Bedside diagnosis in the intensive care unit: Is looking overlooked?

Research output: Contribution to journalReview article

Abstract

Bedside diagnosis, including but not limited to the physical examination, can be lifesaving in the setting of critical illness and is a core competency inbothmedical schooland at thepostgraduate level. Data as to the clinical usefulness of bedside diagnosis in the modern intensive care unit (ICU) is sparse, however, and there are no clinical guidelines addressing performance, interpretation, and usefulness of the bedside assessment in critically ill patients. Bedside assessment and physical examination are used in a heterogeneous manner across institutions and even across ICUs within the same institution, which has implications for medical education, patient care, and the overuse/ misuse of diagnostic testing. In this commentary, we review the existing data addressing bedside diagnosis in the ICU, describe various models of bedside assessment use in the ICU based on our clinical practice and on the limited evidence base, share our practical "checklist-based" approach to bedside assessment in the critically ill patient, and advocate for more formal study of physical examination and bedside assessment in the ICU to enhance clinical practice.

Original languageEnglish (US)
Pages (from-to)1447-1450
Number of pages4
JournalAnnals of the American Thoracic Society
Volume12
Issue number10
DOIs
StatePublished - Oct 1 2015

    Fingerprint

Keywords

  • Bedside diagnosis
  • Clinical skills
  • Critical care
  • Patient-physician relationship
  • Technology

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this