Point-of-Care Ultrasound for Bedside Diagnosis of Lower Extremity DVT

Chest. 2021 Nov;160(5):1853-1863. doi: 10.1016/j.chest.2021.07.010. Epub 2021 Jul 13.

Abstract

The point-of-care ultrasound DVT (POCUS DVT) examination can facilitate rapid bedside diagnosis and treatment of lower extremity DVT. Awaiting radiology-performed Doppler ultrasonography and interpretation by radiologists can lead to delays in lifesaving anticoagulation, and the POCUS DVT examination can provide timely diagnostic information in the patient with lower extremity symptoms. This article outlines accepted techniques for the POCUS DVT examination, discusses the historical context from which the current recommendations have evolved, and provides illustrations alongside ultrasound images of relevant venous anatomy to orient the clinician. Finally, common pitfalls and methods to avoid them are described.

Keywords: DVT; critical care; pulmonary embolism; training (internal medicine); ultrasound.

Publication types

  • Review

MeSH terms

  • Early Diagnosis
  • Humans
  • Lower Extremity / blood supply*
  • Point-of-Care Testing*
  • Ultrasonography / methods*
  • Venous Thrombosis / diagnosis*