Cardiac Point of Care Ultrasound in the CCU
Point-of-care cardiac ultrasound (POCUS) is becoming more commonly used in the assessment of patients as an adjunct to the physical examination, particularly in critically ill patients. Improving technology has made these devices smaller and portable with improved ease of use by cardiologists, as well as critical care and emergency room physicians. The use of cardiac POCUS can improve diagnostic accuracy and provide valuable diagnostic information that can significantly impact medical management.
KeywordsPoint of care Pericardial effusion Chest pain
- 7.Mark DG, Ku BS, Carr BG, Everett WW, Okusanya O, Horan A, et al. Directed bedside transthoracic echocardiography: preferred cardiac window for left ventricular ejection fraction estimation in critically ill patients. Am J Emerg Med. 2007;25(8):894–900. https://doi.org/10.1016/j.ajem.2007.01.023.CrossRefPubMedGoogle Scholar
- 11.Liteplo AS, Marill KA, Villen T, Miller RM, Murray AF, Croft PE, et al. Emergency thoracic ultrasound in the differentiation of the etiology of shortness of breath (ETUDES): sonographic B-lines and N-terminal pro-brain-type natriuretic peptide in diagnosing congestive heart failure. Acad Emerg Med. 2009;16(3):201–10. https://doi.org/10.1111/j.1553-2712.2008.00347.x.CrossRefPubMedGoogle Scholar
- 14.Panoulas VF, Daigeler AL, Malaweera AS, Lota AS, Baskaran D, Rahman S, et al. Pocket-size hand-held cardiac ultrasound as an adjunct to clinical examination in the hands of medical students and junior doctors. Eur Heart J Cardiovasc Imaging. 2013;14(4):323–30. https://doi.org/10.1093/ehjci/jes140.CrossRefPubMedGoogle Scholar
- 17.American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines, American Association for Thoracic Surgery, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, et al. ACCF/AHA guideline for the diagnosis and treatment of hypertrophic cardiomyopathy: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Thorac Cardiovasc Surg. 2011;142(6):e153–203. https://doi.org/10.1016/j.jtcvs.2011.10.020.CrossRefGoogle Scholar
- 18.Dinh V, Tseeng S, Jafry Z, Alice B, Schaefer M, Nakashioya J. Cases that count: use of POCUS for the diagnosis and management of hypertrophic obstructive cardiomyopathy: American College of Emergency Physicians; [cited 2017]. https://www.acep.org/_Ultrasound-Section-Microsite/Cases-that-Count--Use-of-POCUS-for-the-Diagnosis-and-Management-of-Hypertrophic-Obstructive-Cardiomyopathy/.
- 20.Marcolini E. Critical care emergencies, an issue of emergency medicine clinics of North America. 1st ed. Philadelphia, PA: Elsevier; 2014.Google Scholar
- 21.Mansencal N, Redheuil A, Joseph T, Vieillard-Baron A, Jondeau G, Lacombe P, et al. Use of transthoracic echocardiography combined with venous ultrasonography in patients with pulmonary embolism. Int J Cardiol. 2004;96(1):59–63. https://doi.org/10.1016/j.ijcard.2003.05.029.CrossRefPubMedGoogle Scholar
- 22.Klein AL, Abbara S, Agler DA, Appleton CP, Asher CR, Hoit B, et al. American Society of Echocardiography clinical recommendations for multimodality cardiovascular imaging of patients with pericardial disease: endorsed by the Society for Cardiovascular Magnetic Resonance and Society of Cardiovascular Computed Tomography. J Am Soc Echocardiogr. 2013;26(9):965–1012. e15. https://doi.org/10.1016/j.echo.2013.06.023.CrossRefPubMedGoogle Scholar