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Diagnostic Point-of-Care Ultrasound for the Cardiac Surgical Patient, From Head-to-Toe

Diagnostic point-of-care ultrasound (POCUS) has rapidly evolved into an indispensable bedside tool across critical care and perioperative medicine. ...

Duke University Health System

Herein, a case describing how point-of-care lung ultrasound was used to identify the source of progressive multiorgan failure when a chest x-ray and other routine tests failed to provide a conclusive answer is presented. The discussion after the case focuses on the following: (1) the relative strengths and weaknesses of chest x-ray versus lung ultrasound in screening for lung disease and (2) suggestions of how lung ultrasound practice can be standardized within the field of anesthesiology.

Pneumonia: Hiding in Plain (Film) Sight.

Basic point-of-care ultrasound of the heart-also known as Focused Cardiac Ultrasound (FoCUS)-has emerged as a powerful bedside tool to narrow the differential diagnosis of causes of hypotension. The list of causes of hypotension that a FoCUS provider is expected to be able to recognize includes a compressive pericardial effusion due to hemopericardium (blood in the pericardial sac). But hemopericardium can be difficult to distinguish from a more common condition that is not immediately life-threatening: epicardial fat. This paper reviews illustrative images of both epicardial fat and hemopericardium to provide practice guidance to the FoCUS user on how to differentiate these two phenomena.

Article	Year
Pneumonia: Hiding in Plain (Film) Sight. Journal of cardiothoracic and vascular anesthesia\| PubMed ID: 32798171	2020
Blood or Fat? Differentiating Hemopericardium versus Epicardial Fat Using Focused Cardiac Ultrasound. Diagnostics (Basel, Switzerland)\| PubMed ID: 38667464	2024

Nazish Hashmi

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