Point-of-Care Ultrasonography for Primary Care Physicians and General Internists

Anjali Bhagra, David M. Tierney, Hiroshi Sekiguchi, Nilam J. Soni

Producción científica: Review articlerevisión exhaustiva

144 Citas (Scopus)


Point-of-care ultrasonography (POCUS) is a safe and rapidly evolving diagnostic modality that is now utilized by health care professionals from nearly all specialties. Technological advances have improved the portability of equipment, enabling ultrasound imaging to be executed at the bedside and thereby allowing internists to make timely diagnoses and perform ultrasound-guided procedures. We reviewed the literature on the POCUS applications most relevant to the practice of internal medicine. The use of POCUS can immediately narrow differential diagnoses by building on the clinical information revealed by the traditional physical examination and refining clinical decision making for further management. We describe 2 common patient scenarios (heart failure and sepsis) to highlight the impact of POCUS performed by internists on efficiency, diagnostic accuracy, resource utilization, and radiation exposure. Using POCUS to guide procedures has been found to reduce procedure-related complications, along with costs and lengths of stay associated with these complications. Despite several undisputed advantages of POCUS, barriers to implementation must be considered. Most importantly, the utility of POCUS depends on the experience and skills of the operator, which are affected by the availability of training and the cost of ultrasound devices. Additional system barriers include availability of templates for documentation, electronic storage for image archiving, and policies and procedures for quality assurance and billing. Integration of POCUS into the practice of internal medicine is an inevitable change that will empower internists to improve the care of their patients at the bedside.

Idioma originalEnglish (US)
Páginas (desde-hasta)1811-1827
Número de páginas17
PublicaciónMayo Clinic Proceedings
EstadoPublished - dic 1 2016

ASJC Scopus subject areas

  • General Medicine


Profundice en los temas de investigación de 'Point-of-Care Ultrasonography for Primary Care Physicians and General Internists'. En conjunto forman una huella única.

Citar esto