Ultrasound in pulmonary embolism

Pedro Salinas; Bilal A. Jalil; Siddharth Dugar

doi:10.1016/j.ccc.2025.02.002

Ultrasound in pulmonary embolism

Pedro Salinas
, Bilal A. Jalil
, Siddharth Dugar

Advocate Health - Midwest

AAH St Lukes
Divisions of Cardiovascular Critical Care and Advanced Heart Failure, Heart & Vascular Institute, West Virginia University, Morgantown, WV, 26506, USA.
Department of Critical Care Medicine, Integrated Hospital Care Institute, Cleveland Clinic, Cleveland, OH, 44195, USA; Cleveland Clinic Lerner College of Medicine, Case Western University Reserve University, Cleveland, OH, 44195, USA. Electronic address: [email protected].

Research output: Contribution to journal › Article

Abstract

Pulmonary embolism (PE) is a significant cause of illness and death. Computed Tomography pulmonary angiography is considered the gold standard for diagnosing PE, but it is costly, not practical in cases of shock and cardiac arrest, and exposes the patient to radiation. In this review, we will discuss the role and characteristics of lung, venous, and cardiac ultrasound in point-of-care diagnosis and risk assessment of PE and suggest how to incorporate them into a diagnostic algorithm. Point-of-care ultrasound has numerous benefits, nevertheless, it is complex, has low individual sensitivity, and requires extensive training.

Original language	American English
Pages (from-to)	455-479
Number of pages	25
Journal	Critical Care Clinics
Volume	41
Issue number	3
DOIs	https://doi.org/10.1016/j.ccc.2025.02.002
Status	Published - Jul 1 2025

ASJC Scopus Subject Areas

Critical Care and Intensive Care Medicine

Keywords

Echocardiography
Point-of-care ultrasound
Pulmonary embolism
Right ventricular failure
Venous thromboembolism

Access to Document

10.1016/j.ccc.2025.02.002License: Unspecified

http://institutionalrepository.aah.org/auroragme/659

Cite this

@article{ab8f38015fd34460893a955ac98e598e,

title = "Ultrasound in pulmonary embolism",

abstract = "Pulmonary embolism (PE) is a significant cause of illness and death. Computed Tomography pulmonary angiography is considered the gold standard for diagnosing PE, but it is costly, not practical in cases of shock and cardiac arrest, and exposes the patient to radiation. In this review, we will discuss the role and characteristics of lung, venous, and cardiac ultrasound in point-of-care diagnosis and risk assessment of PE and suggest how to incorporate them into a diagnostic algorithm. Point-of-care ultrasound has numerous benefits, nevertheless, it is complex, has low individual sensitivity, and requires extensive training.",

keywords = "Echocardiography, Point-of-care ultrasound, Pulmonary embolism, Right ventricular failure, Venous thromboembolism",

author = "Pedro Salinas and Jalil, \{Bilal A.\} and Siddharth Dugar",

year = "2025",

month = jul,

day = "1",

doi = "10.1016/j.ccc.2025.02.002",

language = "American English",

volume = "41",

pages = "455--479",

journal = "Critical Care Clinics",

number = "3",

}

TY - JOUR

T1 - Ultrasound in pulmonary embolism

AU - Salinas, Pedro

AU - Jalil, Bilal A.

AU - Dugar, Siddharth

PY - 2025/7/1

Y1 - 2025/7/1

N2 - Pulmonary embolism (PE) is a significant cause of illness and death. Computed Tomography pulmonary angiography is considered the gold standard for diagnosing PE, but it is costly, not practical in cases of shock and cardiac arrest, and exposes the patient to radiation. In this review, we will discuss the role and characteristics of lung, venous, and cardiac ultrasound in point-of-care diagnosis and risk assessment of PE and suggest how to incorporate them into a diagnostic algorithm. Point-of-care ultrasound has numerous benefits, nevertheless, it is complex, has low individual sensitivity, and requires extensive training.

AB - Pulmonary embolism (PE) is a significant cause of illness and death. Computed Tomography pulmonary angiography is considered the gold standard for diagnosing PE, but it is costly, not practical in cases of shock and cardiac arrest, and exposes the patient to radiation. In this review, we will discuss the role and characteristics of lung, venous, and cardiac ultrasound in point-of-care diagnosis and risk assessment of PE and suggest how to incorporate them into a diagnostic algorithm. Point-of-care ultrasound has numerous benefits, nevertheless, it is complex, has low individual sensitivity, and requires extensive training.

KW - Echocardiography

KW - Point-of-care ultrasound

KW - Pulmonary embolism

KW - Right ventricular failure

KW - Venous thromboembolism

UR - https://www.scopus.com/pages/publications/105002123863

UR - https://www.scopus.com/pages/publications/105002123863#tab=citedBy

U2 - 10.1016/j.ccc.2025.02.002

DO - 10.1016/j.ccc.2025.02.002

M3 - Article

C2 - 40484615

VL - 41

SP - 455

EP - 479

JO - Critical Care Clinics

JF - Critical Care Clinics

IS - 3

ER -

Ultrasound in pulmonary embolism

Abstract

ASJC Scopus Subject Areas

Keywords

Access to Document

Other files and links

Cite this