Point of care ultrasound (POCUS) in Canadian neonatal intensive care units (NICUs): where are we?

Fadel, Nadya Ben; Pulgar, Lynette; Khurshid, Faiza

doi:10.1007/s40477-019-00383-4

Cited by 26 publications

(21 citation statements)

References 25 publications

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“…[30][31][32] Furthermore, more NICUs worldwide appear to be adopting non-invasive diagnostic modalities such as of point-of-care ultrasound for line placement, effusion checks, and assessment of necrotizing enterocolitis. [33][34][35][36][37][38][39][40][41][42][43] This study highlights the various changes in different procedures being performed in the NICUs in the United States. Our findings regarding the decreased utilization of exchange transfusion as a therapeutic modality in the management of hyperbilirubinemia is in line with reports from Canada, California, Jordan, and India with advent of universal screening guidelines.…”

Section: Discussionmentioning

confidence: 99%

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Trends in Procedures in the Neonatal Intensive Care Unit

et al. 2022

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Objective: Identify the rates and trends of various procedures performed on newborns. Study Design: The HCUP database for the years 2002 to 2015 was queried for the number of livebirths, and various procedures using ICD-9 codes. These were adjusted to the rate of livebirths in each particular year. A hypothetical high-volume hospital based on data from the last 5 years was used to estimate the frequency of each procedure. Results: Over the study period, there was a decline in the rates of exchange transfusions and placement of arterial catheters. There was an increase in the rates of thoracentesis, abdominal paracentesis, placement of UVC lines, and central lines with ultrasound or fluoroscopic guidance. No change was observed in the rates of unguided central lines, pericardiocentesis, bladder aspiration, intubations, and LP. Intubations were the most performed procedures. Placement of UVC, central venous lines (including PICCs), arterial catheters, and LP were relatively common, whereas others were rare such as pericardiocentesis and paracentesis. Conclusions: Some potentially lifesaving procedures are extremely rare or decreasing in incidence. There has also been an increase in utilization of fluoroscopic / ultrasound guidance for the placement of central venous catheters.

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Section: Discussionmentioning

confidence: 99%

“…adopting non-invasive diagnostic modalities such as of point-of-care ultrasound for line placement, effusion checks, and assessment of necrotizing enterocolitis 33,34,43,[35][36][37][38][39][40][41][42] .…”

Section: Accepted Manuscriptmentioning

confidence: 99%

Trends in Procedures in the Neonatal Intensive Care Unit

et al. 2022

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“…The P2Network is developing tools to define and evaluate competency in PEM POCUS applications for PEM providers. Assessing competency in POCUS education and training, in general, is an active area of research 47–57 . For example, ACEP has recommended that learners complete a predefined number of POCUS studies to be considered proficient.…”

Section: The Approach Of P2network To Address Pem Pocus Educational N...mentioning

confidence: 99%

The P2Network—Advancing Pediatric Emergency Care With Point-of-Care Ultrasound

et al. 2021

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Over the last 2 decades, the use of point-of-care ultrasound (POCUS) in pediatric emergency medicine (PEM) has grown exponentially. In 2014, a group of PEM POCUS leaders met and formed the P2Network. The P2Network provides a platform to build collaborative relationships and share expertise among members from various countries and practice settings. It works with educators and researchers within and outside of the field to advance POCUS practice in PEM. As an organization, the P2Network promotes the evidence-based application of POCUS to facilitate and improve care in the PEM setting and addresses issues related to integration of the PEM POCUS practitioner in this nascent field. The P2Network is building and augmenting its infrastructure for PEM POCUS research and education and has already made some progress in the areas, with published manuscripts and ongoing clinical research studies under its sponsorship. Future goals include developing a PEM POCUS research agenda, formalizing teaching and assessment of PEM POCUS skills, and implementing multicenter research studies on potentially high impact applications.

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“…A recent survey done by the author, Ben Fadel N et al (2019), indicated that NPM trainees unanimously agree that the learning of ultrasound skills offers many benefits when it comes to patient care, and acquiring them is very important for their future careers. However, there is a lack of formal curriculum for both hands-on ultrasound skills and image interpretation skills, both of which are urgently needed [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of a web-based module on trainees’ ability to interpret neonatal cranial ultrasound

Fadel

McAleer

2020

BMC Med Educ

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Background Accurate interpretations of neonatal cranial ultrasound (CUS) studies are essential skills for physicians in neonatal intensive care units (NICUs) in order to properly diagnose and manage brain injury. However, these skills are not formally taught to pediatric and neonatal-perinatal medicine (NPM) trainees in Canada. Therefore, our study describes the design, implementation, and evaluation of a new web-based learning (WBL) module that focuses on teaching these skills. Methods Trainees’ needs assessment survey, sent to all NPM and pediatrics trainees (n = 62), concluded that most of them feel uncomfortable with their ability to interpret CUS, highlighting the need for a new educational intervention. The needs assessment informed the development of the WBL module, which we evaluated using questionnaires and pre-and post-testing methods to measure participants’ satisfaction, knowledge gain, skills development, and behaviour changes. Only trainees rotating through the NICU over 6 months (n = 23) were invited to participate in all the evaluation steps. We used the ADDIE instructional design model as a framework for this project. Results Respondents were very satisfied with the module, and their baseline knowledge increased significantly after studying and engaging with the module. The post-test score was 76% (p < 0.001) compared to the pre-test mean score of 42%. Tests for CUS interpretation skills assessment showed that 49% of pre-test answers were incorrect compared to 8% in the post-test (p < 0.001). Seventy-eight percent of trainees (n = 18) responded to a survey conducted a year after implementation, and 78% of the respondents (n = 14) reported that they still used these skills and shared this knowledge with junior trainees. Conclusion A WBL module for teaching neonatal CUS interpretation considerably improved trainees’ knowledge and enhanced their skills in interpreting neonatal CUS.

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Point of care ultrasound (POCUS) in Canadian neonatal intensive care units (NICUs): where are we?

Cited by 26 publications

References 25 publications

Trends in Procedures in the Neonatal Intensive Care Unit

Trends in Procedures in the Neonatal Intensive Care Unit

The P2Network—Advancing Pediatric Emergency Care With Point-of-Care Ultrasound

Impact of a web-based module on trainees’ ability to interpret neonatal cranial ultrasound

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