Fraga María V, Bhombal Shazia, Juliano Courtney, Kim Minso, Groves Alan M, Chan Belinda, Singh Yogen
Department of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Pediatrics, Children's Healthcare of Atlanta/Emory University, Atlanta, GA, USA.
J Perinatol. 2025 Aug 1. doi: 10.1038/s41372-025-02367-1.
Point-of-care ultrasound (POCUS) has become essential for diagnosing and managing critically ill newborns. This technology offers rapid, non-invasive assessments and supports bedside clinical decision-making. Although POCUS applications in neonatology continue to expand, there remains a lack of standardized training, certification, and credentialing processes. This paper provides expert-based perspectives and guidelines for implementing neonatal POCUS, focusing on the core components of competency, credentialing, and quality assurance (QA). Recommendations include performing a minimum number of scans for various neonatal applications, integrating competency assessments into training programs, and ensuring a robust image repository and reporting pathway. Neonatal POCUS improves patient care, and establishing clear standards and frameworks will enhance provider performance, and ensure patient safety in neonatal intensive care units (NICUs).
床旁超声（POCUS）已成为诊断和管理危重新生儿的重要手段。这项技术提供快速、无创的评估，并支持床边临床决策。尽管POCUS在新生儿科的应用不断扩展，但仍缺乏标准化的培训、认证和资格认定流程。本文提供了基于专家意见的实施新生儿POCUS的观点和指南，重点关注能力、资格认定和质量保证（QA）的核心要素。建议包括针对各种新生儿应用进行最少次数的扫描，将能力评估纳入培训计划，并确保有完善的图像库和报告途径。新生儿POCUS改善了患者护理，建立明确的标准和框架将提高医疗人员的表现，并确保新生儿重症监护病房（NICU）中的患者安全。
