Point of care neonatal ultrasound — Head, lung, gut and line localization

Rath, Chandra; Suryawanshi, Pradeep

doi:10.1007/s13312-016-0954-5

Cited by 13 publications

(13 citation statements)

References 64 publications

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“…Due to its non-invasive nature and to minimize radiation exposure, lung and abdominal ultrasonography is being increasingly used worldwide in adults and more recently, neonatal intensive care, for diagnosis of a variety of conditions such as pneumonia, pleural effusions, necrotising enterocolitis, etc., with fairly high sensitivity and specificity. 7, 18 Formal training curriculums and increased utilization in Indian NICUs would help increase expertise in this area over time.…”

Section: Discussionmentioning

confidence: 99%

“…A number of studies have demonstrated its benefits in the day-to-day management of neonates. 6-8 Point-of-care ultrasonography in neonatal practice primarily includes cranial, lung, and abdominal ultrasound, “targeted” or “functional” echocardiography (fnECHO), and the use of ultrasound to locate the position of vascular catheters. 7, 9…”

Section: Introductionmentioning

confidence: 99%

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Survey of Point-of-Care Ultrasound Uptake in Indian Neonatal Intensive Care Units: Results and Recommendations

Deshpande

Suryawanshi

Sharma

et al. 2019

Journal of Neonatology

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Objectives: Point-of-care ultrasonography (POCU) refers to the process of ultrasound performed at the bedside by treating physicians, for the ongoing assessment of disease, evaluation of response to treatment, and assistance in procedures. This study was conducted to assess the current utilization, training, and barriers to the implementation of neonatologist-performed POCU (NP-POCU) in Indian neonatal intensive care units (NICUs). Methods: A survey questionnaire was disseminated to practicing neonatologists in India via an online survey tool from July 2017 to September 2017. The questionnaire addressed the information related to the availability of NP-POCU services, indications for its use, perception among neonatologists about its usefulness, training for NP-POCU, and access to pediatric cardiology and radiology services. Results: The overall response rate was 78%. A total of 72% respondents reported having access to NP-POCU services in their units. Neonatologist-performed POCU (NP-POCU) was used most frequently for cranial ultrasound (97%), functional echocardiography (90%), and evaluating line position (67%). Majority (92%) of the units had no training program for NP-POCU. The most common reasons cited for not having NP-POCU services were non-availability of trained personnel to perform POCU (50%) and strict Pre-conception and Prenatal Diagnostic Techniques (PC-PNDT) Act (50%). Conclusions: Neonatologist-performed point-of-care ultrasonography is being increasingly utilized in Indian NICUs. However, there is a lack of structured training and guidelines for its use. Non-availability of trained personnel and strict PC-PNDT Act are major barriers to its implementation. We recommend that accredited training programs and standardized guidelines be established for the safer use of NP-POCU in India.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Survey of Point-of-Care Ultrasound Uptake in Indian Neonatal Intensive Care Units: Results and Recommendations

Deshpande

Suryawanshi

Sharma

et al. 2019

Journal of Neonatology

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“…Another pathological finding at LUS is the lung pulse, i.e., the synchronized movement of the pleura with the cardiac rhythm at M-mode US for the transmission of cardiac activity on lung parenchyma. It is not present in a normally aerated lung for the dominant action of lung sliding over the cardiac vibration, and if present, it is a sign of absence of ventilation [14]. Summarizing, a black appearance means healthy lung, a mixed black and white appearance is associated to a moderate disease, and a completely white lung is a marker of severe respiratory distress.…”

Section: Normal and Abnormal Findings At Lusmentioning

confidence: 99%

Lung Ultrasound in Pediatrics and Neonatology: An Update

Ammirabile

Buonsenso

Mauro³

2021

Healthcare

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The potential role of ultrasound for the diagnosis of pulmonary diseases is a recent field of research, because, traditionally, lungs have been considered unsuitable for ultrasonography for the high presence of air and thoracic cage that prevent a clear evaluation of the organ. The peculiar anatomy of the pediatric chest favors the use of lung ultrasound (LUS) for the diagnosis of respiratory conditions through the interpretation of artefacts generated at the pleural surface, correlating them to disease-specific patterns. Recent studies demonstrate that LUS can be a valid alternative to chest X-rays for the diagnosis of pulmonary diseases, especially in children to avoid excessive exposure to ionizing radiations. This review focuses on the description of normal and abnormal findings during LUS of the most common pediatric pathologies. Current literature demonstrates usefulness of LUS that may become a fundamental tool for the whole spectrum of lung pathologies to guide both diagnostic and therapeutic decisions.

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“…It is likely to be NEC when the bowel wall thickness is >2 mm; abnormal thinning with a thickness of <1.0 mm results from ischemia or necrosis. 33…”

Section: Physical Characteristicsmentioning

confidence: 99%

Role of Point-of-care Ultrasound Imaging in Neonatal Sepsis

Nagpal¹,

Suryawanshi²

2020

Pediatric Infectious Disease

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Neonatal sepsis remains a very common cause of morbidity and mortality. Point-of-care ultrasound imaging is a useful tool to determine the site of infection, the progress of sepsis, and prognosis/outcomes of septic neonates. The organ system imaging that is useful includes cardiac ultrasound for delineation of the hemodynamics, cranial imaging for changes in meningitis/ventriculitis, lung ultrasound for early detection of effusions and consolidation, and gut imaging for gut perfusion and viability in necrotizing enterocolitis. We describe the role of ultrasound imaging in the early diagnosis and management of neonatal sepsis.

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Point of care neonatal ultrasound — Head, lung, gut and line localization

Abstract: Ultrasound performed by the clinician has an extensive role in the neonatal intensive care unit. Basic ultrasound knowledge of head, lung and gut is a useful supplement to clinical decision-making.

Cited by 13 publications

References 64 publications

Survey of Point-of-Care Ultrasound Uptake in Indian Neonatal Intensive Care Units: Results and Recommendations

Survey of Point-of-Care Ultrasound Uptake in Indian Neonatal Intensive Care Units: Results and Recommendations

Lung Ultrasound in Pediatrics and Neonatology: An Update

Role of Point-of-care Ultrasound Imaging in Neonatal Sepsis

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