Lau YH, See KC. Point-of-care ultrasound for critically-ill patients: A mini-review of key diagnostic features and protocols. World J Crit Care Med 2022; 11(2): 70-84 [PMID: 35433316 DOI: 10.5492/wjccm.v11.i2.70]
Corresponding Author of This Article
Yie Hui Lau, MBBS, Doctor, Department of Anaesthesiology, Intensive Care and Pain Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433, Singapore. yie_hui_lau@ttsh.com.sg
Research Domain of This Article
Critical Care Medicine
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Crit Care Med. Mar 9, 2022; 11(2): 70-84 Published online Mar 9, 2022. doi: 10.5492/wjccm.v11.i2.70
Point-of-care ultrasound for critically-ill patients: A mini-review of key diagnostic features and protocols
Yie Hui Lau, Kay Choong See
Yie Hui Lau, Department of Anaesthesiology, Intensive Care and Pain Medicine, Tan Tock Seng Hospital, Singapore 308433, Singapore
Kay Choong See, Division of Respiratory & Critical Care Medicine, National University Hospital, Singapore 119074, Singapore
Author contributions: Lau YH wrote the manuscript; See KC provided supervision and revised the manuscript.
Conflict-of-interest statement: See KC has received honoraria from GE Healthcare and Medtronic, and has no other conflicts of interest to disclose; Lau YH has no conflict of interest to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yie Hui Lau, MBBS, Doctor, Department of Anaesthesiology, Intensive Care and Pain Medicine, Tan Tock Seng Hospital, 11 Jalan Tan Tock Seng, Singapore 308433, Singapore. yie_hui_lau@ttsh.com.sg
Received: September 19, 2021 Peer-review started: September 19, 2021 First decision: December 2, 2021 Revised: December 8, 2021 Accepted: February 10, 2022 Article in press: February 10, 2022 Published online: March 9, 2022
Abstract
Point-of-care ultrasonography (POCUS) for managing critically ill patients is increasingly performed by intensivists or emergency physicians. Results of needs surveys among intensivists reveal emphasis on basic cardiac, lung and abdominal ultrasound, which are the commonest POCUS modalities in the intensive care unit. We therefore aim to describe the key diagnostic features of basic cardiac, lung and abdominal ultrasound as practised by intensivists or emergency physicians in terms of accuracy (sensitivity, specificity), clinical utility and limitations. We also aim to explore POCUS protocols that integrate basic cardiac, lung and abdominal ultrasound, and highlight areas for future research.
Core Tip: Point-of-care ultrasound (POCUS) is increasingly being used by intensivists and emergency physicians for the care of critically-ill patients. This mini-review highlights key findings in basic cardiac, lung and abdominal ultrasound, and introduces several POCUS-based protocols, which have practical utility for patient management.
