[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-387578-105":59,"doc-detail-387578-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","pocus-in-perioperative-medicine-a-north-american-perspective","POCUS in perioperative medicine - a North American perspective","","Point-of-care ultrasound (POCUS) supports perioperative medicine by enabling bedside ultrasound examinations to answer targeted diagnostic questions and guide procedures. Transesophageal echocardiography (TEE), in particular, has become a widely used diagnostic and monitoring method in perioperative cardiac and non-cardiac care. The article reviews multiple POCUS applications, including airway, cardiac, lung, and gastric imaging, and highlights the absence of unified perioperative POCUS guidelines despite calls for action and existing TEE scope guidance. Training is being incorporated into anesthesia residencies in Canada and the USA, yet a nationwide curriculum and integrated longitudinal learning approaches remain limited.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/pocus-in-perioperative-medicine-a-north-american-perspective/387578/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/pocus-in-perioperative-medicine-a-north-american-perspective/387578.png","ImageObject",300,407,{"name":92,"@type":93},"moss~","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-29","2026-09-24",true,{"@type":102,"interactionType":103,"userInteractionCount":24},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What does point-of-care ultrasound (POCUS) mean in perioperative care?","Question",{"text":112,"@type":113},"POCUS refers to ultrasound examinations performed at the patient’s bedside by a primary healthcare provider to address a limited set of specific diagnostic questions, guide treatment, and support invasive procedures.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why is transesophageal echocardiography (TEE) important during the perioperative period?",{"text":117,"@type":113},"TEE performed by anesthesiologists is an established practice for perioperative cardiac care, serving as a powerful diagnostic and monitoring tool supported by guidelines in the USA and Canada.",{"name":119,"@type":110,"acceptedAnswer":120},"What gaps remain in perioperative POCUS guidance and training?",{"text":121,"@type":113},"There is a lack of perioperative point-of-care ultrasound (POCUS) guidelines and a nation-wide curriculum, along with limitations in defining scope of practice and designing integrated longitudinal learning approaches.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},387578,1790342387,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":24,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144},962090895452,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","De Marchi and Meineri Crit Ultrasound J (2017) 9:19 DOI 10.1186/s13089-017-0075-y  \nSHORT COMMUNICATION Open Access  \nPOCUS in perioperative medicine: a North American perspective  \nLorenzo De Marchi1 and Massimiliano Meineri2*  \nAbstract  \nUltrasound (US) performed at the point of care has found fertile ground in perioperative medicine. In the hands of anesthesiologists, transesophageal echocardiography (TEE) has become established as a powerful diagnostic and monitoring tool in the perioperative care of cardiac and non-cardiac patients. A number of point-of-care US (POCUS) applications are relevant to perioperative care, including airway, cardiac, lung and gastric US. Although guidelines exist to define the scope of practice for basic and advanced TEE, there remains a lack of such guidelines for perioperative point-of-care ultrasound (POCUS), despite a number of recent calls for action in the academic anesthesia community. POCUS training has been integrated into anesthesia residency curricula in Canada and the United States of America (USA) . However, a nation-wide curriculum is still lacking. Many limitations to the development of perioperative POCUS curricula exist, including the need to define the scope of practice and design integrated longitudinal learning approaches. The main anesthesiologist societies in both the USA and Canada are promoting the development of guidelines and have introduced POCUS courses into their national conferences. Although bedside US imaging has been integrated into the curricula of many medical schools in North America, the need for specific national guidelines for the training and practice of POCUS in the perioperative setting by anesthesiologists is crucial to the further development of POCUS in perioperative medicine.  \nKeywords: Point-of-care ultrasound, Perioperative medicine, Guidelines, Hand-held ultrasound devices  \nIntroduction  \nPoint-of-care ultrasound (POCUS) refers to the use of ultrasound (US) examinations at a patient’s bedside by a primary healthcare provider to answer a limited number of specific diagnostic questions, guide treatment and invasive procedures. In the past decade, the role of this technology during the perioperative period has become increasingly recognized.  \nThe use of US has become an established standard of care in most operating rooms for several applications, such as regional anesthesia and central line insertion [1]. Concurrently, transesophageal echocardiography (TEE) performed by anesthesiologists has become an established practice in the cardiac operating room, supported by specific guidelines in both the United States  \n*Correspondence: [Massimiliano.Meineri@uhn.ca](Massimiliano.Meineri@uhn.ca)  \n2 Department of Anesthesia and Pain Management, Toronto General Hospital, University Health Network, University of Toronto, 200 Elizabeth Street EN 3-400, Toronto, ON M5G 2C4, Canada  \nFull list of author information is available at the end of the article  \nof America (USA) and Canada [2, 3]. This has helped increase the availability of US systems in the operating room and develop specific postgraduate curricula to teach US-guided line insertion and confirmation of placement and regional blocks [4–6]. Additionally, handheld systems have become increasingly available for many physicians and acute care teams [7, 8].  \nA number of specific applications of POCUS assist providers in responding to the challenges of perioperative anesthetic care. Focused cardiac US [9] has been used in the perioperative assessment of elective [10] and urgent [11] surgical cases and has significantly impacted patient management [12–14]. POCUS may also play key roles in the management of hemodynamic instability and cardiac arrest [15]. Lung US not only exhibits high accuracy in the differential diagnosis of hypoxia [16] but also has been successfully used intraoperatively to detect trachealintubation [17], exclude main stem bronchial intubation and confirm lung isolation in thoracic sur","cbCaidXulGu6dXan","https://ap.wps.com/l/cbCaidXulGu6dXan","pdf",899428,"English","# Abstract\n# Keywords\n# Introduction","[{\"question\":\"What does point-of-care ultrasound (POCUS) mean in perioperative care?\",\"answer\":\"POCUS refers to ultrasound examinations performed at the patient’s bedside by a primary healthcare provider to address a limited set of specific diagnostic questions, guide treatment, and support invasive procedures.\"},{\"question\":\"Why is transesophageal echocardiography (TEE) important during the perioperative period?\",\"answer\":\"TEE performed by anesthesiologists is an established practice for perioperative cardiac care, serving as a powerful diagnostic and monitoring tool supported by guidelines in the USA and Canada.\"},{\"question\":\"What gaps remain in perioperative POCUS guidance and training?\",\"answer\":\"There is a lack of perioperative point-of-care ultrasound (POCUS) guidelines and a nation-wide curriculum, along with limitations in defining scope of practice and designing integrated longitudinal learning approaches.\"}]","POCUS in perioperative medicine - a North American perspective | PDF",1790287066,13]