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- Title
Point‐of‐Care Ultrasound‐Guided Drainage of Joint Effusions in the Pediatric Emergency Setting: A Case Series.
- Authors
Scheier, Eric; Levick, Nadine; Ujirauli, Neli; Raviv, Orian; Balla, Uri
- Abstract
Literature supporting the use of point‐of‐care ultrasound (POCUS) for both identification and aspiration of effusions in large joints in the pediatric emergency department (PED) is sparse. We collected a case series of five patients who presented to the PED from August 2020 to December 2020 with an effusion in the hip, shoulder, knee, or elbow identified and aspirated under POCUS performed by pediatric emergency medicine (PEM) physicians. POCUS confirms effusion location and size and visualization of a completely evacuated effusion. POCUS can also guide the decision to start antibiotics earlier in the course of illness, can prevent unnecessary transfers for formal sonographic imaging or for potentially unnecessary radiographic imaging. This series supports the role of a PEM physician and POCUS guidance in the identification and aspiration of large‐joint effusions.
- Subjects
JOINT diseases; PEDIATRIC emergencies; PEDIATRIC emergency services; ENDOSCOPIC ultrasonography; DRAINAGE; KNEE; POINT-of-care testing; SHOULDER
- Publication
Journal of Ultrasound in Medicine, 2022, Vol 41, Issue 5, p1285
- ISSN
0278-4297
- Publication type
Article
- DOI
10.1002/jum.15795