Division of Newborn Medicine, Icahn School of Medicine at Mount Sinai, 1184 5th Avenue, New York, NY 10029, USA.
Clin Perinatol. 2020 Sep;47(3):499-513. doi: 10.1016/j.clp.2020.05.004. Epub 2020 May 20.
Cardiac ultrasound is increasingly used to guide hemodynamic decision making in the neonatal intensive care unit (NICU). This article focuses on likely future progress in training, accreditation, digital connectivity, miniaturization, and modality development. Many documents have been published internationally to guide cardiac ultrasound training, accreditation, and implementation in the NICU, but challenges remain in providing assessments of hemodynamic status without risking missed structural diagnoses. Advances in simulation training and digital connectivity provide an opportunity to standardize approaches across institutions and continents. Development of machine learning and ultrasound modalities in turn provide huge scope for improving robustness and completeness of assessment.
心脏超声在新生儿重症监护病房（NICU）中越来越多地用于指导血流动力学决策。本文重点介绍培训、认证、数字连接、小型化和模式发展方面的未来可能进展。已经发表了许多国际文件来指导心脏超声在 NICU 中的培训、认证和实施，但在不影响结构诊断的情况下提供血流动力学状态评估仍然存在挑战。模拟培训和数字连接的进步为跨机构和大陆标准化方法提供了机会。机器学习和超声模式的发展反过来也为提高评估的稳健性和完整性提供了巨大的空间。
