Point-of-Care Ultrasound (POCUS) in Adult Cardiac Arrest: Clinical Review
Point-of-Care Ultrasound (POCUS) is a rapid and valuable diagnostic tool available in emergency and intensive care units. In the context of cardiac arrest, POCUS application can help assess cardiac activity, identify causes of arrest that could be reversible (such as pericardial effusion or pneumoth...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/14/4/434 |
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| author | Federica Magon Yaroslava Longhitano Gabriele Savioli Andrea Piccioni Manfredi Tesauro Fabio Del Duca Gabriele Napoletano Gianpietro Volonnino Aniello Maiese Raffaele La Russa Marco Di Paolo Christian Zanza |
| author_facet | Federica Magon Yaroslava Longhitano Gabriele Savioli Andrea Piccioni Manfredi Tesauro Fabio Del Duca Gabriele Napoletano Gianpietro Volonnino Aniello Maiese Raffaele La Russa Marco Di Paolo Christian Zanza |
| author_sort | Federica Magon |
| collection | DOAJ |
| description | Point-of-Care Ultrasound (POCUS) is a rapid and valuable diagnostic tool available in emergency and intensive care units. In the context of cardiac arrest, POCUS application can help assess cardiac activity, identify causes of arrest that could be reversible (such as pericardial effusion or pneumothorax), guide interventions like central line placement or pericardiocentesis, and provide real-time feedback on the effectiveness of resuscitation efforts, among other critical applications. Its use, in addition to cardiovascular life support maneuvers, is advocated by all resuscitation guidelines. The purpose of this narrative review is to summarize the key applications of POCUS in cardiac arrest, highlighting, among others, its prognostic, diagnostic, and forensic potential. We conducted an extensive literature review utilizing PubMed by employing key search terms regarding ultrasound and its use in cardiac arrest. Apart from its numerous advantages, its limitations and challenges such as the potential for interruption of chest compressions during image acquisition and operator proficiency should be considered as well and are discussed herein. |
| first_indexed | 2024-03-07T22:35:35Z |
| format | Article |
| id | doaj.art-8187ef473f644f57ac63b9ff70c1c1d5 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-07T22:35:35Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-8187ef473f644f57ac63b9ff70c1c1d52024-02-23T15:13:53ZengMDPI AGDiagnostics2075-44182024-02-0114443410.3390/diagnostics14040434Point-of-Care Ultrasound (POCUS) in Adult Cardiac Arrest: Clinical ReviewFederica Magon0Yaroslava Longhitano1Gabriele Savioli2Andrea Piccioni3Manfredi Tesauro4Fabio Del Duca5Gabriele Napoletano6Gianpietro Volonnino7Aniello Maiese8Raffaele La Russa9Marco Di Paolo10Christian Zanza11Department of Anesthesia and Critical Care, Bicocca University of Milano, 20126 Milano, ItalyDepartment of Anesthesiology and Perioperative Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USADepartement of Emergency, IRCCS Fondazione Policlinico San Matteo, 27100 Pavia, ItalyDepartment of Emergency Medicine, Gemelli Hospital, Catholic University of Rome, 00168 Rome, ItalyDepartment of Systems Medicine, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Anatomical, Histological, Forensic and Orthopedical Sciences, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome, ItalyDepartment of Anatomical, Histological, Forensic and Orthopedical Sciences, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome, ItalyDepartment of Anatomical, Histological, Forensic and Orthopedical Sciences, Sapienza University of Rome, Viale Regina Elena 336, 00161 Rome, ItalyDepartment of Surgical Pathology, Medical, Molecular and Critical Area, Institute of Legal Medicine, University of Pisa, 56126 Pisa, ItalyDepartment of Clinical Medicine, Public Health, Life Sciences, and Environmental Sciences, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Surgical Pathology, Medical, Molecular and Critical Area, Institute of Legal Medicine, University of Pisa, 56126 Pisa, ItalyGeriatric Medicine Residency Program, University of Rome “Tor Vergata”, 00133 Rome, ItalyPoint-of-Care Ultrasound (POCUS) is a rapid and valuable diagnostic tool available in emergency and intensive care units. In the context of cardiac arrest, POCUS application can help assess cardiac activity, identify causes of arrest that could be reversible (such as pericardial effusion or pneumothorax), guide interventions like central line placement or pericardiocentesis, and provide real-time feedback on the effectiveness of resuscitation efforts, among other critical applications. Its use, in addition to cardiovascular life support maneuvers, is advocated by all resuscitation guidelines. The purpose of this narrative review is to summarize the key applications of POCUS in cardiac arrest, highlighting, among others, its prognostic, diagnostic, and forensic potential. We conducted an extensive literature review utilizing PubMed by employing key search terms regarding ultrasound and its use in cardiac arrest. Apart from its numerous advantages, its limitations and challenges such as the potential for interruption of chest compressions during image acquisition and operator proficiency should be considered as well and are discussed herein.https://www.mdpi.com/2075-4418/14/4/434pulmonary embolismcardiac arrestpocuspneumothoraxemergency medicineultrasounds |
| spellingShingle | Federica Magon Yaroslava Longhitano Gabriele Savioli Andrea Piccioni Manfredi Tesauro Fabio Del Duca Gabriele Napoletano Gianpietro Volonnino Aniello Maiese Raffaele La Russa Marco Di Paolo Christian Zanza Point-of-Care Ultrasound (POCUS) in Adult Cardiac Arrest: Clinical Review Diagnostics pulmonary embolism cardiac arrest pocus pneumothorax emergency medicine ultrasounds |
| title | Point-of-Care Ultrasound (POCUS) in Adult Cardiac Arrest: Clinical Review |
| title_full | Point-of-Care Ultrasound (POCUS) in Adult Cardiac Arrest: Clinical Review |
| title_fullStr | Point-of-Care Ultrasound (POCUS) in Adult Cardiac Arrest: Clinical Review |
| title_full_unstemmed | Point-of-Care Ultrasound (POCUS) in Adult Cardiac Arrest: Clinical Review |
| title_short | Point-of-Care Ultrasound (POCUS) in Adult Cardiac Arrest: Clinical Review |
| title_sort | point of care ultrasound pocus in adult cardiac arrest clinical review |
| topic | pulmonary embolism cardiac arrest pocus pneumothorax emergency medicine ultrasounds |
| url | https://www.mdpi.com/2075-4418/14/4/434 |
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