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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

Bedside ultrasound-guided percutaneous nephrostomy to relieve urinary obstruction in a woman with Ca cervix: Baseline USG demonstrates hydronephrosis (asterisk in a and c). Needle (arrow in b) was inserted into the pelvicalyceal system, followed by serial tract dilatation. After completion of procedure, loop of pigtail catheter is visualized within the pelvicalyceal system
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Figure 3: Bedside ultrasound-guided percutaneous nephrostomy to relieve urinary obstruction in a woman with Ca cervix: Baseline USG demonstrates hydronephrosis (asterisk in a and c). Needle (arrow in b) was inserted into the pelvicalyceal system, followed by serial tract dilatation. After completion of procedure, loop of pigtail catheter is visualized within the pelvicalyceal system

Mentions: In patients with renal impairment or decreased urinary output, a quick bedside USG examination can determine if it is due to parenchymal renal failure or due to urinary tract obstruction resulting in hydronephrosis.[1819] In later situation, bedside USG-guided percutaneous nephrostomy can be performed to relieve obstruction [Figure 3]. In cases of lower urinary tract obstruction, USG can confirm massively distended urinary bladder as a cause for patient's discomfort or agitation. Suprapubic cystostomy can be performed under USG guidance.[18]


Utility and potential of bedside ultrasound in palliative care.

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

Bedside ultrasound-guided percutaneous nephrostomy to relieve urinary obstruction in a woman with Ca cervix: Baseline USG demonstrates hydronephrosis (asterisk in a and c). Needle (arrow in b) was inserted into the pelvicalyceal system, followed by serial tract dilatation. After completion of procedure, loop of pigtail catheter is visualized within the pelvicalyceal system
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: Bedside ultrasound-guided percutaneous nephrostomy to relieve urinary obstruction in a woman with Ca cervix: Baseline USG demonstrates hydronephrosis (asterisk in a and c). Needle (arrow in b) was inserted into the pelvicalyceal system, followed by serial tract dilatation. After completion of procedure, loop of pigtail catheter is visualized within the pelvicalyceal system
Mentions: In patients with renal impairment or decreased urinary output, a quick bedside USG examination can determine if it is due to parenchymal renal failure or due to urinary tract obstruction resulting in hydronephrosis.[1819] In later situation, bedside USG-guided percutaneous nephrostomy can be performed to relieve obstruction [Figure 3]. In cases of lower urinary tract obstruction, USG can confirm massively distended urinary bladder as a cause for patient's discomfort or agitation. Suprapubic cystostomy can be performed under USG guidance.[18]

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