Bedside Echocardiography for Pediatric Hemodynamic Monitoring

Gaspar, Heloisa Amaral; Tuma, Patricia Leão; Carvalho, Werther Brunow de; Delgado, A.F.

doi:10.1097/pcc.0000000000000081

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…13 The European Society of Paediatric and Neonatal Intensive Care has only recently issued guidelines for POCUS applications in critically ill children and neonates, 14 but North American guidelines are lacking. Numerous studies [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] support the use of POCUS as a valuable imaging modality in numerous clinical situations that commonly occur in the PICU. However it is widely recognized 14 that more studies are needed on how POCUS is actually used in the PICU and how it can impact patient management.…”

Section: Introductionmentioning

confidence: 99%

The Utility of Point-of-Care Ultrasound in the Pediatric Intensive Care Unit

Watkins

Dial

Koenig

et al. 2021

J Intensive Care Med

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Objectives: Point of care ultrasound (POCUS) in adult critical care environments has become the standard of care in many hospitals. A robust literature shows its benefits for both diagnosis and delivery of care. The utility of POCUS in the pediatric intensive care unit (PICU), however, is understudied. This study describes in a series of PICU patients the clinical indications, protocols, findings and impact of pediatric POCUS on clinical management. Design: Retrospective analysis of 200 consecutive POCUS scans performed by a PICU physician. Patients: Pediatric critical care patients who required POCUS scans over a 15-month period. Setting: The pediatric and cardiac ICUs at a tertiary pediatric care center. Interventions: Performance of a POCUS scan by a pediatric critical care attending with advanced training in ultrasonography. Measurement and Main Results: A total of 200 POCUS scans comprised of one or more protocols (lung and pleura, cardiac, abdominal, or vascular diagnostic protocols) were performed on 155 patients over a 15-month period. The protocols used for each scan reflected the clinical question to be answered. These 200 scans included 133 thoracic protocols, 110 cardiac protocols, 77 abdominal protocols, and 4 vascular protocols. In this series, 42% of scans identified pathology that required a change in therapy, 26% confirmed pathology consistent with the ongoing plans for new therapy, and 32% identified pathology that did not result in initiation of a new therapy. Conclusions: POCUS performed by a trained pediatric intensivist provided useful clinical information to guide patient management.

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