Aplicaciones emergentes del ultrasonido en el punto de atención
DOI:
https://doi.org/10.36958/sep.v8i2.346Palabras clave:
ultrasonido en el punto de atención, aplicaciones emergentes, práctica médicaResumen
OBJETIVO: dar a conocer las aplicaciones emergentes del ultrasonido en el punto de atención (POCUS), su impacto y sus limitaciones. MÉTODO: se realizó una búsqueda exhaustiva en diversos metabuscadores y motores de búsqueda, empleando los términos ¨ultrasonido en el punto de atención¨, ¨ecografía enfocada¨, ¨ultrasonido de mano¨ y sus términos equivalentes en inglés, usando información publicada entre los años 2017 al 2024. RESULTADOS: las aplicaciones emergentes de POCUS incluyen el diagnóstico de múltiples patologías, en la guía de procedimientos invasivos, en la evaluación continua del estado del paciente y optimización del manejo en base a resultados y, en la educación médica. Puede ser aplicado por personal de salud de cualquier nivel de formación debidamente capacitado y certificado. La necesidad de su integración en la práctica médica actual surge del impacto generado debido a sus múltiples beneficios. Entre sus limitaciones principales se encuentra la operador-dependencia y su alcance diagnóstico limitado. CONCLUSIÓN: las aplicaciones emergentes de POCUS continúan promoviendo la investigación y el desarrollo de nuevas técnicas y protocolos, impulsando innovaciones, una tendencia positiva que busca optimizar la calidad de atención a los pacientes.
Descargas
Citas
Andersen, C., Holden, S., Vela, J., Rathleff, M., & Jensen, M. (2019). Point-of-care ultrasound in general practice: A systematic review. Annals of Family Medicine, 17(1), 61-69. https://doi.org/10.1370/afm.2330
Argaiz, E., Koratala, A., & Reisinger, N. (2021). Comprehensive assessment of fluid status by point-of-care ultrasonography. Kidney360, 2(8), 1326-1338. https://doi.org/10.34067/kid.0006482020
Badal, J., Badal, B., Nawras, M., Lee-Smith, W., Stanley, S., Hassan, M., & Ahmed, Z. (2024). Diagnostic paracentesis within 1 day is associated with reduced mortality and length of hospital stay in patients with cirrhosis and ascites. Digestive Diseases and Sciences, 69(4), 1454-1466. https://doi.org/10.1007/s10620-023-08249-w
Baribeau, Y., Sharkey, A., Chaudhary, O., Krumm, S., Fatima, H., Mahmood, F., & Matyal, R. (2020). Handheld point-of-care ultrasound probes: The new generation of POCUS. Journal of Cardiothoracic and Vascular Anesthesia, 34(11), 3139–3145. https://doi.org/10.1053/j.jvca.2020.07.004
Borque , S., Lázaro Fracassa, N., Pérez Rivarés, C., Borque, R., Soto Palacín, M., & Julián Gomara, A. B. (2024). Hallazgos ecográficos a pie de cama en la insuficiencia respiratoria aguda: aplicación del protocolo blue. https://www.revista-portalesmedicos.com/revista-medica/hallazgos-ecograficos-a-pie-de-cama-en-la-insuficiencia-respiratoria-aguda-aplicacion-del-protocolo-blue/
Breakey, N., Osterwalder, J., Mathis, G., Lehmann, B., & Sauter, T. C. (2020). Point of care ultrasound for rapid assessment and treatment of palliative care patients in acute medical settings. European Journal of Internal Medicine, 81, 7-14. https://doi.org/10.1016/j.ejim.2020.08.007
Brown, J., Grenz, P., Schultz, K., Schultz, K., Quinn, S., Lee, S., Greenberg, M., & Paulson, C. (2023). A point-of-care ultrasound approach to fascia iliaca nerve block in a patient with a hip fracture. Radiology Case Reports, 18(4), 1427-1430. https://doi.org/10.1016/j.radcr.2023.01.034
Cheema, B., Walter, J., Narang, A., & Thomas, J. (2021). Artificial intelligence-enabled POCUS in the COVID-19 ICU. JACC. Case Reports, 3(2), 258-263. https://doi.org/10.1016/j.jaccas.2020.12.013
Chelikam, N., Vyas, A., Desai, R., Khan, N., Raol, K., Kavarthapu, A., Kamani, P., Ibrahim, G., Madireddy, S., Pothuru, S., Shah, P., & Patel, U. (2023). Past and present of point-of-care ultrasound (PoCUS): A narrative review. Cureus, 15(12), e50155. https://doi.org/10.7759/cureus.50155
Connolly, J., Dean, A., Hoffmann, B., & Jarman, R. (2017). Introduction: What is point-of-care ultrasound? En Emergency Point-of-Care Ultrasound (pp. 1-3). Wiley. https://doi.org/10.1002/9781119072874.ch0
Cripps, E., Fahey, A., & Snelling, P. (2022). Point-of-care ultrasound-guided pericapsular nerve group block for superior pubic ramus fracture in the emergency department: A case report. Australasian Journal of Ultrasound in Medicine, 25(3), 154-156. https://doi.org/10.1002/ajum.12308
Desai, N., & Harris, T. (2018). Extended focused assessment with sonography in trauma. BJA Education, 18(2), 57-62. https://doi.org/10.1016/j.bjae.2017.10.003
Desai, S., Wong, J., Suhitharan, T., Chan, Y., & Ng, S. (2023). Point of care ultrasound: a clinical decision support tool for COVID-19. Singapore Medical Journal, 64(4), 226-236. https://doi.org/10.11622/smedj.2021098
Díaz-Gómez, J., Mayo, P., & Koenig, S. (2021). Point-of-care ultrasonography. The New England Journal of Medicine, 385(17), 1593-1602. https://doi.org/10.1056/nejmra1916062
Firnberg, M., & Rabiner, J. (2022). Point-of-care ultrasound of a shoulder effusion in a child with septic arthritis: A case report. Pediatric Emergency Care, 38(2), e1025-e1027. https://doi.org/10.1097/pec.0000000000002465
Franco-Sadud, R., Schnobrich, D., Mathews, B., Candotti, C., Abdel-Ghani, S., Perez, M., Rodgers, S., Mader, M., Haro, E., Dancel, R., Cho, J., Grikis, L., Lucas, B., the SHM Point-of-care Ultrasound Task Force, & Soni, N. (2019). Recommendations on the use of ultrasound guidance for central and peripheral vascular access in adults: A position statement of the society of hospital medicine. Journal of Hospital Medicine, 14(9), E1-E22. https://doi.org/10.12788/jhm.3287
Franks, N., Gress, J., & Joseph, R. (2021). Point-of-care Ultrasound for Suspected Pectoralis Major Rupture: A Case Report. Clinical Practice And Cases In Emergency Medicine, 5(1), 93-96. https://doi.org/10.5811/cpcem.2020.10.50802
Friedman, A., Asthana, A., Knowles, S., Robbins, A., & Gibson, P. (2021). Effect of point-of-care gastrointestinal ultrasound on decision-making and management in inflammatory bowel disease. Alimentary Pharmacology & Therapeutics, 54(5), 652-666. https://doi.org/10.1111/apt.16452
Garcia, A. M., Asad, I., Tessaro, M. O., Sivitz, A., Osborn, K., Shaahinfar, A., Leung, S. K., Rowe, E., & Riera, A. (2019). A Multi-institutional Case Series With Review of Point-of-Care Ultrasound to Diagnose Malrotation and Midgut Volvulus in the Pediatric Emergency Department. Pediatric emergency care, 35(6), 443–447. https://doi.org/10.1097/PEC.0000000000001737
Gilja, O. H., & Nylund, K. (2023). Point-of-care ultrasound of the gastrointestinal tract. Journal of Medical Ultrasound, 31(1), 1-7. https://doi.org/10.4103/jmu.jmu_5_23
Goldsmith, A., Shokoohi, H., Loesche, M., Patel, R., Kimberly, H., & Liteplo, A. (2020). Point-of-care ultrasound in morbidity and mortality cases in emergency medicine: Who benefits the most? The western journal of emergency medicine, 21(6), 172-178. https://doi.org/10.5811/westjem.2020.7.47486
Gottlieb, M., Holladay, D., & Peksa, G. (2019). Point-of-care ocular ultrasound for the diagnosis of retinal detachment: A systematic review and meta-analysis. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine, 26(8), 931-939. https://doi.org/10.1111/acem.13682
Gutierrez-Luke, S., Wolf, T., Green, K., & Graber, P. (2024). A case report of unilateral syphilitic uveitis: A diagnostic challenge and the role of point-of-care ultrasound. Clinical practice and cases in emergency medicine, 8(1), 42-45. https://doi.org/10.5811/cpcem.1435
Hadian, Y., Link, D., Dahle, S., & Isseroff, R. (2020). Ultrasound as a diagnostic and interventional aid at point-of-care in dermatology clinic: a case report. The journal of dermatological treatment, 31(1), 74-76. https://doi.org/10.1080/09546634.2018.1564231
Hamouda, A., Ibrahim, A., Corsi, N., Elterman, D., Chughtai, B., Bhojani, N., & Zorn, K. (2023). Peri-prostatic nerve block using Clarius EC7 HD3 handheld ultrasound guidance. The Canadian Journal of Urology, 30(6), 11741-11746. https://www.canjurol.com/abstract.php?ArticleID=&version=1.0&PMID=38104332
Hashim, A., Tahir, M., Ullah, I., Asghar, M., Siddiqi, H., & Yousaf, Z. (2021). The utility of point of care ultrasonography (POCUS). Annals of Medicine and Surgery (2012), 71(102982), 102982. https://doi.org/10.1016/j.amsu.2021.102982
Hassankhani, A., Amoukhteh, M., Jannatdoust, P., Valizadeh, P., & Gholamrezanezhad, A. (2024). A systematic review and meta-analysis on the diagnostic utility of ultrasound for clavicle fractures. Skeletal Radiology, 53(2), 307-318. https://doi.org/10.1007/s00256-023-04396-3
Hendin, A., Koenig, S., & Millington, S. (2020). Better with ultrasound. Chest Journal, 158(5), 2082–2089. https://doi.org/10.1016/j.chest.2020.04.052
Hsieh, A., Baker, M. B., Phalen, J. M., Mejias-Garcia, J., Hsieh, A., Hsieh, A., & Canelli, R. (2022). Handheld point-of-care ultrasound: Safety considerations for creating guidelines. Journal of Intensive Care Medicine, 37(9), 1146–115. https://doi.org/10.1177/08850666221076041
Ingawale, D., Hotchandani, D., & Upadhyaya, D. (2024). POCUS: AN EMERGING BEDSIDE TOOL. En Futuristic Trends in Medical Sciences Volume 3 Book 8 (pp. 139-155). Iterative International Publisher, Selfypage Developers Pvt Ltd. https://www.doi.org/10.58532/V3BFMS8P5CH3
Isus, G., & Vollmer, I. (2021). Ultrasound-guided interventional radiology procedures in the chest. Radiología, 63(6), 536-546. https://doi.org/10.1016/j.rxeng.2021.07.003
Johri, A., Durbin, J., Newbigging, J., Tanzola, R., Chow, R., De, S., & Tam, J. (2018). Cardiac point-of-care ultrasound: State-of-the-art in medical school education. Journal of the American Society of Echocardiography: Official Publication of the American Society of Echocardiography, 31(7), 749-760. https://doi.org/10.1016/j.echo.2018.01.014
Kameda, T., Taniguchi, N., Konno, K., Koibuchi, H., Omoto, K., & Itoh, K. (2022). Ultrasonography in undergraduate medical education: a comprehensive review and the education program implemented at Jichi Medical University. Journal of Medical Ultrasonics (2001), 49(2), 217-230. https://doi.org/10.1007/s10396-021-01178-z
Keikha, M., Salehi-Marzijarani, M., Soldoozi Nejat, R., Sheikh Motahar Vahedi, H., & Mirrezaie, S. (2018). Diagnostic accuracy of rapid ultrasound in shock (RUSH) exam; A systematic review and meta-analysis. Bulletin of Emergency and Trauma, 6(4), 271-278. https://doi.org/10.29252/beat-060402
Kester, R., Szymanski, S., & Perreault, M. (2022). Point-of-care ultrasound to distinguish retinal detachment and ruptured arterial microaneurysm. Clinical practice and cases in emergency medicine, 6(3), 270-271. https://doi.org/10.5811/cpcem2022.4.55301
Kondrashova, T., & Kondrashov, P. (2018). Integration of Ultrasonography into the Undergraduate Medical Curriculum: Seven Years of Experience. Missouri medicine, 115(1), 38-43. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139789/pdf/ms115_p0038.pdf
Le, D., Stirparo, J., Magdaleno, T., Paulson, C., & Roth, K. (2022). Point-of-care ultrasound findings in the diagnosis and management of Superior Mesenteric Artery (SMA) syndrome. The American Journal of Emergency Medicine, 55, 233.e1-233.e4. https://doi.org/10.1016/j.ajem.2022.02.018
Leviter, J., Kadan-Lottick, N., Auerbach, C., & Riera, A. (2022). Ultrasound-assisted lumbar puncture for obese pediatric oncology patients: A feasibility study. Journal of Pediatric Hematology/Oncology, 44(8), 438-441. https://doi.org/10.1097/mph.0000000000002362
Levitt, D., Byer, R., & Miller, A. (2019). Point-of-care ultrasound to diagnose pyomyositis in a child. Pediatric Emergency Care, 35(1), 69-71. https://doi.org/10.1097/pec.0000000000001711
Lieurance, R., Scheatzle, M., Johnjulio, W., & O’Neill, J. (2023). Point-of-care ultrasound thoracic “Quick Look” identifies potentially dangerous chest tube insertion sites. European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society, 49(2), 777-783. https://doi.org/10.1007/s00068-022-02109-4
Matthew, J., Davis, J., Alsup, C., Bates, A., Au, A., Adhikari, S., & Farrell, I. (2017). Accuracy of point-of-care ultrasonography for diagnosing acute appendicitis: A systematic review and meta-analysis. Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine, 24(9), 1124-1136. https://doi.org/10.1111/acem.13212
Mhanna, M., Beran, A., Nazir, S., Sajdeya, O., Srour, O., Ayesh, H., & Eltahawy, E. (2022). Lung ultrasound–guided management to reduce hospitalization in chronic heart failure: a systematic review and meta-analysis. Heart Failure Reviews, 27(3), 821-826. https://doi.org/10.1007/s10741-021-10085-x
Mori, T., Nomura, O., & Hagiwara, Y. (2019). Another useful application of point-of-care ultrasound: Detection of esophageal foreign bodies in pediatric patients. Pediatric Emergency Care, 35(2), 154-156. https://doi.org/10.1097/pec.0000000000001729
Narula, J., Chandrashekhar, Y., & Braunwald, E. (2018). Time to add a fifth pillar to bedside physical examination: Inspection, palpation, percussion, auscultation, and insonation. JAMA Cardiology, 3(4), 346. https://doi.org/10.1001/jamacardio.2018.0001
Neill, E., Anaya, N., & Graglia, S. (2022). Point-of-care ultrasound for diagnosis of purulent flexor tenosynovitis. Emergency Medicine Journal: EMJ, 39(9), 716-718. https://doi.org/10.1136/emermed-2020-211113
Niyyar, V., & O’Neill, W. (2018). Point-of-care ultrasound in the practice of nephrology. Kidney International, 93(5), 1052-1059. https://doi.org/10.1016/j.kint.2017.11.032
Osterwalder, J., Polyzogopoulou, E., & Hoffmann, B. (2023). Point-of-care ultrasound—history, current and evolving clinical concepts in emergency medicine. Medicina (Kaunas, Lithuania), 59(12), 2179. https://doi.org/10.3390/medicina59122179
Palacherla, J., & O’Neill, W. (2020). Point-of-care ultrasound for native kidney biopsies. Kidney360, 1(6), 527-529. https://doi.org/10.34067/kid.0001962020
Pereira, R., Convissar, D., Montgomery, S., Herbert, J., Reed, C., Tang, H., & Bronshteyn, Y. (2023). Point-of-care lung ultrasound in adults: Image acquisition. Journal of Visualized Experiments: JoVE, (193), e64722193. https://doi.org/10.3791/64722
Recker, F., Weber, E., Strizek, B., Gembruch, U., Westerway, S., & Dietrich, C. (2021). Point-of-care ultrasound in obstetrics and gynecology. Archives of Gynecology and Obstetrics, 303(4), 871-876. https://doi.org/10.1007/s00404-021-05972-5
Rice, J., Brewer, J., Speaks, T., Choi, C., Lahsaei, P., & Romito, B. (2021). The POCUS consult: How point of care ultrasound helps guide medical decision making. International Journal of General Medicine, 14, 9789-9806. https://doi.org/10.2147/ijgm.s339476
Shaikh, F., Arzola, C., Alexander, S., Carvalho, J., Everett, T., Shroff, M., Doria, A., Trottier, L., To, T., & Sung, L. (2021). Feasibility of ultrasound-assisted lumbar punctures performed by pediatric oncologists at the point of care. Pediatric Blood & Cancer, 68(7), e29015. https://doi.org/10.1002/pbc.29015
Shokoohi, H., LeSaux, M., Roohani, Y., Liteplo, A., Huang, C., & Blaivas, M. (2019). Enhanced point-of-care ultrasound applications by integrating automated feature-learning systems using deep learning. Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine, 38(7), 1887-1897. https://doi.org/10.1002/jum.14860
Sigman, E., Laghari, F., & Sarwal, A. (2024). Neuro point-of-care ultrasound. Seminars in Ultrasound, CT, and MR, 45(1), 29-45. https://doi.org/10.1053/j.sult.2023.12.005
Sosa, P., Firnberg, M., & Tsung, J. (2024). Point-of-care ultrasound evaluation of suspected necrotizing enterocolitis in the ED. The American Journal of Emergency Medicine, 76, 270.e1-270.e4. https://doi.org/10.1016/j.ajem.2023.12.032
Suttels, V., Du Toit, J., Fiogbé, A., Wachinou, A., Guendehou, B., Alovokpinhou, F., Toukoui, P., Hada, A., Sefou, F., Vinasse, P., Makpemikpa, G., Capo-chichi, D., Garcia, E., Brahier, T., Keitel, K., Ouattara, K., Cissoko, Y., Beye, S., Mans, P., Agodokpessi, G., Boillat, N. & Hartley, M. A. (2022). Point-of-care ultrasound for tuberculosis management in Sub-Saharan Africa—a balanced SWOT analysis. International Journal of Infectious Diseases: IJID: Official Publication of the International Society for Infectious Diseases, 123, 46-51. https://doi.org/10.1016/j.ijid.2022.07.009
Tabbut, M., Bates, A., Marple, G., Gramer, D., & Tabbut, B. (2019). Point-of-care ultrasound in the evaluation of the acutely painful red eye. The Journal of Emergency Medicine, 57(5), 705-709. https://doi.org/10.1016/j.jemermed.2019.04.034
Tsung, J., Rizvi, M., & Rabiner, J. (2024). Point-of-care ultrasound evaluation of pediatric osteomyelitis in the emergency department: A case series. Pediatric Emergency Care, 40(12), 915-919. https://doi.org/10.1097/pec.0000000000003236
VanFleet, A., Kinkead, Z., Daniel, J., & Derr, C. (2023). Utilization of point-of-care ultrasound to evaluate for enterovesical fistula. Emergency Radiology, 31(1), 113-115. https://doi.org/10.1007/s10140-023-02192-z
Vázquez, J., Millán, M., Ramírez, O., Fernández, F., Cortés, A., González, P., & Rodríguez, V. (2020). El ultrasonido, de la cabecera del paciente al aula. Revista de la Facultad de Medicina, Universidad Nacional Autónoma de México, 63(1), 48-55. https://doi.org/10.22201/fm.24484865e.2020.63.1.08
Venables, H. (2017). How does ultrasound work? En Emergency Point-of-Care Ultrasound (pp. 5–11). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781119072874.ch1
Viana-Rojas, J., Argaiz, E., Robles-Ledesma, M., Arias-Mendoza, A., Nájera-Rojas, N., Alonso-Bringas, A., De Los Ríos-Arce, L., Armenta-Rodriguez, J., Gopar-Nieto, R., Briseño-De la Cruz, J., González-Pacheco, H., Sierra-Lara, D., Gonzalez-Salido, J., Lopez-Gil, S., & Araiza-Garaygordobil, D. (2023). Venous excess ultrasound score and acute kidney injury in patients with acute coronary syndrome. European heart journal. Acute cardiovascular care, 12(7), 413-419. https://doi.org/10.1093/ehjacc/zuad048
Wayman, B., & Joseph, R. (2020). Point-of-care ultrasound for long head of the biceps tendon rupture. Clinical practice and cases in emergency medicine, 4(3), 493-494. https://doi.org/10.5811/cpcem.2020.7.47777
Yaoting, W., Huihui, C., Ruizhong, Y., Jingzhi, L., Ji-Bin, L., Chen, L., & Chengzhong, P. (2021). Point-of-care ultrasound: New concepts and future trends. Advanced ultrasound in diagnosis and therapy, 5(3), 268-276. https://doi.org/10.37015/audt.2021.210023
Yuan, X., Lowder, R., Aviles-Wetherell, K., Skroce, C., Yao, K., & Hoo, J. (2022). Reliability of point-of-care shoulder ultrasound measurements for subacromial impingement in asymptomatic participants. Frontiers In Rehabilitation Sciences, 3, 964613. https://doi.org/10.3389/fresc.2022.964613
Zeitouni, F., Matejka, C., Boomer, M., Lee, V., Brower, G., Hewetson, A., Kim, J., Mitchell, J., Edwards, D., & Kaur, G. (2024). Integration of point of care ultrasound into undergraduate medical education at Texas Tech University Health Sciences Center school of medicine: a 6 year review. BMC Medical Education, 24(1), 1476. https://doi.org/10.1186/s12909-024-06483-y
Publicado
Cómo citar
Licencia
Derechos de autor 2025 Kevin Mayk Roblero Roblero
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
Los autores/as que publiquen en esta revista aceptan las siguientes condiciones:
- Los autores/as conservan los derechos de autor y ceden a la revista el derecho de la primera publicación, con el trabajo registrado con la licencia de atribución de Creative Commons 4.0, que permite a terceros utilizar lo publicado siempre que mencionen la autoría del trabajo y a la primera publicación en esta revista.
- Los autores/as pueden realizar otros acuerdos contractuales independientes y adicionales para la distribución no exclusiva de la versión del artículo publicado en esta revista (p. ej., incluirlo en un repositorio institucional o publicarlo en un libro) siempre que indiquen claramente que el trabajo se publicó por primera vez en esta revista.
- Se permite y recomienda a los autores/as a compartir su trabajo en línea (por ejemplo: en repositorios institucionales o páginas web personales) antes y durante el proceso de envío del manuscrito, ya que puede conducir a intercambios productivos, a una mayor y más rápida citación del trabajo publicado (vea The Effect of Open Access).
