Journals / Turkish Journal of Pediatrics / 2020 / Cilt: 62 - Sayı: 5

Point-of-care ultrasound use in pediatric intensive care units in Turkey

Pages
770–777
Publication Date
2022-11-06
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In our view point-of-care ultrasound is the new stethoscope of critical care physicians.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Point-of-care ultrasound is commonly used in pediatric intensive care units in recent years.
📊
Key Findings & Data:We asked 45 questions about point-of-care ultrasound using fields and training status of clinicians in pediatric intensive care units.
💡
Conclusion & Impact:In our view point-of-care ultrasound is the new stethoscope of critical care physicians.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Background. Point-of-care ultrasound is commonly used in pediatric intensive care units in recent years. The aim of this study was to find an answer to the question “where are we now in Turkish pediatric intensive care units for point-of-care ultrasound use?”. Methods. This was a multicenter, descriptive study in which we developed an online survey. We asked 45 questions about point-of-care ultrasound using fields and training status of clinicians in pediatric intensive care units. Results. A total of 29 units responded to the questions completely. Of all included units 41.4% were in public hospitals, 6.9% in city hospitals (public-private partnership) and 51.7% in university hospitals. The most common use of point-of-care ultrasound was central venous catheter insertion. Lung ultrasound use rates for detection of pleural effusion, evaluation of pneumothorax, and diagnosis of pneumonia were 93.1%, 86.2%, and 34.5%, respectively. Critical care echocardiography use rate was 79.3%. In 89.7% of the units, intensive care specialists had been specifically trained for the use of point-of-care ultrasound. Conclusions. Our study showed that point-of-care ultrasound was not only used for central venous catheterization but also for widespread fields in pediatric intensive care units. With an experienced team, it is possible to perform rapid, noninvasive and repeatable ultrasonographic assessment of patients. In our view point-of-care ultrasound is the new stethoscope of critical care physicians.

🔖

Cite This Article

EKİNCİ, F., ASLAN, N., HOROZ, O. O., YILDIZDAS, D. (2022). Point-of-care ultrasound use in pediatric intensive care units in Turkey. Turkish Journal of Pediatrics, Cilt: 62 - Sayı: 5, 770–777. https://ajindex.com/articles/613073

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Volpicelli G, Elbarbary M, Blaivas M, et al
  2. International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 2012
  3. Moore CL, Copel JA. Point-of-care ultrasonography. N Engl J Med 2011
  4. O’Brien AJ, Brady RM. Point-of-care ultrasound in paediatric emergency medicine. J Paediatr Child Health 2016
  5. Chamberlain MC, Reid SR, Madhok M. Utilization of emergency ultrasound in pediatric emergency departments. Pediatr Emerg Care 2011
  6. Lee EP, Hsia SH, Lin JJ, et al. Hemodynamic analysis of pediatric septic shock and cardiogenic shock using transpulmonary thermodilution. Biomed Res Int 2017
  7. 3613475. 6.Conlon TW, Himebauch AS, Fitzgerald JC, et al. Implementation of a pediatric critical care focused bedside ultrasound training program in a large academic PICU. Pediatr Crit Care Med 2015
  8. Kanji HD, McCallum J, Sirounis D, MacRedmond R, Moss R, Boyd JH. Limited echocardiography-guided therapy in subacute shock is associated with change in management and improved outcomes. J Crit Care 2014
  9. Longjohn M, Wan J, Joshi V, Pershad J. Point-of-care echocardiography by pediatric emergency physicians. Pediatr Emerg Care 2011
  10. Xirouchaki N, Magkanas E, Vaporidi K, et al. Lung ultrasound in critically ill patients: comparison with bedside chest radiography. Intensive Care Med 2011
  11. Dubourg J, Javouhey E, Geeraerts T, Messerer M, Kassai B. Ultrasonography of optic nerve sheath diameter for detection of raised intracranial pressure: a systematic review and meta-analysis. Intensive Care Med 2011
  12. Dickman E, Tessaro MO, Arroyo AC, Haines LE, Marshall JP. Clinician-performed abdominal sonography. Eur J Trauma Emerg Surg 2015
  13. Lamperti M, Bodenham AR, Pittiruti M, et al. International evidence-based recommendations on ultrasound-guided vascular access. Intensive Care Med 2012
  14. Jauregui J, Nelson D, Choo E, et al. The BUDDY (Bedside Ultrasound to Detect Dehydratation in Youth) study. Crit Ultrasound J 2014
  15. Bilgili B, Haliloglu M, Tugtepe H, Umuroglu T. The assessment of intravascular volume with inferior vena cava and internal jugular vein distensibility indexes in children undergoing urologic surgery. J Invest Surg 2018: 31: 523-528