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Point-of-Care Ultrasonography more sensitive,specific for detecting Fluid

Point-of-Care Ultrasonography more sensitive,specific for detecting Fluid

Point-of-care ultrasonography (POCUS)—ultrasonography used by a clinician at the bedside to aid in diagnosis and procedural guidance—continues to spread throughout medical specialties and medical education.It is an increasingly affordable and portable technology that is an important part of 21st-century medicine which has the potential to expedite diagnosis and improve procedural success and safety.

In a systematic review, Rachel B et al. have vividly outlined basic concepts, applications and implications of Finding Fluid during Point-of-Care Ultrasonography.

The authors observed that a  key use of POCUS is to detect fluid, and this is a cornerstone of POCUS teaching.  POCUS has shown to be more sensitive and specific than physical examination for conditions such as ascites, pleural effusion, and pericardial effusion. Detecting fluid requires a basic understanding of ultrasonography operation, sonographic anatomy, and probe orientation. Once the fluid is localized, ultrasonographic guidance can increase success and decrease complications of common procedures such as thoracentesis or paracentesis.

It was concluded that   POCUS can augment physical examination and procedural efficacy but requires appropriate education and program setup. As POCUS continues to spread, internal medicine physicians need to clarify how they intend to use this technology. Equipment is now increasingly accessible, but programs need to determine how to allocate time and resources to training, clinical use, and quality assurance. Programs that develop robust implementation processes that establish the proper scope of practice and include the quality assurance that uses image archival and feedback can ensure POCUS will positively impact patient care across hospital systems.

For more details click on the link: doi:10.1001/jamainternmed.2017.5048

 

Source: self

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  1. I don\’t think PC-PNDT act applies here since point of care as we speak of largely is a Hospital based tool and there is no restriction to that under PC-PNDT . Any deviation from the focus is a fermenting ground to rumours adversely affecting the patient and doctor psyche alike.

  2. It should be understood by PC–PNDT act framers that USG is life saving machine and its restrictions under this act are injurious to mankind suffering from other diseases.. For female foeticide the govt machinery should remain efficient by other means than USG.

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    Dr. Nidhi Bhatnagar November 2, 2017, 5:16 pm

    Problem is point of care needs trained staff at every site 24×7 Dr. Kohli..how to achieve that and not promote half baked knowledge with distastrous results.