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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com




Sunday, October 30, 2016

Pitfalls in point-of-care ultrasound

Blanco P and Volpicelli G. Critical Ultrasound Journal 2016; 8:15 
DOI: 10.1186/s13089-016-0052-x
"Point-of-care ultrasonography (POCUS) is living a gold era in emergency and critical care medicine, because it is now widely recognized its usefulness in complementing the physical examination and serving as a safe interventional guidance at the bedside. Moreover, an ultrasonography-supported paradigm is gradually becoming a routine approach when caring for critically ill patients. However, it is important to highlight some rising concerns regarding provoked patients’ injuries that can result when POCUS is used inappropriately by novice or inexperienced practitioners. POCUS misdiagnoses due to inexperience may lead to errors in the treatment that may worsen patients’ outcomes or even be fatal. It is important to remind that before taking any action and being independent in the decision-making process, practitioners must be properly trained and well prepared to the possibility of misinterpretations. Nowadays, POCUS competences are covered in many curricula, and included in most hands-on training programs, which represent the best way to teach properly POCUS and train new operators. Here, we report a revision of some common POCUS misdiagnoses that may be encountered in the common clinical practice. We will highlight the potential impact of these mistakes on patient outcome, and finally we will list several tips that may be of help for a correct interpretation of POCUS imaging..."