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It defines scope for anaesthetists performing or supervising diagnostic POCUS, distinguishes core (cardiac, lung, gastric, upper airway) from additional modalities, and clarifies excluded techniques such as transoesophageal echocardiography. It also states general principles for appropriate clinicians, required guideline views, use of multiple modalities, recognition of limitations, and correct reliance on POCUS as an extension rather than a sole 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Perioperative diagnostic POCUS  \nKeyword list: Ultrasound, Point-of-care ultrasound, POCUS, Cardiac, Lung, Gastric , Airway  \n1. Purpose  \nThe purpose of this document is to provide recommendations for training, maintenance of competency, and for clinical practice in perioperative diagnostic point-of-care ultrasound (POCUS) to aid clinical  \nassessment.  \n2. Scope  \nThis document applies to all anaesthetists providing perioperative diagnostic POCUS examinations or undertaking training and/or supervision of such procedures.  \nThis guideline is restricted to the use of ultrasound in aiding diagnostic assessment rather than for procedural-based ultrasound techniques (procedural POCUS) , for example vascular access and regional anaesthesia , unless otherwise stated. For the purpose of this document the term POCUS will refer specifically to diagnostic POCUS unless otherwise indicated. Diagnostic POCUS studies are conducted to aid clinical diagnosis and assist with clinical management decisions in a range of perioperative  \nenvironments.  \nTransoesophageal echocardiography is not included in this guideline and is instead included in PG46 .  \nIn this document POCUS modalities are divided into ‘core’ and ‘additional’ POCUS studies. Core POCUS examinations (cardiac, lung, gastric and upper airway POCUS) are to varying extents already established in perioperative practice and supported by published recommendations from societies and other professional bodies.1 ‘Additional’ POCUS examinations , such as musculoskeletal/soft tissue , ocular and transcranial Doppler ultrasound for neurosurgery or vascular surgery, genitourinary ultrasound and ultrasound for deep venous thrombosis diagnosis are less established in the perioperative setting at this time. Training for use of ultrasound in the trauma patient, including Extended Focused Assessment with Sonography in Trauma (EFAST) , is well described for clinicians practicing emergency medicine and thus is not included in this perioperative document.2  \nPaediatric and neonatal POCUS is rapidly developing and gaining popularity as a useful tool for bedside decision making in paediatric anaesthetic care. Paediatric POCUS examinations differ to their adult counterparts in terms of sonographic appearance and formulae required for image interpretation.  \nConsensus guidelines for the initial assessment of paediatric POCUS competence and the subsequent maintenance of these skills in clinical practice are currently in development. This contrasts to POCUS guidelines within adult medicine which are at a more advanced stage of development. This document is a reflection of the current evidence and guidelines as they pertain to adult POCUS practice. It is expected that paediatric POCUS guidelines will continue to develop, and this document will come to reflect emerging standards, guidelines and recommendations with time.  \n3. Background / Introduction  \nThe use of ultrasound to assist clinical diagnosis continues to expand , driven by several factors includingthe decrease in cost and increase in portability of ultrasound devices, the growing body of evidence demonstrating the value of ultrasound for multiple clinical applications, and the publication of guidelines  \nsupporting the use of POCUS by clinicians , as detailed in the Background Paper. As the components and concepts for training and maintaining competence of different POCUS anatomical regions are similar, this document considers the general principles that should apply to all forms of diagnostic POCUS. More detail is described for the guidance for the individual core POCUS examinations.  \n3.1 Definitions*  \n*click to see definitions in CP01 Definitions and abbreviations  \nComprehensive ultrasound examinations  \nLimited ultrasound 3  \nPoint of care ultrasound (POCUS) 4  \nProcedural POCUS (ultrasound for procedural guidance)  \nThe ","cbCaipd4rIXOKZAq","https://ap.wps.com/l/cbCaipd4rIXOKZAq","pdf",350142,"English","# 1. Purpose\n# 2. Scope\n# 3. Background / Introduction\n## 3.1 Definitions\n# 4. General Principles\n# 5. Conduct of the POCUS study","[{\"question\":\"What is the purpose of the PG47 guideline?\",\"answer\":\"It provides recommendations for training, maintaining competency, and clinical practice of perioperative diagnostic point-of-care ultrasound (POCUS) to aid clinical assessment and inform management decisions.\"},{\"question\":\"Which clinical users does this document apply to?\",\"answer\":\"It applies to all anaesthetists providing perioperative diagnostic POCUS examinations or undertaking training and/or supervision of such procedures.\"},{\"question\":\"What does the guideline include versus exclude?\",\"answer\":\"It focuses on diagnostic POCUS rather than procedural-based ultrasound techniques (procedural POCUS), and it does not include transoesophageal echocardiography, which is covered in PG46.\"}]","PG47 Perioperative diagnostic POCUS - Guideline on training and practice 2025 | PDF",1790287060,25]