Point-of-care ultrasound for oncologic critical care

Research output: Chapter in Book/Report/Conference proceedingChapter

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.

Original languageEnglish (US)
Title of host publicationOncologic Critical Care
PublisherSpringer International Publishing
Pages1579-1596
Number of pages18
ISBN (Electronic)9783319745886
ISBN (Print)9783319745879
DOIs
StatePublished - Oct 12 2019

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

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