Point-of-care abdominal ultrasound in pediatric and neonatal intensive care units.

Abdominal POCUS Neonatal intensive care Pediatric intensive care Point-of-care ultrasound

Journal

European journal of pediatrics

ISSN: 1432-1076

Titre abrégé: Eur J Pediatr

Pays: Germany

ID NLM: 7603873

Informations de publication

Date de publication:
08 Mar 2024

Historique:

received: 30 11 2023

accepted: 18 01 2024

revised: 15 01 2024

medline: 9 3 2024

pubmed: 9 3 2024

entrez: 8 3 2024

Statut: aheadofprint

Résumé

A spectrum of critical abdominal pathological conditions that might occur in neonates and children warrants real-time point-of-care abdominal ultrasound (abdominal POCUS) assessment. Abdominal radiographs have limited value with low sensitivity and specificity in many cases and have no value in assessing abdominal organ perfusion and microcirculation (Rehan et al. in Clin Pediatr (Phila) 38(11):637-643, 1999). The advantages of abdominal POCUS include that it is non-invasive, easily available, can provide information in real-time, and can guide therapeutic intervention (such as paracentesis and urinary bladder catheterization), making it a crucial tool for use in pediatric and neonatal abdominal emergencies (Martínez Biarge et al. in J Perinat Med 32(2):190-194, 2004) and (Alexander et al. in Arch Dis Child Fetal Neonatal Ed 106(1):F96-103, 2021). Conclusion: Abdominal POCUS is a dynamic assessment with many ultrasound markers of gut injury by two dimensions (2-D) and color Doppler (CD) compared to the abdominal X-ray; the current evidence supports the superiority of abdominal POCUS over an abdominal X-ray in emergency situations. However, it should still be considered an adjunct rather than replacing abdominal X-rays due to its limitations and operator constraints (Alexander et al. in Arch Dis Child Fetal Neonatal Ed 106(1):F96-103, 2021). What is Known: • Ultrasound is an important modality for the assessment of abdominal pathologies. What is New: • The evidence supports the superiority of abdominal POCUS over an abdominal X-ray in emergency abdominal situations in the neonatal and pediatric intensive care units.

Identifiants

DOI: 10.1007/s00431-024-05443-4 PMID: 38459132

pubmed: 38459132

doi: 10.1007/s00431-024-05443-4

pii: 10.1007/s00431-024-05443-4

doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

Informations de copyright

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