Why the study?
POCUS has expanded from cardiovascular and respiratory evaluations to diverse emergency applications, including fluid balance and decongestive therapy guidance in acutely decompensated heart failure.
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Design
Review
This review highlights the expanding role of point-of-care ultrasonography in emergency settings for rapid diagnosis and management of various conditions, including acute decompensated heart failure.
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.
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D’Andrea et al. (2023) studied this question.
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