How I Do It: Point-of-Care Ultrasound for Bedside Diagnosis of

Chest · Nov 2021

Review

How I Do It: Point-of-Care Ultrasound for Bedside Diagnosis of Lower Extremity Deep Venous Thrombosis.

The point-of-care ultrasound DVT (POCUS DVT) examination can facilitate rapid bedside diagnosis and treatment of lower extremity DVT. Awaiting radiology-performed Doppler ultrasonography and interpretation by radiologists can lead to delays in lifesaving anticoagulation, and the POCUS DVT examination can provide timely diagnostic information in the patient with lower extremity symptoms. This article outlines accepted techniques for the POCUS DVT examination, discusses the historical context from which the current recommendations have evolved, and provides illustrations alongside ultrasound images of relevant venous anatomy to orient the clinician. Finally, common pitfalls and methods to avoid them are described.

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- Mary E Barrosse-Antle, Kamin H Patel, Jeffrey A Kramer, and Cameron M Baston.
- Department of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA. Electronic address: Mary.barrosse-antle@pennmedicine.upenn.edu.
- Chest. 2021 Nov 1; 160 (5): 1853-1863.
AbstractThe point-of-care ultrasound DVT (POCUS DVT) examination can facilitate rapid bedside diagnosis and treatment of lower extremity DVT. Awaiting radiology-performed Doppler ultrasonography and interpretation by radiologists can lead to delays in lifesaving anticoagulation, and the POCUS DVT examination can provide timely diagnostic information in the patient with lower extremity symptoms. This article outlines accepted techniques for the POCUS DVT examination, discusses the historical context from which the current recommendations have evolved, and provides illustrations alongside ultrasound images of relevant venous anatomy to orient the clinician. Finally, common pitfalls and methods to avoid them are described.Published by Elsevier Inc.

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How I Do It: Point-of-Care Ultrasound for Bedside Diagnosis of Lower Extremity Deep Venous Thrombosis.

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