Abdominal Veterinary Point of Care Ultrasound (VPOCUS)
Have you ever struggled with trying to decide why a cat is dyspneic (asthma vs. pleural effusion vs. heart disease) and thoracic radiographs are not possible for fear the patient may decompensate? Ever worry about being able to safely give a patient IV fluids or worry that giving additional IV fluid boluses may cause volume overload? Ever wonder if you are missing something in the abdomen of a collapsed patient that presents in shock? Veterinary point of care ultrasound (VPOCUS) can help you manage these patients!
VPOCUS techniques are rapid, easy-to-learn and practical ultrasound skills that ANY practitioner can apply in every day practice. VPOCUS is commonly used as a patient-side diagnostic tool to rapidly identify underlying conditions and help direct further diagnostics and therapy. VPOCUS has a high sensitivity and specificity for the detection of abdominal effusion and other abdominal applications (GI motility, bladder volume estimation, gallbladder halo, pneumoperitoneum), and several thoracic, vascular and cardiac pathologies (pneumothorax, pleural effusion, alveolar interstitial disease, left and right sided heart failure, pericardial effusion, intravascular volume estimation and response to fluid therapy). Have you ever struggled to place an IV catheter in a patients that are dehydrated, have hematomas, thick skin or edema? Ultrasound can help!
Through comprehensive lectures (with lots of ultrasound videos) and several case examples followed by a “how to” video, participants will have the opportunity to learn the skills of VPOCUS.
Chapter 1 Evolution of abdominal FAST in blunt trauma and general sites to evaluate
In this session the evolution of abdominal veterinary point of care ultrasound will be presented and attendees will be able to discuss the key organs evaluated and be able to explain why the sonographic locations for the abdominal FAST exam were originally chosen.
Chapter 2 The four sites in detail and sample videos
This session focusses on the specific abdominal point of care ultrasound sites to evaluate in more detail and how to locate these areas. By the end of the session attendees should be able to interpret ultrasound images to determine if they are positive or negative on abdominal FAST scanning and explain which area of the abdomen is being evaluated.
Chapter 3 Probes, patient position, alcohol, indication, limitations and applications in non trauma patients
This chapter covers the details of how patient positioning effects results, which dorsal recumbency should be avoided and details regarding the use of alcohol vs. gel and shaving vs not shaving patients. By the end of the session attendees should be able to explain the details of performing abdominal point of care ultrasound and the extension of findings in veterinary patients presenting in the absence of a history of trauma.
Chapter 4 Abdominal VPOCUS beyond free fluid
This session covers the extension of the abdominal point of care ultrasound exam beyond simple identification of free fluid and discusses the findings of the gall bladder halo sing, gastro-intestinal motility and the estimation of urinary bladder volume using the formula of a sphere. Attendees will be able to discuss common causes of the halo sign in unstable patients, describe the locations to identify ileus, and be able to calculate the volume of urine within the urinary bladder.
Chapter 5 Bonus topic free abdominal air & practicum abdomen scan
This chapter discussed the 3 key factors required to detect free abdominal air, which can be lifesaving in cases of hollow organ perforation. By the end of the session attendees will be able to explain the enhanced peritoneal stripe sign and to differentiate free abdominal air from air contained within the gastrointestinal tract.