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POCUS

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Femoral Vein DVT

Non compressible right femoral vein with no flow and low echogenic clot within the vein.

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Diaphragmatic Excursion on Ultrasound in the ICU

Diaphragmatic Excursion of 7 cm on PSV indicating extreme patients' efforts
Diaphragmatic Excursion of 7 cm on PSV indicating extreme patients' efforts

Diaphragmatic excursion refers to the measurement of diaphragmatic movement during the respiratory cycle using ultrasound. In critically ill patients, it is a bedside, non-invasive method to assess diaphragmatic function and to help predict weaning outcomes from mechanical ventilation.


Technique

  • Probe placement: A low-frequency (2–5 MHz) curvilinear or phased-array transducer is placed in the subcostal or intercostal region.

  • Window: The liver (right side) or spleen (left side) serves as an acoustic window.

  • Mode: M-mode is typically used to quantify movement. The ultrasound cursor is placed perpendicular to the diaphragm dome.


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suray Bakkar
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