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Point-of-care ultrasound in internal medicine: Establishing standards for Europe

Published:March 13, 2020DOI:https://doi.org/10.1016/j.ejim.2020.03.006
      As internists grapple with the care needs of an increasingly complex patient population with multimorbidity [
      • Onder G.
      • Palmer K.
      • Navickas R.
      • Jurevičienė E.
      • Mammarella F.
      • Strandzheva M.
      • Mannucci P.
      • Pecorelli S.
      • Marengoni A.
      Time to face the challenge of multimorbidity. A European perspective from the joint action on chronic diseases and promoting healthy ageing across the life cycle (JA-CHRODIS).
      ], the need for a bedside tool that will allow a more comprehensive and better assessment of our patients is abundantly clear. Over the last decade, evidence supporting the use of point-of-care ultrasound (POCUS) in internal medicine has gradually accumulated. Its use has been demonstrated to:
      • 1)
        increase diagnostic accuracy, such as in the evaluation of dyspneic patients [
        • Perrone T.
        • Maggi A.
        • Sgarlata C.
        • Palumbo I.
        • Mossolani E.
        • Ferrari S.
        • Melloul A.
        • Mussinelli R.
        • Boldrini M.
        • Raimondi A.
        • et al.
        Lung ultrasound in internal medicine: a bedside help to increase accuracy in the diagnosis of dyspnea.
        ,
        • Filopei J.
        • Siedenburg H.
        • Rattner P.
        • Fukaya E.
        • Kory P.
        Impact of pocket ultrasound use by internal medicine housestaff in the diagnosis of dyspnea.
        ]
      • 2)
        provide important prognostic information, such as in heart failure [
        • Platz E.
        • Merz A.A.
        • Jhund P.S.
        • Vazir A.
        • Campbell R.
        • McMurray J.J.
        Dynamic changes and prognostic value of pulmonary congestion by lung ultrasound in acute and chronic heart failure: a systematic review.
        ] and
      • 3)
        decrease complications, when used in guiding bedside procedures [
        • Brass P.
        • Hellmich M.
        • Kolodziej L.
        • Schick G.
        • Smith A.F.
        Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization.
        ]
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