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Point-of-Care Ultrasound for Oncologic Critical Care

  • Wendell H. WilliamsEmail author
  • Anna D. Dang
  • Dilip R. Thakar
Reference work entry

Abstract

In this chapter, we will focus our limited review of point-of-care ultrasonography (POCUS) specifically on those components arguably most pertinent to the care of the oncologic patient. A more thorough review of some topics, such as the FAST exam for the detection of intraperitoneal fluid, can be found elsewhere. In the presence of systemic morbidity and an expanding differential diagnosis, rapid and accurate assessment of these patients can be challenging. POCUS can potentially narrow the differential and avoid significant delays in treatment. The foundation of ultrasonography is a practical understanding of ultrasound physics, equipment, and artifacts. POCUS of the heart and IVC can help guide the resuscitation of the hemodynamically unstable patient. Lung sonography can suggest the etiology of the dyspnea and guide weaning from mechanical ventilation. Routine use of POCUS can potentially avoid significant delays in treatment for many conditions, from intracranial hypertension to VTE. Despite the enormous potential of POCUS, it is important to remember that guided training and continued research are requisites if patient care is to be improved and iatrogenic injury avoided.

Keywords

Point-of-care ultrasound (POCUS) Echocardiography Goal-directed resuscitation Transthoracic Venous thromboembolism Intracranial hypertension 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Wendell H. Williams
    • 1
    Email author
  • Anna D. Dang
    • 2
  • Dilip R. Thakar
    • 3
  1. 1.The University of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.University of Texas Health Science Center at HoustonHoustonUSA
  3. 3.Department of Anesthesiology and Perioperative MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA

Section editors and affiliations

  • Garry Brydges
    • 1
  • Ninotchka Brydges
    • 2
  1. 1.Department of Anesthesiology Division of Anesthesia, Critical Care and Pain MedicineThe University of Texas MD Anderson Cancer CenterHoustonUSA
  2. 2.Department of Critical Care and Respiratory CareThe University of Texas MD Anderson Cancer CenterHoustonUSA

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