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We have found a 3-point compression ultrasound protocol to be most feasible while maintaining similar sensitivity and specificity when compared to a whole leg scan (Lee, Lee & Yun). It is important to note that there are several published protocols using anywhere from a 2-point ultrasound scan to a whole leg scan. In this section, we will go over a step-by-step ultrasound approach to evaluate for deep vein thrombosis by visualizing the veins and using venous compression using a standard DVT Ultrasound Protocol. Step-By-Step DVT Ultrasound Protocol The 3-Point DVT Ultrasound Protocol At the level of the calf, the popliteal vein gives rise to three other deep veins: the anterior tibial vein, the posterior tibial vein, and the peroneal vein (Zitek, Baydoun & Baird). Don’t get confused by the nomenclature!Īs the femoral vein travels inferiorly and medially, it enters into the adductor canal and passes posterior to the knee to become the popliteal vein. A clot in the (superficial) femoral vein is in fact a deep vein thrombosis and requires anticoagulant therapy to prevent a pulmonary embolus. A study from 2011 showed that 75% of junior clinicians believed this vein was a part of the superficial venous system ( Thiagarajah, Venkatanarasimha & Freeman). Don’t be misled by the name – the (superficial) femoral vein is actually part of the deep venous system. The CFV continues on to give off a deep femoral vein, and a femoral vein.Įditor’s Note: The Femoral Vein is also previously known as the Superficial Femoral Vein. The most proximal vessel is the Common Femoral Vein (CFV), which gives off an important superficial branch known as the great saphenous vein.
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Direct Clot Visualization with Ultrasoundĭeep Vein Thrombosis Ultrasound POCKET CARD PDF.Deep Vein Thrombosis Ultrasound Pathology Overview.Step 5: Scan the Trifurcation of the Popliteal Vein.Step 3: Scan the (Superficial) Femoral Vein.
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Deep Vein Thrombosis Ultrasound Preparation.Deep Vein Thrombosis Ultrasound Contraindication.Deep Vein Thrombosis Ultrasound Indications.Deep Vein Thrombosis Ultrasound POCKET CARD PDF.
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In this post we will show you how to use Point of Care Ultrasound (POCUS) to: Point of Care Compression Ultrasound is a quick and non-invasive way to assess for DVT with very high sensitivity and specificity so you can determine if anticoagulant therapy is necessary (Burnside 2008). Oversight, Review, and Final Edits by Vi Dinh (POCUS 101 Editor).Īn unrecognized or untreated Deep Vein Thrombosis (DVT) in the lower extremities is a major concern because a clot can dislodge and lead to a pulmonary embolism and hemodynamic instability. Primary Authors: Jessica Ahn, Vi Dinh Co-authors: Jade Deschamps, Satchel Genobaga, Annalise Lang, Victor Lee, Reed Krause, Devin Tooma, Seth White. Cardiac Output and Stroke Volume Calculator.Machine Basics-Knobology, Probes, Modes.