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https://repository.monashhealth.org/monashhealthjspui/handle/1/35362| Title: | Point-of-care ultrasound for deep venous thrombosis of the lower limb. | Authors: | Mufti K.;Denault A.;Canty D.;Bridgford L. | Monash Health Department(s): | Anaesthesia and Perioperative Medicine | Institution: | (Canty, Bridgford) Department of Surgery (Royal Melbourne Hospital), University of Melbourne, Level 6 Centre for Medical Research, PO Box 2135, Melbourne, VIC 3050, Australia (Canty) Department of Anaesthesia and Pain Management, Royal Melbourne Hospital, 300 Grattan Street, Parkville, Melbourne, VIC 3050, Australia (Canty, Mufti) Department of Medicine, Nursing and Health Sciences, Monash University, Wellington Rd, Clayton, VIC 3800, Australia (Canty) Department of Anaesthesia and Perioperative Medicine, Monash Health, 246 Clayton Rd, Clayton, VIC 3168, Australia (Mufti) Intensive Care Unit, Frankston Hospital, 2 Hastings Road, Frankston, VIC 3199, Australia (Bridgford) Department of Emergency Medicine, Maroondah Hospital, 1-15 Davey Dr, Ringwood East, VIC 3135, Australia (Denault) Department of Anesthesiology and Critical Care, Faculty of Medicine, University of Montreal, 2900 Edouard Montpetit Blvd, Montreal, QC H3T 1J4, Canada (Denault) Department of Anesthesiology and Critical Care, Montreal Heart Institute, 5000 Rue Belanger, Montreal, QC QC H1T 1C8, Canada | Issue Date: | 10-Jun-2020 | Copyright year: | 2020 | Publisher: | John Wiley and Sons Inc. (E-mail: cs-journals@wiley.com) | Place of publication: | United States | Publication information: | Australasian Journal of Ultrasound in Medicine. 23 (2) (pp 111-120), 2020. Date of Publication: 01 May 2020. | Journal: | Australasian Journal of Ultrasound in Medicine | Abstract: | The incidence and morbidity of deep venous thrombosis (DVT) and pulmonary embolus are high. Although efforts to increase screening for DVT have been recommended, this is limited by resources. Venous duplex ultrasound has replaced venography as the first-line investigation of choice for DVT, increasing availability and reducing patient exposure to radiation and intravenous contrast. Furthermore, an abbreviated ultrasound where DVT is inferred from incomplete venous compressibility has an equivalent accuracy to venous duplex, requiring less time and training enabling its widespread use by emergency, critical care and anaesthesia clinicians. In this review, the evolution and method of lower limb venous compression ultrasound is described along with evidence for its use in patients at high risk for DVT in these clinical settings.Copyright © 2019 Australasian Society for Ultrasound in Medicine | DOI: | http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1002/ajum.12188 | ISSN: | 1836-6864 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/35362 | Type: | Review | Subjects: | *lower limb lung embolism morbidity perioperative period phlebography *point of care ultrasound predictive value prevalence prospective study review sensitivity and specificity task performance thrombectomy training transesophageal echocardiography *deep vein thrombosis/di [Diagnosis] ankle brachial index anticoagulant therapy anticoagulation blood clot lysis cardiopulmonary bypass comparative study diagnostic accuracy Doppler flowmetry echocardiography emergency medicine extracorporeal oxygenation heart atrium appendage human intensive care unit internal jugular vein lower limb lung embolism perioperative period phlebography point of care ultrasound task performance thrombectomy training transesophageal echocardiography deep vein thrombosis ankle brachial index anticoagulant therapy anticoagulation blood clot lysis cardiopulmonary bypass diagnostic accuracy Doppler flowmetry echocardiography emergency medicine extracorporeal oxygenation heart atrium appendage intensive care unit internal jugular vein echocardiography emergency medicine extracorporeal oxygenation heart atrium appendage human intensive care unit internal jugular vein *lower limb lung embolism morbidity perioperative period phlebography *point of care ultrasound predictive value prevalence prospective study Review sensitivity and specificity ankle brachial index thrombectomy training transesophageal echocardiography task performance anticoagulant therapy anticoagulation blood clot lysis cardiopulmonary bypass comparative study *deep vein thrombosis / *diagnosis diagnostic accuracy Doppler flowmetry |
Type of Clinical Study or Trial: | Review article (e.g. literature review, narrative review) |
| Appears in Collections: | Articles |
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