Neonatal cardiac POCUS—a survey of academic neonatal centers in the United States

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2024-09-09 DOI:10.1038/s41372-024-02108-w

Numra Abdul Aleem, John T. Wren Jr., J. Lauren Ruoss, Amy H. Stanford, Rachael M. Hyland, Brady Thomas, Regan E. Giesinger, Patrick J. McNamara

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Abstract

To investigate the current state of clinical practice and training regarding the use of cardiac point of care ultrasound (cPOCUS) in neonatal intensive care units. An online survey was disseminated through the Association of Academic Directors of Neonatology to appraise clinical usage, infrastructure, and training for cPOCUS. A single response per center was obtained. Overall survey response rate was 51% (48/94). Of respondents [40/48 (83%)] who reported having a POCUS program, 19/40 (47%) reported performing cPOCUS. In 74% of centers, <10 cPOCUS studies are performed monthly. Only 16% (3/19) of centers had standardized imaging protocols. The most common indication for cPOCUS was central line evaluation. Only 9 (19%) programs reported cPOCUS training, of whom 4 had a formalized process of ongoing competency assessment. Although use of cPOCUS is increasing, program infrastructure and governance, training, and evaluation vary markedly between institutions and are missing in many. There is an urgent need to develop consensus standards regarding clinical practice and training.

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新生儿心脏 POCUS--美国新生儿学术中心调查

目的调查新生儿重症监护病房使用心脏护理点超声（cPOCUS）的临床实践和培训现状。研究设计通过新生儿科主任学术协会发布在线调查，评估 cPOCUS 的临床使用、基础设施和培训情况。每个中心只收到一份回复。结果总体调查回复率为 51%（48/94）。在报告已开展 POCUS 项目的受访者 [40/48 (83%)]中，19/40（47%）报告已开展 cPOCUS。74%的中心每月进行 10 次 cPOCUS 检查。只有 16% 的中心（3/19）制定了标准化的成像方案。cPOCUS 最常见的适应症是中心管路评估。结论虽然 cPOCUS 的使用在不断增加，但不同机构在项目基础设施和管理、培训和评估方面存在明显差异，许多机构甚至没有这方面的培训。目前迫切需要制定有关临床实践和培训的共识标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.