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Case Reports
. 2022 May;41(5):1285-1293.
doi: 10.1002/jum.15795. Epub 2021 Jul 28.

Point-of-Care Ultrasound-Guided Drainage of Joint Effusions in the Pediatric Emergency Setting: A Case Series

Eric Scheier  1   2 , Nadine Levick  3 , Neli Ujirauli  1 , Orian Raviv  4 , Uri Balla  1   2
Affiliations
Case Reports

Point-of-Care Ultrasound-Guided Drainage of Joint Effusions in the Pediatric Emergency Setting: A Case Series

Eric Scheier et al. J Ultrasound Med. 2022 May.

Abstract

Literature supporting the use of point-of-care ultrasound (POCUS) for both identification and aspiration of effusions in large joints in the pediatric emergency department (PED) is sparse. We collected a case series of five patients who presented to the PED from August 2020 to December 2020 with an effusion in the hip, shoulder, knee, or elbow identified and aspirated under POCUS performed by pediatric emergency medicine (PEM) physicians. POCUS confirms effusion location and size and visualization of a completely evacuated effusion. POCUS can also guide the decision to start antibiotics earlier in the course of illness, can prevent unnecessary transfers for formal sonographic imaging or for potentially unnecessary radiographic imaging. This series supports the role of a PEM physician and POCUS guidance in the identification and aspiration of large-joint effusions.

Keywords: POCUS; case series; effusion; pediatric; septic joint; ultrasound.

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References

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