Use of point-of-care ultrasound (POCUS) to monitor neonatal and pediatric extracorporeal life support

Bianzina, Stefania; Singh, Yogen; Iacobelli, Roberta; Amodeo, Antonio; Guner, Yigit; Di Nardo, Matteo

doi:10.1007/s00431-023-05386-2

Cited by 1 publication

(2 citation statements)

References 64 publications

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“…For the management of newborns undergoing extracorporeal membrane oxygenation, POCUS aids in evaluating candidacy, guiding cannulation procedures, ensuring correct catheter placement, and detecting and managing complications, including pneumothorax and effusions, by daily monitoring of heart and lung function as well as brain perfusion [ 14 , 75 , 82 , 83 ].…”

Section: Resultsmentioning

confidence: 99%

“…Urogenital, emergency, vascular, and airway applications appeared to be less represented in included publications (see Figure 3). paracentesis [2,12,18,[22][23][24]35,59] Monitoring of extracorporeal membrane oxygenation [14,75,76] Suprapubic bladder aspiration [2,18,22,36,59,77] Urinary catheter visualization [8] Abscess drainage [24] 3.2.1. Diagnostic Applications…”

Section: Diagnostic Applicationsmentioning

confidence: 99%

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Applications of Point-of-Care-Ultrasound in Neonatology: A Systematic Review of the Literature

Recker,

Kipfmueller,

Wittek

et al. 2024

Life

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Point-of-care ultrasound (POCUS) integration into neonatology offers transformative potential for diagnostics and treatment, enhancing immediacy and precision of clinical decision-making in this vulnerable patient population. This systematic review aims to synthesize evidence on POCUS applications, benefits, challenges, and educational strategies in neonatology. Literature search was conducted using SPIDER scheme keywords and MeSH terms related to POCUS and neonatology. Studies focusing on POCUS applications, its impact on clinical outcomes, and educational interventions for skill acquisition were included and analyzed using standardized tools, followed by a narrative synthesis of the findings. The search yielded 68 relevant publications, encompassing original research, reviews, and guidelines. POCUS applications varied across cardiovascular, pulmonary, neurological, and abdominal assessments. Key benefits included a reduced need for invasive procedures and rapid bedside diagnosis. Challenges included steep learning curves for clinicians and the need for standardized training and guidelines. Educational strategies highlighted the effectiveness of simulation-based training in enhancing ultrasound proficiency among neonatal care providers. POCUS represents a significant advancement in neonatal medicine, offering benefits for patient care. Addressing identified challenges through comprehensive training programs and developing standardized guidelines is crucial for optimized use. Future research should focus on evaluating educational outcomes and long-term impacts of POCUS integration into neonatal care.

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