Lu Jimmy C, Riley Alan, Conlon Thomas, Levine Jami C, Kwan Charisse, Miller-Hance Wanda C, Soni-Patel Neha, Slesnick Timothy
University of Michigan Congenital Heart Center, Ann Arbor, Michigan.
Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
J Am Soc Echocardiogr. 2023 Mar;36(3):265-277. doi: 10.1016/j.echo.2022.11.010. Epub 2023 Jan 23.
Cardiac point-of-care ultrasound has the potential to improve patient care, but its application to children requires consideration of anatomic and physiologic differences from adult populations, and corresponding technical aspects of performance. This document is the product of an American Society of Echocardiography task force composed of representatives from pediatric cardiology, pediatric critical care medicine, pediatric emergency medicine, pediatric anesthesiology, and others, assembled to provide expert guidance. This diverse group aimed to identify common considerations across disciplines to guide evolution of indications, and to identify common requirements and infrastructure necessary for optimal performance, training, and quality assurance in the practice of cardiac point-of-care ultrasound in children. The recommendations presented are intended to facilitate collaboration among subspecialties and with pediatric echocardiography laboratories by identifying key considerations regarding (1) indications, (2) imaging recommendations, (3) training and competency assessment, and (4) quality assurance.
床旁心脏超声检查有改善患者护理的潜力,但其在儿童中的应用需要考虑与成人人群在解剖学和生理学上的差异,以及相应的技术操作方面。本文档是美国超声心动图学会一个特别工作组的成果,该工作组由儿科心脏病学、儿科重症医学、儿科急诊医学、儿科麻醉学等领域的代表组成,旨在提供专家指导。这个多元化的团队旨在确定各学科的共同考量因素,以指导适应症的发展,并确定在儿童床旁心脏超声检查实践中实现最佳性能、培训和质量保证所需的共同要求和基础设施。所提出的建议旨在通过确定关于(1)适应症、(2)成像建议、(3)培训和能力评估以及(4)质量保证的关键考量因素,促进各亚专业之间以及与儿科超声心动图实验室之间的合作。