Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review
The point-of-care ultrasound (POCUS) has been effectively used in intensive care units for the management of septic patients. Since it is a time- and cost-effective non-invasive imaging modality, its use in the emergency department (ED) has been advocated for by medical experts. This review summariz...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/3/1105 |
| _version_ | 1797624076391415808 |
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| author | Christos Verras Ioannis Ventoulis Sofia Bezati Dionysis Matsiras John Parissis Effie Polyzogopoulou |
| author_facet | Christos Verras Ioannis Ventoulis Sofia Bezati Dionysis Matsiras John Parissis Effie Polyzogopoulou |
| author_sort | Christos Verras |
| collection | DOAJ |
| description | The point-of-care ultrasound (POCUS) has been effectively used in intensive care units for the management of septic patients. Since it is a time- and cost-effective non-invasive imaging modality, its use in the emergency department (ED) has been advocated for by medical experts. This review summarizes the existing literature regarding the breadth of POCUS as a supplementary tool to the holistic approach of septic patients in the ED setting. A literature search was conducted via PubMed (MEDLINE), Cochrane Library, and Scopus databases, analyzing studies which examined the use of POCUS in the ED for non-traumatic, septic, and/or undifferentiated hypotensive patients, resulting in 26 studies. The first cluster of studies investigates the efficiency of POCUS protocols in the differential diagnosis and its reliability for distributive/septic shock and sepsis management. In the second cluster, POCUS use results in faster sepsis cause identification and improves therapeutic management. The third cluster confirms that POCUS aids in the accurate diagnosis and management, even in rare and complicated cases. The results of the present review support the well-documented utility of POCUS and highlight the importance of POCUS incorporation in the comprehensive management of the septic patient in the ED setting. |
| first_indexed | 2024-03-11T09:38:12Z |
| format | Article |
| id | doaj.art-ad5bfdd0496543af990e69b8d8b95195 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T09:38:12Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-ad5bfdd0496543af990e69b8d8b951952023-11-16T17:11:49ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-01123110510.3390/jcm12031105Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature ReviewChristos Verras0Ioannis Ventoulis1Sofia Bezati2Dionysis Matsiras3John Parissis4Effie Polyzogopoulou5Emergency Department, National and Kapodistrian University of Athens, Attikon University Hospital, 12462 Athens, GreeceDepartment of Occupational Therapy, University of Western Macedonia, 50100 Kozani, GreeceEmergency Department, National and Kapodistrian University of Athens, Attikon University Hospital, 12462 Athens, GreeceEmergency Department, National and Kapodistrian University of Athens, Attikon University Hospital, 12462 Athens, GreeceEmergency Department, National and Kapodistrian University of Athens, Attikon University Hospital, 12462 Athens, GreeceEmergency Department, National and Kapodistrian University of Athens, Attikon University Hospital, 12462 Athens, GreeceThe point-of-care ultrasound (POCUS) has been effectively used in intensive care units for the management of septic patients. Since it is a time- and cost-effective non-invasive imaging modality, its use in the emergency department (ED) has been advocated for by medical experts. This review summarizes the existing literature regarding the breadth of POCUS as a supplementary tool to the holistic approach of septic patients in the ED setting. A literature search was conducted via PubMed (MEDLINE), Cochrane Library, and Scopus databases, analyzing studies which examined the use of POCUS in the ED for non-traumatic, septic, and/or undifferentiated hypotensive patients, resulting in 26 studies. The first cluster of studies investigates the efficiency of POCUS protocols in the differential diagnosis and its reliability for distributive/septic shock and sepsis management. In the second cluster, POCUS use results in faster sepsis cause identification and improves therapeutic management. The third cluster confirms that POCUS aids in the accurate diagnosis and management, even in rare and complicated cases. The results of the present review support the well-documented utility of POCUS and highlight the importance of POCUS incorporation in the comprehensive management of the septic patient in the ED setting.https://www.mdpi.com/2077-0383/12/3/1105emergency departmentpoint-of-care ultrasoundsepsisseptic shock |
| spellingShingle | Christos Verras Ioannis Ventoulis Sofia Bezati Dionysis Matsiras John Parissis Effie Polyzogopoulou Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review Journal of Clinical Medicine emergency department point-of-care ultrasound sepsis septic shock |
| title | Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review |
| title_full | Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review |
| title_fullStr | Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review |
| title_full_unstemmed | Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review |
| title_short | Point of Care Ultrasonography for the Septic Patient in the Emergency Department: A Literature Review |
| title_sort | point of care ultrasonography for the septic patient in the emergency department a literature review |
| topic | emergency department point-of-care ultrasound sepsis septic shock |
| url | https://www.mdpi.com/2077-0383/12/3/1105 |
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