at the patient's bedside" (N Engl J Med 2021;385:1693-602). Focused POCUS provides the clinician with real-time diagnostic and monitoring information that can be utilized for differentiating the types of shock and for instituting prompt and appropriate management strategies. The use of POCUS is steadily expanding following the growing body of evidence supporting its utility in differentiating various types of shock. In 2004, a randomized controlled trial involving 184 ED patients with undifferentiated hypotension revealed that immediate, goal-directed ultrasound increased the rate of correct diagnosis of shock etiology from 50% to 80% (Crit Care Med 2004;32:1703-8). Subsequently, numerous protocols have been published to aid the diagnosis of the etiology of shock at the bedside. Moreover, POCUS aids in the timely management of shock, thereby decreasing multi-organ dysfunction, and... You do not currently have access to this content.