Point of care ultrasound for rapid assessment and treatment of palliative care patients in acute medical settings
| Autor: | Joseph Osterwalder, Neal Breakey, Beat Lehmann, Gebhard Mathis, Thomas C. Sauter |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Palliative care Point-of-Care Systems Psychological intervention 610 Medicine & health Disease 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Patient satisfaction Acute care Internal Medicine Humans Medicine 030212 general & internal medicine Intensive care medicine Ultrasonography Point of care business.industry Palliative Care Symptomatic relief Clinical Competence medicine.symptom business |
| Zdroj: | Breakey, Neal; Osterwalder, Joseph; Mathis, Gebhard; Lehmann, Beat; Sauter, Thomas C (2020). Point of care ultrasound for rapid assessment and treatment of palliative care patients in acute medical settings. European journal of internal medicine, 81, pp. 7-14. Elsevier 10.1016/j.ejim.2020.08.007 |
| DOI: | 10.1016/j.ejim.2020.08.007 |
| Popis: | The combination of an ageing population with improving survival in malignant and non-malignant disease processes results in a growing cohort of patients with advanced or end-stage chronic diseases who require acute medical care. Emergency care has historically been stereotyped as the identification and treatment of acute life-threatening problems. Although palliative care may be considered to be new to the formal curriculum of emergency medicine, in many domains the ultrasound skillset of a physician in acute medical care can be efficaciously deployed the benefit of patients with both malignant and non-malignant disease processes that require palliative care in the full breadth of acute healthcare settings. In diagnostic domains (abdominal pain, urinary tract obstruction, dyspnoea, venous thromboembolism and musculoskeletal pain) and for specific intervention guidance (thoracentesis, paracentesis, venous access, regional anaesthesia and musculoskeletal interventions) we suggest that POCUS has the potential to streamline improve patient satisfaction, streamline diagnostic strategies, optimise patient length of stay, expedite timely symptomatic relief and reduce complications in this important patient population. POCUS is a mandatory competence in the European curriculum of internal medicine, and specific training programs which cover applications in the domains of palliative care in acute care settings are available. Supervision, quality assurance and appropriate documentation are required. We expect that as the availability of mobile units suitable for point of care applications increases, these applications should become standard of care in the acute management of patients who require palliative care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|