I work as an ultrasound trainee in an Australian public hospital and augmentation is included in our current scan protocol for deep vein thrombosis. We recently hired a dedicated vascular sonographer who doesn't perform augmentation so I have been looking into the research on this. I found a 2009 peer reviewed study performed by McQueen, Elliot and Keir that states that 'single-point augmentation has a low sensitivity in suspected lower-limb DVT, and that the majority of undetected DVTs are isolated to the calf veins'. The researchers found that an abnormal augmentation response was a poor predictor of lower-limb DVT given that diminished or reduced augmentation can be attributed to alternative diagnoses. They concluded that 'single-point augmentation does not add to the standard compression ultrasound examination for suspected DVT and should not be routinely performed'. I would love to delve further into this as my patients often find augmentation an uncomfortable part of the procedure. I would hate to be performing it unnecessarily.
So you always augment on your way down? What happens if you find a thrombus, do you still augment? I always do my compression first and then come back with color and pw Doppler. If I find thrombus anywhere, no augmentation done, I just demonstrate flow. I know the calf pump is more powerful than your hand augmentation but I still worry about dislodging a thrombus. lol
Thank you very much, I find your demonstrations helpful, If you have have material on ocular ultrasound I will be very grateful, Thank you for your effort
Thank you very much henry for your contributions to us newer techs trying to learn ! you teach very well
Can you plz upload a Venous Insufficiency (Reflux) study? Thank you!
I work as an ultrasound trainee in an Australian public hospital and augmentation is included in our current scan protocol for deep vein thrombosis. We recently hired a dedicated vascular sonographer who doesn't perform augmentation so I have been looking into the research on this. I found a 2009 peer reviewed study performed by McQueen, Elliot and Keir that states that 'single-point augmentation has a low sensitivity in suspected lower-limb DVT, and that the majority of undetected DVTs are isolated to the calf veins'. The researchers found that an abnormal augmentation response was a poor predictor of lower-limb DVT given that diminished or reduced augmentation can be attributed to alternative diagnoses. They concluded that 'single-point augmentation does not add to the standard compression ultrasound examination for suspected DVT and should not be routinely performed'.
I would love to delve further into this as my patients often find augmentation an uncomfortable part of the procedure. I would hate to be performing it unnecessarily.
oh snap this is GOLD !! very important one
so if a thrombus is found, do you completely avoid augmenting or you just skip augmentation at the location of the thrombus?
Avoid augmentation everytime
Thanks for all these amazing protocol videos🤍
You’re welcome!
So you always augment on your way down? What happens if you find a thrombus, do you still augment? I always do my compression first and then come back with color and pw Doppler. If I find thrombus anywhere, no augmentation done, I just demonstrate flow. I know the calf pump is more powerful than your hand augmentation but I still worry about dislodging a thrombus. lol
If you find a thrombus no you don’t augment
You are doing really good job
Great content. Thanks again. Could you please do a venous insufficiency protocol video? Most appreciative.
Sure thing!!
This is amazing.....I also want the "venous insufficiency protocol"...thanks🙏
Wow I was looking for this video. Thank you 🙏🏻
You’re welcome 😊
Thank you very much,
I find your demonstrations helpful,
If you have have material on ocular ultrasound I will be very grateful,
Thank you for your effort
I’ll come up with something!
@@SonographicTendencies thank you very much
Very well explained. Thanks.
Thanks for the comment! 😌
thank you. how about the saphenous system?
Sir, need a request next video protocol of arterial venous fistula.
Hello is this the same protocol for 2022
Good stuff. Can you do a scanning protocol for UEV study too ?
ruclips.net/video/3NYdqBnENfg/видео.html
@@SonographicTendencies thank you
Thank you can you please make a video just like this but longer and more detailed please
Great video
Good video
I augment at VERY end due to possibility of thrombus being distally ...IF thrombus seen ONLY spectral waveforms
Could you show the gastrocs and soleal veins too?
Sure I could make a video
Detailes missing 🤔
Extensive protocol
Yeah most places don’t do this much some places may do more..
I like your videos but you go too fast.
Fair! I can’t talk slow…
@@SonographicTendencies 😂
Thank you can you please make a video just like this but longer and more detailed please
Thank you can you please make a video just like this but longer and more detailed please thank you