Evidence map›Paper›PMID 27783380›Full record

ReviewCritical ultrasound journal2016

Common pitfalls in point-of-care ultrasound: a practical guide for emergency and critical care physicians.

Pablo Blanco, Giovanni Volpicelli

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Critical ultrasound journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05563701 (Evaluation of the LVivo Image Quality Scoring), which is not on this map. Cited by 63 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05563701 completednot on this mapstarted 2022, after this paper: background citation

Evaluation of the LVivo Image Quality Scoring (IQS)

TypeobservationalSponsorDiA Imaging Analysis LtdRan2022 to 2022Enrolled164ConditionsHeart Diseases, Arrhythmia, Cardiac, Angina Pectoris, Unstable Angina
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 1 synthesis or guideline pooled it, 164 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Point-of-care, Point-of-concern? A Commentary on What Ails Point-of-care Ultrasound Education.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  6. Article
  7. Article
  8. Lung Ultrasound in Critical Care: A Narrative Review.Diagnostics (Basel, Switzerland) · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Ultrasound during Advanced Life Support-Help or Harm?Diagnostics (Basel, Switzerland) · 2024
    Article
  20. Hail the HACOR as a Customized Indian Weaning Score!Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 2 institutions in 2 countries.

Pablo BlancoIntensive Care Unit, Hospital Dr. Emilio Ferreyra, 4801, 59 St., 7630, Necochea, Argentina. ohtusabes@gmail.com.
Giovanni VolpicelliEmergency Medicine, San Luigi Gonzaga University Hospital, 10043, Turin, Italy.
Instituto de Investigación Médica Mercedes y Martín Ferreyra · AROspedale San Luigi Gonzaga · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoint-of-care ultrasonography (POCUS) is a widely used tool in emergency and critical care settings, useful in the decision-making process as well as in interventional guidance. While having an impressive diagnostic accuracy in the hands of highly skilled operators, inexperienced practitioners must be aware of some common misinterpretations that may lead to wrong decisions at the bedside.

objectivesThis article provides a revision list of common POCUS misdiagnoses usually found in practice and offers useful tips to recognize and avoid them. DISCUSSION: The following aspects were selected and reviewed: pericardial effusion vs. pleural vs. ascites vs. epicardial fat; right ventricle dilation in acute pulmonary embolism and inferior vena cava for volume status assessment in cardiac ultrasound; lung point and lung pulse misinterpretations and mirror artifacts vs. lung consolidations in lung ultrasound; peritoneal fluid vs. the stomach and a critical appraisal of gallbladder signs of acute cholecystitis in abdominal ultrasound; the rouleaux phenomenon vs. deep vein thrombosis or acute right strain in vascular ultrasound.

conclusionsFollowing some rules in technique and interpretation, and always integrating POCUS findings into the broader clinical context, most POCUS misdiagnosis can be avoided, and thus patients' safety can be enhanced. Being aware of a list of common pitfalls may help to avoid misdiagnoses.

Indexed as

Critical careInjuriesPoint-of-careUltrasonography

Identifiers

PMID27783380
PMCPMC5081982
OpenAlexW2541913456

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.