The Open Critical Care Medicine Journal
2010, 3 : 43-47Published online 2010 July 15. DOI: 10.2174/1874828701003010043
Publisher ID: TOCCMJ-3-43
Diagnosis of Deep Venous Thrombosis by Critical Care Physicians Using Compression Ultrasonography
The Long Island Jewish Medical Center, Division of Pulmonary, Critical Care and Sleep Medicine, The Albert Einstein
College of Medicine, New Hyde Park, NY 11040, USA.
ABSTRACT
Lower extremity deep venous thrombosis is a common, serious, often under-recognized diagnosis in the critically ill patient. Its high association with pulmonary embolus necessitates both prompt diagnosis and constant surveillance. Point of care ultrasonography by the treating physician is gaining popularity because of its high accuracy and ease of performance coupled with an immediate response to a question often asked at the bedside. This review will highlight the advantages of compression ultrasonography compared to other diagnostic modalities and gives a practical approach in performing this simple exam by the critical care team.