{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T21:15:36Z","timestamp":1784582136689,"version":"3.55.0"},"reference-count":47,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"crossref","award":["UL1 TR002377"],"award-info":[{"award-number":["UL1 TR002377"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Point-of-care ultrasonography (POCUS) is becoming an increasingly relevant tool in hospital medicine, but its effective application in inpatient perioperative medicine remains to be determined. Much of the POCUS literature describes its use by anesthesiologists to evaluate cardiac function, volume status, pulmonary findings, and gastric volume. Objective: To identify, evaluate, and synthesize all available literature investigating the use of point-of-care ultrasound and associated clinical outcomes in inpatient perioperative medical management. Patients and Methods: A systematic review was designed using the PRISMA guidelines with sources of literature including Ovid, PubMed, Scopus, and the Web of Science. Literature search was conducted for published works between 1 January 2002 to 8 February 2024. Results: Three hundred sixty-seven abstracts were identified in our search, and, ultimately, 24 studies were included in this review. Most studies were done by anesthesiology evaluating cardiopulmonary and gastric POCUS. Studies supported using POCUS to expedite cardiac examination, promptly diagnose postoperative pulmonary complications, and optimize surgical timing. Conclusions: POCUS is a versatile tool in the perioperative setting; however, few studies were powered to assess clinical outcomes, and even fewer showed conclusive evidence of improved clinical outcomes. Furthermore, only two studies evaluated the use of POCUS specifically by acute care providers; more extensive studies are needed from their perspective as they take on increasing perioperative responsibilities.<\/jats:p>","DOI":"10.3390\/jcm14207429","type":"journal-article","created":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T14:53:19Z","timestamp":1761058399000},"page":"7429","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Role of Point-of-Care Ultrasound in Inpatient Perioperative Medical Management: A Systematic Review"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-4771-2906","authenticated-orcid":false,"given":"Dhairya M.","family":"Jarsania","sequence":"first","affiliation":[{"name":"Division of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike J.","family":"Breunig","sequence":"additional","affiliation":[{"name":"Division of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gururaj J.","family":"Kolar","sequence":"additional","affiliation":[{"name":"Division of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9838-1253","authenticated-orcid":false,"given":"Meltiady","family":"Issa","sequence":"additional","affiliation":[{"name":"Division of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2498-0854","authenticated-orcid":false,"given":"Ryan","family":"Kingsley","sequence":"additional","affiliation":[{"name":"Division of Hospital Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3252-6619","authenticated-orcid":false,"given":"Mohammed Nadir","family":"Bhuiyan","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1767-7440","authenticated-orcid":false,"given":"Cynthia J.","family":"Chelf","sequence":"additional","affiliation":[{"name":"Department of Library-Public Services, Mayo Clinic, Rochester, MN 55905, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert W.","family":"Kirchoff","sequence":"additional","affiliation":[{"name":"Division of Hospital Internal Medicine, Mayo Clinic, Phoenix, AZ 85054, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"ref_1","first-page":"E1","article-title":"Point-of-Care Ultrasound for Hospitalists: A Position Statement of the Society of Hospital Medicine","volume":"14","author":"Soni","year":"2019","journal-title":"J. Hosp. Med."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"345","DOI":"10.3949\/ccjm.88a.20141","article-title":"Point-of-care ultrasonography for the hospitalist","volume":"88","author":"Thind","year":"2021","journal-title":"Cleve Clin. J. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"102982","DOI":"10.1016\/j.amsu.2021.102982","article-title":"The utility of point of care ultrasonography (POCUS)","volume":"71","author":"Hashim","year":"2021","journal-title":"Ann. Med. Surg."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"985","DOI":"10.7326\/M20-7844","article-title":"Appropriate Use of Point-of-Care Ultrasonography in Patients with Acute Dyspnea in Emergency Department or Inpatient Settings: A Clinical Guideline from the American College of Physicians","volume":"174","author":"Qaseem","year":"2021","journal-title":"Ann. Intern. Med."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"(2017). Ultrasound Guidelines: Emergency, Point-of-Care and Clinical Ultrasound Guidelines in Medicine. Ann. Emerg. Med., 69, e27\u2013e54.","DOI":"10.1016\/j.annemergmed.2016.08.457"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1661","DOI":"10.1097\/CCM.0000000000006399","article-title":"The Impact of Point-of-Care Ultrasound-Guided Resuscitation on Clinical Outcomes in Patients with Shock: A Systematic Review and Meta-Analysis","volume":"52","author":"Basmaji","year":"2024","journal-title":"Crit. Care Med."},{"key":"ref_7","unstructured":"(2024, March 01). POCUS Certificate of Completion. Society of Hospital Medicine. Available online: https:\/\/www.hospitalmedicine.org\/clinical-topics\/ultrasound\/pocus-certificate-of-completion\/."},{"key":"ref_8","unstructured":"(2024, March 01). POCUS for Physician Assistants. Point-of-Care Ultrasound Certification Academy. Available online: https:\/\/www.pocus.org\/pocus-for-physician-assistants\/."},{"key":"ref_9","unstructured":"(2024, March 01). Point of Care Ultrasound (POCUS) Pathway for Internal Medicine. American College of Physicians. Available online: https:\/\/www.acponline.org\/meetings-courses\/focused-topics\/point-of-care-ultrasound-pocus-for-internal-medicine."},{"key":"ref_10","unstructured":"(2024, March 01). Point-of-Care Ultrasound Certificate of Completion. Chest. Available online: https:\/\/www.chestnet.org\/learning-and-events\/learning\/certificate-of-completion\/pocus."},{"key":"ref_11","unstructured":"(2024, March 01). Point-of-Care Ultrasound Certification Academy. Alliance for Physician Certification and Advancement. Available online: https:\/\/www.apca.org\/point-of-care-ultrasound-pocus\/."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1097\/EJA.0000000000001180","article-title":"European Society of Anaesthesiology guidelines on peri-operative use of ultrasound-guided for vascular access (PERSEUS vascular access)","volume":"37","author":"Lamperti","year":"2020","journal-title":"Eur. J. Anaesthesiol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/j.echo.2020.01.008","article-title":"Recommendations for echocardiography laboratories participating in cardiac point of care cardiac ultrasound (POCUS) and critical care echocardiography training: Report from the American Society of Echocardiography","volume":"33","author":"Kirkpatrick","year":"2020","journal-title":"J. Am. Soc. Echocardiogr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"264","DOI":"10.7326\/0003-4819-151-4-200908180-00135","article-title":"Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement","volume":"151","author":"Moher","year":"2009","journal-title":"Ann. Intern. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"n71","DOI":"10.1136\/bmj.n71","article-title":"The PRISMA 2020 statement: An updated guideline for reporting systematic reviews","volume":"372","author":"Page","year":"2021","journal-title":"BMJ"},{"key":"ref_16","unstructured":"Wells, G.A., Shea, B., O\u2019Connell, D., Peterson, J., Welch, V., and Losos, M. (2024, March 01). The Newcastle-Ottawa Scale (NOS) for Assessing the Quality of Nonrandomised Studies in Meta-Analyses, Available online: https:\/\/www.ohri.ca\/programs\/clinical_epidemiology\/oxford.asp."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"l4898","DOI":"10.1136\/bmj.l4898","article-title":"RoB 2: A revised tool for assessing risk of bias in randomised trials","volume":"366","author":"Sterne","year":"2019","journal-title":"BMJ"},{"key":"ref_18","unstructured":"(2024, March 01). Covidence systematic review software; Veritas Health Innovation: Melbourne, Australia. Available online: www.covidence.org."},{"key":"ref_19","first-page":"101090","article-title":"Prediction of post-induction hypotension by point-of-care echocardiography: A prospective observational study","volume":"41","author":"Aissaoui","year":"2022","journal-title":"Anaesth. Crit. Care Pain. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s12947-015-0039-y","article-title":"Reliability of focused cardiac ultrasound by novice sonographer in preoperative anaesthetic assessment: An observational study","volume":"13","author":"Andruszkiewicz","year":"2015","journal-title":"Cardiovasc. Ultrasound"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"628","DOI":"10.4103\/ija.ija_598_22","article-title":"Incidence of postoperative pulmonary congestion as diagnosed by lung ultrasound in surgeries performed under general anaesthesia: A prospective, observational study","volume":"67","author":"Basumatary","year":"2023","journal-title":"Indian. J. Anaesth."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1002\/jcu.22591","article-title":"Doppler Renal Resistance Index for the Prediction of Response to Passive Leg-Raising Following Cardiac Surgery","volume":"46","author":"Huard","year":"2018","journal-title":"J. Clin. Ultrasound"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Brusasco, C., Tavazzi, G., Cucciolini, G., Di Nicolo, P., Wong, A., Di Domenico, A., Germinale, F., Dotta, F., Micali, M., and Coccolini, F. (2023). Perioperative Renal Ultrasonography of Arterio-to-Venous Coupling Predicts Postoperative Complications after Major Laparoscopic Urologic Surgery. J. Clin. Med., 12.","DOI":"10.3390\/jcm12155013"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/ALN.0000000000004064","article-title":"Preoperative Point-of-Care Ultrasound to Identify Frailty and Predict Postoperative Outcomes: A Diagnostic Accuracy Study","volume":"136","author":"Canales","year":"2022","journal-title":"Anesthesiology"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1007\/s10554-015-0656-4","article-title":"Hand-held echocardiography in the setting of pre-operative cardiac evaluation of patients undergoing non-cardiac surgery: Results from a randomized pilot study","volume":"31","author":"Cavallari","year":"2015","journal-title":"Int. J. Cardiovasc. Imaging"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1474","DOI":"10.1007\/s12630-023-02511-5","article-title":"Point-of-care lung and cardiac ultrasound (LUCAS) study in hip fracture patients: A prospective cohort study","volume":"70","author":"Chui","year":"2023","journal-title":"Can. J. Anaesth."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1111\/j.1365-2044.2011.06622.x","article-title":"Three years\u2019 experience of focused cardiovascular ultrasound in the peri-operative period","volume":"66","author":"Cowie","year":"2011","journal-title":"Anaesthesia"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Cozza, V., Barberis, L., Altieri, G., Donatelli, M., Sganga, G., and La Greca, A. (2021). Prediction of postoperative nausea and vomiting by point-of-care gastric ultrasound: Can we improve complications and length of stay in emergency surgery? A cohort study. BMC Anesth., 21.","DOI":"10.1186\/s12871-021-01428-0"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1097\/WON.0b013e318202b495","article-title":"The effect of the bladder scanner policy on the number of urinary catheters inserted","volume":"38","author":"Cutright","year":"2011","journal-title":"J. Wound Ostomy Cont. Nurs."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1007\/s12630-018-1073-7","article-title":"The use of point-of-care ultrasound to diagnose patent foramen ovale in elective hip and knee arthroplasty patients and its association with postoperative delirium","volume":"65","author":"Gai","year":"2018","journal-title":"Can. J. Anaesth."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/j.bjorl.2020.05.030","article-title":"Lung ultrasonography as a tool to guide perioperative atelectasis treatment bundle in head and neck cancer patients undergoing free flap reconstructive surgeries: A preliminary observational study","volume":"88","author":"Goel","year":"2022","journal-title":"Braz. J. Otorhinolaryngol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1213\/ANE.0000000000001435","article-title":"Diagnosis of Intraabdominal Fluid Extravasation After Hip Arthroscopy With Point-of-Care Ultrasonography Can Identify Patients at an Increased Risk for Postoperative Pain","volume":"124","author":"Haskins","year":"2017","journal-title":"Anesth. Analg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"e15197","DOI":"10.1097\/MD.0000000000015197","article-title":"Inferior vena cava diameter measurements and BUN\/creatinine values to determine dehydration in patients with hip fractures preoperatively: A prospective observational study","volume":"98","author":"Kaydu","year":"2019","journal-title":"Medicine"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.jss.2022.02.028","article-title":"A Role for Gastric Point of Care Ultrasound in Postoperative Delayed Gastrointestinal Functioning","volume":"276","author":"Lamm","year":"2022","journal-title":"J. Surg. Res."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1326","DOI":"10.1053\/j.jvca.2021.07.039","article-title":"Ultrasound Hepatic Vein Ratios Are Associated with the Development of Acute Kidney Injury After Cardiac Surgery","volume":"36","author":"Pettey","year":"2022","journal-title":"J. Cardiothorac. Vasc. Anesth."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Ramsingh, D., Singh, S., Canales, C., Guran, E., Taylor, Z., Antongiorgi, Z., Cannesson, M., and Martin, R. (2021). The Evaluation Point-of-Care Ultrasound in the Post-Anesthesia Unit-A Multicenter Prospective Observational Study. J. Clin. Med., 10.","DOI":"10.3390\/jcm10112389"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1007\/s40477-022-00730-y","article-title":"Impact of bedside ultrasound to reduce the incidence of acute renal injury in high-risk surgical patients: A randomized clinical trial","volume":"26","author":"Ravetti","year":"2023","journal-title":"J. Ultrasound"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Szab\u00f3, M., Boz\u00f3, A., Darvas, K., So\u00f3s, S., \u0150zse, M., and Iv\u00e1nyi, Z.D. (2021). The role of ultrasonographic lung aeration score in the prediction of postoperative pulmonary complications: An observational study. BMC Anesth., 21.","DOI":"10.1186\/s12871-021-01236-6"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1186\/s13741-023-00320-4","article-title":"A preoperative ultrasound-based protocol for optimisation of fluid therapy to prevent early intraoperative hypotension: A randomised controlled study","volume":"12","author":"Szabo","year":"2023","journal-title":"Perioper. Med."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1093\/bja\/aew435","article-title":"When fasted is not empty: A retrospective cohort study of gastric content in fasted surgical patients","volume":"118","author":"Vernieuwe","year":"2017","journal-title":"Br. J. Anaesth."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1007\/s10877-023-00994-7","article-title":"Lung ultrasound for evaluating perioperative atelectasis and aeration in the post-anesthesia care unit","volume":"37","author":"Wu","year":"2023","journal-title":"J. Clin. Monit. Comput."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1406","DOI":"10.1016\/j.surg.2021.09.002","article-title":"The renal artery pulsatility index enables real-time monitoring of acute kidney injury after digestive surgery","volume":"171","author":"Yamanaka","year":"2022","journal-title":"Surgery"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1007\/s00268-022-06819-z","article-title":"Inpatient Versus Outpatient Surgery: A Comparison of Postoperative Mortality and Morbidity in Elective Operations","volume":"47","author":"Madsen","year":"2023","journal-title":"World J. Surg."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"E9","DOI":"10.3171\/2015.9.FOCUS15335","article-title":"Quality analysis of anterior cervical discectomy and fusion in the outpatient versus inpatient setting: Analysis of 7288 patients from the NSQIP database","volume":"39","author":"McGirt","year":"2015","journal-title":"Neurosurg Focus"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"171","DOI":"10.24908\/pocus.v7i1.15625","article-title":"Can Medical Students Learn and Perform POCUS in the Pediatric Emergency Department? Implementation of a Short Curriculum","volume":"7","author":"Cooper","year":"2022","journal-title":"POCUS J."},{"key":"ref_46","first-page":"e27513","article-title":"Assessment of Medical Students\u2019 Ability to Integrate Point-of-Care Cardiac Ultrasound Into a Case-Based Simulation After a Short Intervention","volume":"14","author":"Russell","year":"2022","journal-title":"Cureus"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"q1986","DOI":"10.1136\/bmj.q1986","article-title":"Glucagon-like peptide-1 receptor agonists and aspiration risk","volume":"387","author":"McIsaac","year":"2024","journal-title":"BMJ"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/20\/7429\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,23]],"date-time":"2025-10-23T04:31:50Z","timestamp":1761193910000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/20\/7429"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,21]]},"references-count":47,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2025,10]]}},"alternative-id":["jcm14207429"],"URL":"https:\/\/doi.org\/10.3390\/jcm14207429","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,21]]}}}