Cardiac Point-of-Care Ultrasound in Pediatric Neurocritical Care: A Case Series.
Cardiac dysfunction
Neurological injury
POCUS
Pediatrics
Point-of-care ultrasound
Journal
Pediatric neurology
ISSN: 1873-5150
Titre abrégé: Pediatr Neurol
Pays: United States
ID NLM: 8508183
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
15
10
2022
revised:
08
03
2023
accepted:
29
03
2023
medline:
16
6
2023
pubmed:
7
5
2023
entrez:
6
5
2023
Statut:
ppublish
Résumé
Pediatric brain injury is accompanied by hemodynamic perturbations complicating the optimization of cerebral physiology. Point-of-care ultrasound (POCUS) uses dynamic real-time imaging to complement the physical examination and identify hemodynamic abnormalities in preload, contractility, and afterload conditions, but the contribution of cardiac POCUS in the context of pediatric brain injury is unclear. We reviewed cardiac POCUS images integrated in clinical care to examine those with neurological injury and hemodynamic abnormalities. We discuss three children with acute brain injury and myocardial dysfunction identified using cardiac POCUS by bedside clinicians. Cardiac POCUS may have an important role in caring for children with neurologic injury. These patients received personalized care informed by POCUS data in attempts to stabilize hemodynamics and optimize clinical outcomes.
Sections du résumé
BACKGROUND
Pediatric brain injury is accompanied by hemodynamic perturbations complicating the optimization of cerebral physiology. Point-of-care ultrasound (POCUS) uses dynamic real-time imaging to complement the physical examination and identify hemodynamic abnormalities in preload, contractility, and afterload conditions, but the contribution of cardiac POCUS in the context of pediatric brain injury is unclear.
METHODS
We reviewed cardiac POCUS images integrated in clinical care to examine those with neurological injury and hemodynamic abnormalities.
RESULTS
We discuss three children with acute brain injury and myocardial dysfunction identified using cardiac POCUS by bedside clinicians.
CONCLUSIONS
Cardiac POCUS may have an important role in caring for children with neurologic injury. These patients received personalized care informed by POCUS data in attempts to stabilize hemodynamics and optimize clinical outcomes.
Identifiants
pubmed: 37148604
pii: S0887-8994(23)00097-8
doi: 10.1016/j.pediatrneurol.2023.03.017
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
56-59Informations de copyright
Copyright © 2023 Elsevier Inc. All rights reserved.