| Autor: |
Uma Devaraj, Priya Ramachandran, Mohammad Nawaz S, Uma Maheshwari K |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Ultrasound. |
| DOI: |
10.1183/13993003.congress-2020.4177 |
| Popis: |
Introduction: Ultrasound has become a valuable bedside diagnostic tool, however its utility in evaluation of dyspnea in general ward is not known. The aim of present study is to evaluate the same. Methodology: Prospective,observational study with purposive sampling of consecutive patients admitted in the Pulmonology ward within 8 hours of admission. Focused sonography according to predefined protocol was done and findings recorded. Sonography was performed in patient’s bedside by Pulmonology resident trained in routine use of sonography for 2yrs. Any change in management following ultrasound which may include further investigation or consultation from other department or change in treatment is considered positive result. Results: Total of 60 consecutive patients were screened and enrolled in the study, 37 males and 23 females. Average age of patients was 50yrs. Lung ultrasound detected new findings in 14 (23%) patients and resulted in change in management of 3(5%) patients. Diaphragm USG detected abnormality in 23(38%) patients and resulted in change in management in 5(8%) patients. ECHO found abnormality in 11(18%) patients and resulted in change in management in 7(11) patients. DVT screen was positive in 1 patient and did result in change in management in the same patient. Conclusion: Bedside ultrasonography performed by a non-radiology resident can pick up new findings missed by clinical examinations. This may result in better patient care and outcomes. Hence wherever feasible focused ultrasound should be used in routine patient management even in general medical ward settings. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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