Point‐of‐care ultrasound in paediatric emergency medicine

O’Brien, Adam; Brady, Robyn

doi:10.1111/jpc.13098

Cited by 31 publications

(27 citation statements)

References 56 publications

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“…Time‐motion mode (M‐mode) allows visualisation of the lung sliding, showing a horizontal pattern for the superficial layers as they remain motionless. From and below the pleural line, the pattern appears granular as the motion of the pleural line is reflected all over this area (Fig. ).…”

Section: Normal Findingsmentioning

confidence: 99%

Point‐of‐care lung ultrasound in paediatric critical and emergency care

Dominguez

Gaspar

Preto

et al. 2018

J Paediatrics Child Health

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Ultrasound techniques have been developed since the past century and are becoming more useful in different areas of medical knowledge. More recently, lung ultrasound gained importance throughout artefacts analysis to help clinical evaluation at bedside and became subject of interest in the paediatric intensive care and emergency department settings for both procedural and diagnostic purposes. The normal pattern of lung ultrasound is defined by the presence of lung sliding associated with A-lines whereas B-lines may be representative of pathologic findings. This review focuses on some of the most common pulmonary conditions, their respective sonographic features and clinical implications in the emergency department and paediatric intensive care unit.

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Section: Normal Findingsmentioning

confidence: 99%

Point‐of‐care lung ultrasound in paediatric critical and emergency care

Dominguez

Gaspar

Preto

et al. 2018

J Paediatrics Child Health

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“…25 The applications are numerous but vary in practicality and efficacy. 26,27 The future is in our hands…”

Section: Seeing Is Believingmentioning

confidence: 99%

“…23 Measurement of the optic nerve sheath diameter is showing promise as a surrogate marker of increased intracranial pressure, but reference ranges are not well defined in the paediatric population. 26,27 The future is in our hands 25 The applications are numerous but vary in practicality and efficacy.…”

Section: Seeing Is Believingmentioning

confidence: 99%

Paediatric emergency medicine point‐of‐care ultrasound: Fundamental or fad?

Snelling

Tessaro

2017

Emerg Medicine Australasia

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“…Certainly, these new ultrasonic techniques extend the investigation time, consume more resources, and are more expensiveanother reason to work towards better remuneration. With respect to costs and applications, point-of-care ultrasonography (POCUS) [16][17][18][19] and reorganization of human resources are already broadly discussed in the ultrasonic community [20][21][22][23].…”

Section: Introductionmentioning

confidence: 99%

“…vs. 12 min. (9)(10)(11)(12)(13)(14)(15)(16)(17), p < 0.001). The "hands-on" patient time was approximately one half of the total required time in both settings (49.9 % vs. 48.9 %).…”

mentioning

confidence: 97%

Time Tracking of Standard Ultrasound Examinations in Pediatric Hospitals and Pediatric Medical Practices – A Multicenter Study by the Pediatric Section of the German Society of Ultrasound in Medicine (DEGUM)

et al. 2019

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Purpose Ultrasonography is the primary imaging modality in pediatrics but still lacks sufficient reimbursement in Germany. In this multicenter study, national data for the duration of standard ultrasound in pediatrics were systematically documented in order to specify the actual time required. Materials and Methods N = 10 hospitals (N = 5 university hospitals, N = 5 non-university hospitals) and N = 3 medical practices in Germany recorded the entire process of an ultrasound examination in a special protocol developed by the Pediatric Section of the DEGUM. The duration of each of seven single steps during ultrasonography (from data input to final discussion of the results) of different organ systems was logged. Results In total, N = 2118 examinations from different organ systems were recorded. N = 10 organ systems were examined frequently (> 30 times). The total duration of an ultrasound examination was statistically significantly longer in hospitals compared to medical practices (median (IQR) 27 min. (18–38) vs. 12 min. (9–17), p < 0.001). The “hands-on” patient time was approximately one half of the total required time in both settings (49.9 % vs. 48.9 %). Ultrasonography of the abdomen and brain lasted longer in university hospitals than in non-university hospitals (p < 0.001, and p = 0.04, respectively). Cooperation and age did not uniformly correlate with the total duration. Conclusion This study provides novel comprehensive national data for the duration of standardized ultrasound examinations of children and adolescents in Germany. These data are essential for a further evaluation of the economic costs and should support better remuneration in the future.

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Point‐of‐care ultrasound in paediatric emergency medicine

Cited by 31 publications

References 56 publications

Point‐of‐care lung ultrasound in paediatric critical and emergency care

Point‐of‐care lung ultrasound in paediatric critical and emergency care

Paediatric emergency medicine point‐of‐care ultrasound: Fundamental or fad?

Time Tracking of Standard Ultrasound Examinations in Pediatric Hospitals and Pediatric Medical Practices – A Multicenter Study by the Pediatric Section of the German Society of Ultrasound in Medicine (DEGUM)

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