Evidence map›Paper›PMID 42684655›Full record

ReviewJournal of ultrasound2026

Point-of-care ultrasonography in High-Care Internal Medicine.

Francesco Cei, Lucia Colavolpe, Riccardo Capra, Aldo Fici, Emanuela Laurita, Stefania Marengo, Michela Provisione, Nicola Mumoli

Abstract readReview
In one paragraph

Review in Journal of ultrasound, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Francesco CeiFirst Internal Medicine, Department of Multidimensional Medicine, San Giuseppe Hospital, Empoli, FI, Italy.
Lucia ColavolpeDepartment of Cardiovascular Medicine, Ospedale Di Circolo, Via Arnaldo da Brescia, 1, 21052, Busto Arsizio, VA, Italy.
Riccardo CapraDepartment of Cardiovascular Medicine, Ospedale Di Circolo, Via Arnaldo da Brescia, 1, 21052, Busto Arsizio, VA, Italy.
Aldo FiciDepartment of Cardiovascular Medicine, Ospedale Di Circolo, Via Arnaldo da Brescia, 1, 21052, Busto Arsizio, VA, Italy.
Emanuela LauritaDepartment of Internal Medicine, Rivoli Hospital, Rivoli, TO, Italy.
Stefania MarengoDepartment of Internal Medicine, AO Ordine Mauriziano, Turin, Italy.
Michela ProvisioneDepartment of Cardiovascular Medicine, Ospedale Di Circolo, Via Arnaldo da Brescia, 1, 21052, Busto Arsizio, VA, Italy.
Nicola MumoliDepartment of Cardiovascular Medicine, Ospedale Di Circolo, Via Arnaldo da Brescia, 1, 21052, Busto Arsizio, VA, Italy. nicola.mumoli@asst-valleolona.it.ORCID http://orcid.org/0000-0001-7166-5630

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInternal Medicine wards have progressively evolved into high-complexity clinical environments, increasingly managing patients with acute respiratory failure, hemodynamic instability, and multi-organ dysfunction. Within this scenario, point-of-care ultrasonography (POCUS) has emerged as a bedside imaging modality capable of supporting rapid diagnostic reasoning and real-time clinical decision-making.

objectivesThis narrative review aims to critically analyze the role of POCUS in High-Care Medical Areas of Internal Medicine, focusing on diagnostic applications, clinical monitoring, and ultrasound-guided procedures, while addressing limitations and training requirements.

methodsA narrative review of the literature was conducted, integrating evidence from international guidelines, observational studies, randomized trials, and expert consensus documents regarding the use of POCUS in acutely ill medical patients. Emphasis was placed on multimodal ultrasound approaches consistent with the holistic clinical framework of Internal Medicine.

resultsPOCUS facilitates early identification of time-dependent conditions such as pulmonary embolism, acute coronary syndromes, acute heart failure, acute respiratory distress syndrome, and septic shock. Lung ultrasound, focused cardiac ultrasound, vascular, and abdominal ultrasound can be integrated to improve diagnostic accuracy and etiological characterization of shock and respiratory failure. Serial POCUS examinations enable dynamic monitoring of disease progression, treatment response, and fluid responsiveness. Furthermore, ultrasound guidance significantly improves the safety and effectiveness of bedside invasive procedures.

conclusionPOCUS represents a cornerstone of modern High-Care Internal Medicine, enhancing bedside diagnostic integration, clinical monitoring, and procedural safety. Its effectiveness depends on structured training, awareness of limitations, and appropriate clinical governance. Although evidence of direct mortality reduction remains limited, POCUS consistently improves diagnostic confidence, appropriateness of care, and patient-centered decision-making.

Indexed as

Internal MedicinePoint-of-Care SystemsHumansUltrasonographyAcutely ill patientsHigh-Care Medical AreasInternal MedicinePoint-of-care ultrasonography

Identifiers

PMID42684655
PMCPMC13588772

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.