Persson Jessica N, Kim John S, Good Ryan J
Division of Cardiology, Department of Pediatrics, University of Colorado School of Medicine, Children's Hospital Colorado, 13123 East 16th, Avenue, Box 100, Aurora, CO 80045 USA.
Division of Critical Care Medicine, Department of Pediatrics, University of Colorado School of Medicine, Children's Hospital Colorado, 13123 East 16th, Avenue, Box 100, Aurora, CO 80045 USA.
Curr Treat Options Pediatr. 2022;8(3):151-173. doi: 10.1007/s40746-022-00250-1. Epub 2022 Jul 8.
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.
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).
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.
The online version contains supplementary material available at 10.1007/s40746-022-00250-1.
本综述总结了床旁超声（POCUS）在患有先天性和后天性心脏病的危重症儿童中的多种应用。对POCUS的诊断效用和实用性进行了综述。重要的是，强调了POCUS在心脏重症监护病房儿童医疗管理中的作用。
POCUS在危重症儿科患者中的应用已成为一种重要的诊断工具，可增强体格检查并影响护理的提供。POCUS的使用对广泛的身体系统和病理状况的评估产生了影响。最近的研究表明，POCUS可用于评估危重症儿童的心包填塞、肺炎、声带功能和肌肉量减少（Hamilton等人，《儿科危重症医学》22(10):e532 - e539，2021；Hoffmann等人，《儿科危重症医学》22(10):889 - 897，2021；Najgrodzka等人，《超声季刊》35(2):157 - 163，2019；Alerhand等人，《儿科年鉴》50(10):e424 - e431，2021）。
POCUS是一种非侵入性、低风险的成像方式，可用于诊断并帮助指导心脏重症监护病房中危重症儿童的管理。POCUS可由重症监护医生在患者床边进行，并实时解读，从而实现快速临床决策，有望改善患者预后。
在线版本包含可在10.1007/s40746 - 022 - 00250 - 1获取的补充材料。
