{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T16:55:25Z","timestamp":1781715325228,"version":"3.54.5"},"reference-count":0,"publisher":"Queen's University Library","issue":"1","license":[{"start":{"date-parts":[[2024,4,22]],"date-time":"2024-04-22T00:00:00Z","timestamp":1713744000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["pocus"],"abstract":"<jats:p>Background: Emergency physicians commonly perform ultrasound-assisted abdominal , using point of care ultrasound (POCUS) to identify and select a site for needle insertion. However, ultrasound-guided has the benefit of real-time needle visualization during the entire procedure. Our objective was to characterize the performance of emergency physician-performed ultrasound-guided using POCUS, their ability to achieve good in-plane needle visualization, and factors associated with procedural success. Methods: A POCUS database was retrospectively reviewed for examinations where abdominal was performed by an emergency physician at two academic urban emergency departments over a six-year period. Medical records were reviewed for demographics, presenting history, complications, and hospital course. Descriptive statistics were used to summarize the data. Results: 131 patients were included in the final analysis. The success rate for ultrasound-guided was 97.7% (84\/86, 95% CI 92-100%) compared to 95.6% (43\/45, 95% CI 85-99%) for ultrasound-assisted (p = .503). 58% (50\/86) demonstrated good in-plane needle visualization; 17% (15\/86) had partial or out-of-plane visualization; and 24% (21\/86) did not demonstrate needle visibility on their saved POCUS images. All four procedural failures were performed by first- or second-year residents using a transducer, while all procedures using a linear transducer were successful. The most common complications were leak, infection at the site, and minor bleeding. Conclusions: Emergency physicians with training in real-time needle guidance with ultrasound were able to use POCUS to perform ultrasound-guided in the emergency department with a high success rate and no fatal complications. Based on our experience, we recommend performing ultrasound-guided using a linear transducer, with attention to identifying vessels near the procedure site and maintaining sterile technique.<\/jats:p>","DOI":"10.24908\/pocus.v9i1.16668","type":"journal-article","created":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T04:02:58Z","timestamp":1713844978000},"page":"67-71","source":"Crossref","is-referenced-by-count":4,"title":["Emergency Physician Performed Ultrasound-Guided Abdominal Paracentesis: A Retrospective Analysis"],"prefix":"10.24908","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6888-0137","authenticated-orcid":false,"given":"Brandon","family":"Wubben","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jad","family":"Dandashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar","family":"Rizvi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3196-1851","authenticated-orcid":false,"given":"Srikar","family":"Adhikari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10534","published-online":{"date-parts":[[2024,4,22]]},"container-title":["POCUS Journal"],"original-title":[],"link":[{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/download\/16668\/11424","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/download\/16668\/11425","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/download\/16668\/11424","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T04:02:58Z","timestamp":1713844978000},"score":1,"resource":{"primary":{"URL":"https:\/\/ojs.library.queensu.ca\/index.php\/pocus\/article\/view\/16668"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,22]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,4,22]]}},"URL":"https:\/\/doi.org\/10.24908\/pocus.v9i1.16668","relation":{},"ISSN":["2369-8543"],"issn-type":[{"value":"2369-8543","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,22]]}}}