The utility of #POCUS in palliative care for triage, patient satisfaction and cost-effectiveness gets a specific mention in the landmark @NEJM paper by @Diaz_GomezJL
Point of care ultrasound for rapid assessment and treatment of palliative care patients in acute medical settings. European Journal of Internal Medicine, 2020
https://t.co/iy0fYYhfUG
#PalliativeCare#POCUS
This is where point-of-care ultrasound needs to go: into the frontiers of patient-centred outcomes. Enhancing care with cheaper, faster, portable, and accurate technology. #CardioEd#POCUS
Thinking about palliative care POCUS, i'd suggest that more context-specific patient-orientated outcomes like peri-interventional pain, requirement for transfer of location, readmission, or improvement of symptoms are aspects that should also be examined prospectively (4/4)
Much of the literature describing #POCUS use in palliative care are small case series, or retrospective audits. Is it valid to use analogous evidence on POCUS use from the emergency department to support wider ultrasound use in palliative setting? (1/4)
The SHoC-ED trial in an emergency medicine setting was innovative, being one of the first POCUS trials to examine a mortality endpoint for a diagnostic process.. and resulted in plenty of discussion within the POCUS-community
https://t.co/tKPGUzL1ab
POCUS at home is feasible, and can not only obviate the transfer and admission for patients with symptomatic ascites, but can also avoid futile transfer when no paracentesis is required:
https://t.co/U4269lr9Xq
White et al. (with @MJJohnson_HYMS) demonstrates the feasibility of nurse-led POCUS in hospice care settings - ultrasound use is not limit to one discipline:
https://t.co/Fk8k72DHY6
Gishen et al. describe instances where #POCUS has allowed them to have a degree of confidence in discussions about diagnosis and prognosis in a #PalliativeCare hospice setting
https://t.co/vRJeuPOlGZ
Landers et al. describe being able to use the visual illustration of POCUS findings to support joint decision-making with patients and their families:
https://t.co/4oFdlg6nyT
A rational approach to cross-sectional imaging, in keeping with “Choosing Wisely” strategies is important. However, it is important to recognise that palliative care does not mean “no care” or “no imaging”
https://t.co/npd9PQU1Wd