Modification in diagnosis and therapeutic decisions led by US | No. changes | No. patients |
---|---|---|
Related to clinical decision-making, total | 48 | 36 |
New or unidentified diagnosis: Pneumonia, 2; significant pleural effusion, 5; pneumothorax, 1; significant pericardial effusion, 1; cholecystitis, 1 | 10 | 8 |
Clinical diagnosis: Pneumonia to respiratory distress due to biliary sepsis, 1; pneumonia to heart failure, 2; asthma to pneumonia, 1 | 4 | 4 |
Pharmacological therapy: Fluid challenges, 6; start diuretics, 5; dobutamine, 5; noradrenaline, 2; antibiotics, 5; alteplase, 1 | 24 | 16 |
Invasive procedures: Thoracic drainage, 5; emergency bronchoscopy, 2; laparotomy, 1; suprapubic bladder catheterization, 1 | 9 | 7 |
Alveolar recruitment maneuver, 1 | 1 | 1 |
No changes | 0 | 4 |