Podcast discusses the role of femoral vein doppler in acute heart failure patients, variability of ultrasound training in Spain, using the common femoral vein as a substitute for Vexus, investigating the role of bexos and the common femoral vein in pulmonary embolism, and exploring the potential of a pulmonary embolism ultrasound response team.
A pulsatile common femoral vein can serve as an indicator of a large inferior vena cava (IVC) size, providing valuable information in the management of heart failure patients.
Efforts are being made in Spain to standardize training and credentialing for ultrasound use in heart failure patients, similar to the United States, to improve its utilization and effectiveness.
Deep dives
The Role of the Femoral Vein Doppler in Acute Heart Failure Patients
A prospective study was conducted to examine the correlation between the novel measurement of common femoral vein doppler flow and echocardiographic right heart dysfunction in acute heart failure patients. The study found a strong correlation between a pulsatile flow in the common femoral vein and a large inferior vena cava (IVC) size. This suggests that a pulsatile common femoral vein can serve as an indicator of a large IVC, providing valuable information in the management of heart failure patients.
The Use of Ultrasound in Heart Failure Patients
Ultrasound has become commonly used in Spain for heart failure patients in emergency departments, primary care, and internal medicine. However, there is currently a lack of standardized training and credentialing, unlike in the United States. Efforts have been made to address this, with scientific societies working towards standardizing training and credentialing to improve the utilization of ultrasound in Spain.
Practical Application and Future Directions
The study highlights the potential of utilizing the common femoral vein doppler in monitoring and providing prognostic information for heart failure patients. Although further research is needed before changing clinical practice, the common femoral vein doppler shows promise as an easily accessible and qualitative parameter that can aid in the assessment of heart failure patients. Future research is also underway to explore the role of the common femoral vein doppler in pulmonary embolism, aiming to improve risk stratification and management in this patient population.
Bonus Cuts back again! Zack and Mike talk with guest Yale Tung-Chen about the POCUS vibe in Spain and his recently reviewed study on using doppler flow as a measure of right ventricular dysfunction in heart failure.
https://www.ultrasoundgel.org/152
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