Recommendations for Cardiac Point-of-Care Ultrasound in Children: A Report from the American Society of Echocardiography

Lu, Jimmy C.; Riley, Alan; Conlon, Thomas; Levine, Jami C.; Kwan, Charisse; Miller‐Hance, Wanda C.; Soni-Patel, Neha; Slesnick, Timothy C.

doi:10.1016/j.echo.2022.11.010

Cited by 18 publications

(20 citation statements)

References 69 publications

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“… 4 The APC view similarly showed the dilated LV, but also a normal-appearing RA and RV (Fig. 3), with qualitative observation of poor apical tricuspid annulus movement concerning for possible decreased RV systolic function 5,6 . No pericardial effusion was seen.…”

Section: Ultrasound Findingsmentioning

confidence: 89%

“…3), with qualitative observation of poor apical tricuspid annulus movement concerning for possible decreased RV systolic function. 5,6 No pericardial effusion was seen. A longitudinal view of the IVC showed a plethoric IVC with minimal qualitative IVC collapse with respiration, concerning for intravascular volume overload (Video link 2, http://links.lww.com/PEC/B192).…”

Section: Ultrasound Findingsmentioning

confidence: 95%

“…In recent recommendations from the American Society of Echocardiography, FOCUS is appropriate in pediatric patients with hemodynamic instability or acute respiratory distress without congenital heart disease. 6 In adult patients, FOCUS performed by noncardiologists has been shown to be comparable to cardiology echocardiography when assessing LV function and LV dilation. 10 It has also been shown to correctly identify pediatric dilated cardiomyopathy secondary to myocarditis.…”

Section: Review Of the Literaturementioning

confidence: 96%

“…These 4 views can be augmented by visualizing the IVC for information about intravascular fluid status. 6 The IVC can be visualized in either its transverse or longitudinal orientation. The longitudinal view, specifically, is obtained with the indicator facing the patient's head and the probe placed in the midepigastrium.…”

Section: Ultrasound Techniquementioning

confidence: 99%

See 3 more Smart Citations

Focused Cardiac Ultrasound Diagnosis of Dilated Cardiomyopathy

Perera,

Noorbakhsh,

Marin

et al. 2024

Pediatr Emer Care

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We report the case of a 6-year-old boy presenting to the emergency department after a syncopal event during a flu-like illness. Intermittent ventricular tachycardia was noted during Emergency Medical Services transport, and a focused cardiac ultrasound (FOCUS) in the emergency department revealed a dilated left ventricle and left atrium as well as severe global systolic dysfunction. Point-of-care ultrasound findings prompted expedited evaluation and management of this critically ill patient.

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Section: Ultrasound Findingsmentioning

confidence: 89%

Section: Ultrasound Findingsmentioning

confidence: 95%

Section: Review Of the Literaturementioning

confidence: 96%

Section: Ultrasound Techniquementioning

confidence: 99%

See 2 more Smart Citations

Focused Cardiac Ultrasound Diagnosis of Dilated Cardiomyopathy

Perera,

Noorbakhsh,

Marin

et al. 2024

Pediatr Emer Care

View full text Add to dashboard Cite

show abstract

“…In the United States, education of Graduate Medical Education trainees in multiple adult medical, critical care, and surgical subspecialties requires experience using POCUS. The American Board of Pediatrics Sections on Emergency Medicine (5) and Committee on the Fetus and Newborn (6), and the American Society of Echocardiography (7) also recognize the importance of POCUS for the treatment of children.…”

mentioning

confidence: 99%

Death and Ultrasound Evidence of the Akinetic Heart in Pediatric Cardiac Arrest

Dutko

Ginsburg

et al. 2023

Pediatric Critical Care Medicine

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Point-of-care ultrasound (POCUS) is an expanding noninvasive diagnostic modality used for the management of patients in multiple intensive care and pediatric specialties. POCUS is used to assess cardiac activity and pathology, pulmonary disease, intravascular volume status, intra-abdominal processes, procedural guidance including vascular access, lumbar puncture, thoracentesis, paracentesis, and pericardiocentesis. POCUS has also been used to determine anterograde flow following circulatory arrest when organ donation after circulatory death is being considered. Published guidelines exist from multiple medical societies including the recent guidelines for the use of POCUS in neonatology for diagnostic and procedural purposes.

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Accuracy of Point‐Of‐Care Cardiac Ultrasound Performed on Patients Admitted to a Pediatric Intensive Care Unit in Shock

Chico,

Connolly,

Hossain

et al. 2024

J of Clinical Ultrasound

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PurposeTo assess agreement between a novice pediatric critical care fellow's interpretation of left and right ventricular (LV, RV) function using point‐of‐care ultrasound (POCUS) compared with assessments by pediatric cardiologists and echocardiography.MethodsEchocardiographic clips (parasternal long axis, parasternal short axis, and apical four‐chamber) and measurements for LV and RV functions (E‐point septal separation, ejection fraction, and tricuspid annular plane systolic excursion) were obtained by PICU fellow in patients 0–18 years old with shock. A pediatric cardiologist reviewed the POCUS images. Agreement between the interpretations by the intensivist, cardiologist, and comprehensive echocardiograms were analyzed using Cohen's kappa.ResultsThirty‐one patients were included: 22 had comprehensive echocardiograms. The PICU fellow detected LV dysfunction with 100% sensitivity and > 85% specificity compared with the cardiologist's interpretation and formal echocardiography. Substantial agreement (κ = 0.62) was noted between the intensivist and cardiologist for interpretation of LV function and RV size and pressure (κ = 0.72). The intensivist's assessments showed perfect agreement (κ = 1.0) with echocardiography for LV and RV function. POCUS images ranged from 100% adequate in the parasternal long axis, 90% in the parasternal short axis, and 43% in apical four‐chambered views.ConclusionsA novice PICU fellow could reliably use POCUS to assess the cardiac function in pediatric patients with shock.

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Recommendations for Cardiac Point-of-Care Ultrasound in Children: A Report from the American Society of Echocardiography

Cited by 18 publications

References 69 publications

Focused Cardiac Ultrasound Diagnosis of Dilated Cardiomyopathy

Focused Cardiac Ultrasound Diagnosis of Dilated Cardiomyopathy

Death and Ultrasound Evidence of the Akinetic Heart in Pediatric Cardiac Arrest

Accuracy of Point‐Of‐Care Cardiac Ultrasound Performed on Patients Admitted to a Pediatric Intensive Care Unit in Shock

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