Durham VA

3 ARTICLES PUBLISHED IN JoVE

Medicine

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis

Rebecca G. Theophanous¹, Vinca W. Chow², David L. Convissar³, Stephen C. Haskins^4,5, Robert A. Jones⁶, Hari K. P. Kalagara⁷, Yuriy S. Bronshteyn⁸

¹Department of Emergency Medicine, Duke University School of Medicine, ²Department of Anesthesiology, Dartmouth-Hitchcock Medical Center, ³Department of Anesthesiology, Massachusetts General Hospital, ⁴Department of Anesthesiology, Critical Care and Pain Management, Hospital for Special Surgery, ⁵Department of Anesthesiology, Weill-Cornell Medical College, ⁶Department of Emergency Medicine, MetroHealth Medical Center/Case Western Reserve University, ⁷Department of Anesthesiology, Mayo Clinic, ⁸Department of Anesthesiology, Duke University School of Medicine

Traditionally, lower extremity deep venous thrombosis (DVT) is diagnosed by radiology-performed venous duplex ultrasound. Providers appropriately trained in focused point-of-care ultrasound (POCUS) can perform a rapid bedside examination with high sensitivity and specificity in critically ill patients. We describe the scanning technique for focused POCUS DVT lower extremity examination.

Medicine

Point-of-Care Lung Ultrasound in Adults: Image Acquisition

Rodrigo O. L. Pereira¹, David L. Convissar², Sean Montgomery³, James T. Herbert¹, Christopher R. Reed³, Hoang J. Tang³, Yuriy S. Bronshteyn^1,4

¹Department of Anesthesiology, Duke University School of Medicine, ²Department of Anesthesiology, Massachusetts General Hospital, ³Department of Surgery, Duke University School of Medicine, Duke University Health System, ⁴Department of Anesthesiology, Durham VA

Point-of-care ultrasound (POCUS) of the lungs provides quick answers in rapidly changing clinical scenarios. We present an efficient and informative protocol for image acquisition for use in acute care settings.

Medicine

Image Acquisition Method for the Sonographic Assessment of the Inferior Vena Cava

Maximilian Hoffman¹, David L. Convissar², Marie-Louise Meng¹, Sean Montgomery⁴, Yuriy S. Bronshteyn^1,3

¹Department of Anesthesiology, Duke University School of Medicine, ²Department of Anesthesiology, Massachusetts General Hospital, ³Department of Anesthesiology, Durham VA, ⁴Department of Surgery, Duke University School of Medicine

Point-of-care ultrasound evaluation of the inferior vena cava (IVC) is commonly utilized to identify, among other things, the volume status. Imaging should be performed systematically to ensure repeatability. This manuscript reviews the methods and pitfalls of sonographic IVC examination.