Diagnostic Utility of Point-of-Care Ultrasound in the Pediatric Cardiac Intensive Care Unit.

Q3 Medicine

Current Treatment Options in Pediatrics Pub Date : 2022-01-01 Epub Date: 2022-07-08 DOI:10.1007/s40746-022-00250-1

Jessica N Persson, John S Kim, Ryan J Good

{"title":"Diagnostic Utility of Point-of-Care Ultrasound in the Pediatric Cardiac Intensive Care Unit.","authors":"Jessica N Persson, John S Kim, Ryan J Good","doi":"10.1007/s40746-022-00250-1","DOIUrl":null,"url":null,"abstract":"Purpose of review: This review summarizes the diverse uses of point-of-care ultrasound (POCUS) in critically ill children with congenital and acquired heart disease. Diagnostic utility and practicality of POCUS is reviewed. Importantly, the role of POCUS in the medical management of children in the cardiac intensive care unit is highlighted.Recent findings: The use of POCUS in critically ill pediatric patients has emerged as an essential diagnostic tool that enhances the physical examination and influences delivery of care. Assessment of a wide range of body systems and pathologies has been impacted by the use of POCUS. Recent studies have demonstrated the use of POCUS for evaluation of cardiac tamponade, pneumonia, vocal cord function, and loss of muscle mass in critically ill children (Hamilton et al. Pediatr Crit Care Med 22(10):e532-e539, 2021; Hoffmann et al. Pediatr Crit Care Med 22(10):889-897, 2021; Najgrodzka et al. Ultrasound Q 35(2):157 163, 2019; Alerhand et al. Pediatr Ann 50(10):e424-e431, 2021).Summary: POCUS is a non-invasive, low-risk, imaging modality that can be used to diagnose and help guide management of critically ill children in the cardiac intensive care unit. POCUS can be performed by an intensivist at the patient's bedside with real-time interpretation, leading to rapid clinical decision-making and the hope of improving patient outcomes.Supplementary information: The online version contains supplementary material available at 10.1007/s40746-022-00250-1.","PeriodicalId":37445,"journal":{"name":"Current Treatment Options in Pediatrics","volume":" ","pages":"151-173"},"PeriodicalIF":0.0000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9264295/pdf/","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Treatment Options in Pediatrics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s40746-022-00250-1","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/7/8 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 2

Abstract

Purpose of review: This review summarizes the diverse uses of point-of-care ultrasound (POCUS) in critically ill children with congenital and acquired heart disease. Diagnostic utility and practicality of POCUS is reviewed. Importantly, the role of POCUS in the medical management of children in the cardiac intensive care unit is highlighted.

Recent findings: The use of POCUS in critically ill pediatric patients has emerged as an essential diagnostic tool that enhances the physical examination and influences delivery of care. Assessment of a wide range of body systems and pathologies has been impacted by the use of POCUS. Recent studies have demonstrated the use of POCUS for evaluation of cardiac tamponade, pneumonia, vocal cord function, and loss of muscle mass in critically ill children (Hamilton et al. Pediatr Crit Care Med 22(10):e532-e539, 2021; Hoffmann et al. Pediatr Crit Care Med 22(10):889-897, 2021; Najgrodzka et al. Ultrasound Q 35(2):157 163, 2019; Alerhand et al. Pediatr Ann 50(10):e424-e431, 2021).

Summary: POCUS is a non-invasive, low-risk, imaging modality that can be used to diagnose and help guide management of critically ill children in the cardiac intensive care unit. POCUS can be performed by an intensivist at the patient's bedside with real-time interpretation, leading to rapid clinical decision-making and the hope of improving patient outcomes.

Supplementary information: The online version contains supplementary material available at 10.1007/s40746-022-00250-1.

Abstract Image

查看原文本刊更多论文

儿科心脏重症监护病房即时超声诊断的应用。

综述目的:本综述总结了急诊超声(POCUS)在患有先天性和获得性心脏病的危重儿童中的不同应用。综述了POCUS的诊断价值和实用性。重要的是，POCUS在心脏重症监护病房儿童医疗管理中的作用得到了强调。最近发现:在危重儿科患者中使用POCUS已成为一种重要的诊断工具，可以增强体格检查并影响护理的提供。广泛的身体系统和病理的评估已经受到使用POCUS的影响。最近的研究表明，POCUS可用于评估危重儿童的心包填塞、肺炎、声带功能和肌肉质量损失(Hamilton等)。儿科危重医学杂志22(10):e532-e539, 2021;Hoffmann等人。儿科危重护理杂志22(10):889-897,2021;Najgrodzka等人。中国超声杂志35(2):157 163,2019;Alerhand等人。中华儿科杂志，2016,35(10):424- 431。摘要:POCUS是一种无创、低风险的成像方式，可用于诊断和指导心脏重症监护病房危重儿童的管理。POCUS可以由重症医师在患者床边进行实时解读，从而快速做出临床决策，并有望改善患者的预后。补充资料:在线版本提供补充资料，网址为10.1007/s40746-022-00250-1。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Current Treatment Options in Pediatrics Medicine-Pediatrics, Perinatology and Child Health

CiteScore

0.60

自引率

0.00%

发文量

期刊介绍： Current Treatment Options in Pediatrics aims to review the most important, recently published research on treatment in the field of pediatrics. By providing clear, insightful, balanced contributions by international experts, the journal intends to serve all those involved in the care of children of all ages.We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas covering all the major medical and surgical disciplines in pediatrics. Section Editors, in turn, select topics for which leading experts contribute comprehensive treatment-focused review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also occasionally provided.