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Utility and potential of bedside ultrasound in palliative care.

Dhamija E, Thulkar S, Bhatnagar S - Indian J Palliat Care (2015 May-Aug)

Bottom Line: It can be utilized for rapid diagnostic evaluation or as an image guidance to perform invasive therapeutic procedures.With advent of portable ultrasound machines, it can also be used in community or home care settings, apart from palliative care wards.It also enhances patient comfort and reduces cost burden.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, Dr. Bhimrao Ramji Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT
Bedside ultrasound is an important tool in modern palliative care practice. It can be utilized for rapid diagnostic evaluation or as an image guidance to perform invasive therapeutic procedures. With advent of portable ultrasound machines, it can also be used in community or home care settings, apart from palliative care wards. Major applications of bedside ultrasound include drainage of malignant pleural effusions and ascites, nerve blocks, venous access, evaluation of urinary obstruction, deep vein thrombosis and abscesses. Bedside ultrasound leads to better clinical decision-making as well as more accurate and faster invasive therapeutic procedures. It also enhances patient comfort and reduces cost burden. However, use of bedside ultrasound is still not widespread among palliative care givers, owing to initial cost, lack of basic training in ultrasound and apprehensions about its use. A team approach involving radiologists is important to develop integration of bedside ultrasound in palliative care.

No MeSH data available.


Related in: MedlinePlus

Ultrasound (USG)-guided celiac plexus neurolysis: USG demonstrates needle tip on the right side of celiac trunk (labeled in a) which was confirmed on subsequently performed unenhanced computed tomography (CT) scan (b). Drug spread was seen as echogenic cloud on USG (a) which was verified on CT (c)
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Figure 2: Ultrasound (USG)-guided celiac plexus neurolysis: USG demonstrates needle tip on the right side of celiac trunk (labeled in a) which was confirmed on subsequently performed unenhanced computed tomography (CT) scan (b). Drug spread was seen as echogenic cloud on USG (a) which was verified on CT (c)

Mentions: Truncal blocks such as coeliac [Figure 2], superior hypogastric, ganglion impar neurolysis can be performed under USG guidance, although it is not as common as USG-guided peripheral nerve blocks. These blocks are not as simple and require a learning curve. There is also apprehension of needle injury to bowel, solid organs or vessels and possible complications. However, there is evidence that these procedures are safe even when performed at bedside under USG guidance.[17]


Utility and potential of bedside ultrasound in palliative care.

Dhamija E, Thulkar S, Bhatnagar S - Indian J Palliat Care (2015 May-Aug)

Ultrasound (USG)-guided celiac plexus neurolysis: USG demonstrates needle tip on the right side of celiac trunk (labeled in a) which was confirmed on subsequently performed unenhanced computed tomography (CT) scan (b). Drug spread was seen as echogenic cloud on USG (a) which was verified on CT (c)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4441172&req=5

Figure 2: Ultrasound (USG)-guided celiac plexus neurolysis: USG demonstrates needle tip on the right side of celiac trunk (labeled in a) which was confirmed on subsequently performed unenhanced computed tomography (CT) scan (b). Drug spread was seen as echogenic cloud on USG (a) which was verified on CT (c)
Mentions: Truncal blocks such as coeliac [Figure 2], superior hypogastric, ganglion impar neurolysis can be performed under USG guidance, although it is not as common as USG-guided peripheral nerve blocks. These blocks are not as simple and require a learning curve. There is also apprehension of needle injury to bowel, solid organs or vessels and possible complications. However, there is evidence that these procedures are safe even when performed at bedside under USG guidance.[17]

Bottom Line: It can be utilized for rapid diagnostic evaluation or as an image guidance to perform invasive therapeutic procedures.With advent of portable ultrasound machines, it can also be used in community or home care settings, apart from palliative care wards.It also enhances patient comfort and reduces cost burden.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiodiagnosis, Dr. Bhimrao Ramji Ambedkar Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT
Bedside ultrasound is an important tool in modern palliative care practice. It can be utilized for rapid diagnostic evaluation or as an image guidance to perform invasive therapeutic procedures. With advent of portable ultrasound machines, it can also be used in community or home care settings, apart from palliative care wards. Major applications of bedside ultrasound include drainage of malignant pleural effusions and ascites, nerve blocks, venous access, evaluation of urinary obstruction, deep vein thrombosis and abscesses. Bedside ultrasound leads to better clinical decision-making as well as more accurate and faster invasive therapeutic procedures. It also enhances patient comfort and reduces cost burden. However, use of bedside ultrasound is still not widespread among palliative care givers, owing to initial cost, lack of basic training in ultrasound and apprehensions about its use. A team approach involving radiologists is important to develop integration of bedside ultrasound in palliative care.

No MeSH data available.


Related in: MedlinePlus