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pediatric point-of-care echocardiography

Cécile Tissot, Vincent Muehlethaler, Nicole Sekarski
Functional echocardiography has become an invaluable tool in the pediatric and neonatal intensive care unit. "Point-of-care," "target," or "focus" echocardiography allows bedside cardiac ultrasound evaluation of the hemodynamic status of the patient, helps in directing treatment, thus improves patients care. In order to be able to perform functional echocardiography, it is essential to understand the principles of ultrasound, to know the echocardiographic equipment and settings necessary to acquire the images...
2017: Frontiers in Pediatrics
Yahya Acar, Onur Tezel, Necati Salman, Erdem Cevik, Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-Bordomás, Mustafa Z Mahmoud, Abdelmoneim Sulieman, Abbas Ali, Alrayah Mustafa, Ihab Abdelrahman, Mustafa Bahar, Osama Ali, H Lester Kirchner, Gregor Prosen, Ajda Anzic, Paul Leeson, Maryam Bahreini, Fatemeh Rasooli, Houman Hosseinnejad, Gabriel Blecher, Robert Meek, Diana Egerton-Warburton, Edina Ćatić Ćuti, Stanko Belina, Tihomir Vančina, Idriz Kovačević, Nadan Rustemović, Ikwan Chang, Jin Hee Lee, Young Ho Kwak, Do Kyun Kim, Chi-Yung Cheng, Hsiu-Yung Pan, Chia-Te Kung, Ela Ćurčić, Ena Pritišanac, Ivo Planinc, Marijana Grgić Medić, Radovan Radonić, Abiola Fasina, Anthony J Dean, Nova L Panebianco, Patricia S Henwood, Oliviero Fochi, Moreno Favarato, Ezio Bonanomi, Ivan Tomić, Youngrock Ha, Hongchuen Toh, Elizabeth Harmon, Wilma Chan, Cameron Baston, Gail Morrison, Frances Shofer, Angela Hua, Sharon Kim, James Tsung, Isa Gunaydin, Zeynep Kekec, Mehmet Oguzhan Ay, Jinjoo Kim, Jinhyun Kim, Gyoosung Choi, Dowon Shim, Ji-Han Lee, Jana Ambrozic, Katja Prokselj, Miha Lucovnik, Gabrijela Brzan Simenc, Asta Mačiulienė, Almantas Maleckas, Algimantas Kriščiukaitis, Vytautas Mačiulis, Andrius Macas, Sharad Mohite, Zoltan Narancsik, Hugon Možina, Sara Nikolić, Jan Hansel, Rok Petrovčič, Una Mršić, Simon Orlob, Markus Lerchbaumer, Niklas Schönegger, Reinhard Kaufmann, Chun-I Pan, Chien-Hung Wu, Sarah Pasquale, Stephanie J Doniger, Sharon Yellin, Gerardo Chiricolo, Maja Potisek, Borut Drnovšek, Boštjan Leskovar, Kristine Robinson, Clara Kraft, Benjamin Moser, Stephen Davis, Shelley Layman, Yusef Sayeed, Joseph Minardi, Irmina Sefic Pasic, Amra Dzananovic, Anes Pasic, Sandra Vegar Zubovic, Ana Godan Hauptman, Ana Vujaklija Brajkovic, Jaksa Babel, Marina Peklic, Vedran Radonic, Luka Bielen, Peh Wee Ming, Nur Hafiza Yezid, Fatahul Laham Mohammed, Zainal Abidin Huda, Wan Nasarudin Wan Ismail, W Yus Haniff W Isa, Hashairi Fauzi, Praveena Seeva, Mohd Zulfakar Mazlan
A1 Point-of-care ultrasound examination of cervical spine in emergency departmentYahya Acar, Onur Tezel, Necati SalmanA2 A new technique in verifying the placement of a nasogastric tube: obtaining the longitudinal view of nasogastric tube in addition to transverse view with ultrasoundYahya Acar, Necati Salman, Onur Tezel, Erdem CevikA3 Pseudoaneurysm of the femoral artery after cannulation of a central venous line. Should we always use ultrasound in these procedures?Margarita Algaba-Montes, Alberto Oviedo-García, Mayra Patricio-BordomásA4 Ultrasound-guided supraclavicular subclavian vein catheterization...
September 2016: Critical Ultrasound Journal
Jiunn-Ren Wu, I-Chen Chen, Zen-Kong Dai, Jui-Feng Hung, Jong-Hau Hsu
BACKGROUND: To determine the B-type natriuretic peptide (BNP) level in pediatric septic patients, and to investigate its association with cardiovascular dysfunction and clinical outcome. METHODS: Pediatric patients with sepsis or septic shock were prospectively enrolled in our pediatric intensive care unit (PICU). On day 1 of admission, plasma BNP levels were measured at the time-point of echocardiography. Myocardial dysfunction was defined as left ventricular fractional shortening (FS) < 30%...
November 2015: Acta Cardiologica Sinica
Martin Schweiger, Barnard Krüger, Anna Cavigelli-Brunner, Hitendu Dave, Martin Schmiady, Michael Hübler
PURPOSE: The pediatric population has benefited greatly by the evolution of ventricular assist devices (VADs) leading to miniaturization. Device design like the HeartWare® VAD allows for implantation in smaller patients or even as an implantable biventricular assist device. CASE REPORT: A ten-year-old female patient (body surface area: 1.02 m2, 27 kg) waiting for 7 months for heart transplantation was admitted to the intensive care unit due to terminal heart failure...
January 2016: International Journal of Artificial Organs
Thomas Weber, Thomas Wagner, Konrad Neumann, Engelbert Deusch
OBJECTIVE: To predict fluid responsiveness by noninvasive methods in a pediatric critical care population. DESIGN: Prospective observational clinical trial. SETTING: PICU in a tertiary care academic hospital. PATIENTS: Thirty-one pediatric patients aged from 1 day to 13 years under mechanical ventilation and on catecholamine support. INTERVENTIONS: We tested three noninvasive methods to predict fluid responsiveness: an esophageal Doppler system (CardioQ), a pulse contour analysis algorithm system (LiDCOrapid), and respiratory variations in vena cava inferior diameter...
March 2015: Pediatric Critical Care Medicine
Bradley C Presley, Daniel B Park, Sarah E Sterner, Celia Cheung, Stephanie Bailey, Geoffrey E Hayden
Although pulmonary embolism in children is rare, it is important for the pediatric emergency medicine provider to be aware of its presentation and emergent management. We present a case of bilateral pulmonary embolisms in an adolescent patient to illustrate the benefits from the timely diagnosis of right ventricular dysfunction by point-of-care echocardiography performed by emergency medicine physicians. Ultrasonographic techniques and the emergent management of pulmonary embolism are reviewed.
November 2014: Pediatric Emergency Care
Gabriele Via, Arif Hussain, Mike Wells, Robert Reardon, Mahmoud ElBarbary, Vicki E Noble, James W Tsung, Aleksandar N Neskovic, Susanna Price, Achikam Oren-Grinberg, Andrew Liteplo, Ricardo Cordioli, Nitha Naqvi, Philippe Rola, Jan Poelaert, Tatjana Golob Guliĉ, Erik Sloth, Arthur Labovitz, Bruce Kimura, Raoul Breitkreutz, Navroz Masani, Justin Bowra, Daniel Talmor, Fabio Guarracino, Adrian Goudie, Wang Xiaoting, Rajesh Chawla, Maurizio Galderisi, Micheal Blaivas, Tomislav Petrovic, Enrico Storti, Luca Neri, Lawrence Melniker
BACKGROUND: Focused cardiac ultrasound (FoCUS) is a simplified, clinician-performed application of echocardiography that is rapidly expanding in use, especially in emergency and critical care medicine. Performed by appropriately trained clinicians, typically not cardiologists, FoCUS ascertains the essential information needed in critical scenarios for time-sensitive clinical decision making. A need exists for quality evidence-based review and clinical recommendations on its use. METHODS: The World Interactive Network Focused on Critical UltraSound conducted an international, multispecialty, evidence-based, methodologically rigorous consensus process on FoCUS...
July 2014: Journal of the American Society of Echocardiography
C C Roehr, A B Te Pas, Simone K Dold, M Breindahl, M Blennow, M Rüdiger, Samir Gupta
UNLABELLED: Point-of-care functional neonatal echocardiography (fnECHO) is increasingly used to assess haemodynamic status or patency of the ductus arteriosus (PDA). In Australasia, 90 % of neonatal intensive care units (NICUs) practice point-of-care fnECHO. The Australian Society of Ultrasound Medicine offers a training certificate for fnECHO. In Europe, the use and indications of fnECHO and the extent of point-of-care fnECHO training and accreditation are unknown. We aimed to assess utilisation and training of fnECHO in Europe...
July 2013: European Journal of Pediatrics
M Gergely, L Ablonczy, S Kramer, E A Székely, E Sápi, J Gál, A Szatmári, A Székely
BACKGROUND: Transpulmonary thermodilution (TPTD) is an increasingly popular method used to monitor the complex hemodynamic changes in critically ill children. The purpose of our study was to examine the relationship between transthoracic echocardiographic (TTE) parameters and global hemodynamic variables derived from TPTD and those derived from conventional measurements in infants and neonates undergoing corrective cardiac surgery. METHODS: After approval from the Ethics Committee of Gottsegen György Hungarian Institute of Cardiology and individual parental consent were obtained, patients were prospectively enrolled...
October 2012: Minerva Anestesiologica
M Gergely, L Ablonczy, S Kramer, E A Székely, E Sápi, J Gál, A Szatmári, A Székely
BACKGROUND:Transpulmonary thermodilution (TPTD) is an increasingly popular method used to monitor the complex hemodynamic changes in critically ill children.The purpose of our study was to examine the relationship between transthoracic echocardiographic (TTE) parameters and global hemodynamic variables derived from TPTD and those derived from conventional measurements in infants and neonates undergoing corrective cardiac surgery. METHODS AND MATERIALS: After approval from the Ethics Committee of Gottsegen György Hungarian Institute of Cardiology and individual parental consent were obtained, patients were prospectively enrolled...
June 20, 2012: Minerva Anestesiologica
Adam Sivitz, Arun Nagdev
Heart failure as a result of cardiomyopathy is an uncommon presentation in the pediatric emergency department (PED). The initial presenting symptoms in these cases are often nonspecific and may be confused with more common pediatric illnesses. We report a case of a 3-year-old girl initially discharged from a PED after routine evaluation of vomiting and diarrhea with a diagnosis of acute gastroenteritis only to return 1 week later in heart failure from a dilated cardiomyopathy. A bedside ultrasound performed by the emergency physician in the PED allowed for the initiation of appropriate, rapid, goal-directed therapy and expedited timely transport to a facility with pediatric cardiothoracic surgery...
February 2012: Pediatric Emergency Care
Mindy Longjohn, Jim Wan, Vijay Joshi, Jay Pershad
OBJECTIVE: Currently, pediatric emergency medicine (PEM) physicians have limited data on point-of-care echocardiography (POCE). Our goals were to (1) determine the overall accuracy of POCE by PEMs in assessing left ventricular (LV) systolic function visually, presence or absence of pericardial effusion, and cardiac preload by estimating inferior vena cava (IVC) collapsibility, in acutely ill children in the pediatric emergency department; and (2) assess interobserver agreement between the PEM physician and pediatric cardiologist...
August 2011: Pediatric Emergency Care
B M E Adriaanse, C H N Tromp, J M Simpson, T Van Mieghem, W J Kist, D J Kuik, D Oepkes, J M G Van Vugt, M C Haak
OBJECTIVE: To evaluate the clinical accuracy of four-dimensional (4D) echocardiography in the detailed prenatal diagnosis of congenital heart disease (CHD) in a telemedicine setting. METHODS: Ten second-trimester spatiotemporal image correlation (STIC) volumes were sent to three observers in different tertiary care centers with expertise in 4D echocardiography. The 10 volumes were selected based on the type of diagnosis to cover a wide spectrum of CHD anomalies, and also included one normal fetal heart...
February 2012: Ultrasound in Obstetrics & Gynecology
Sharon L Cushing, Robert J Boucek, Scott C Manning, Robert Sidbury, Jonathan A Perkins
OBJECTIVES: To outline a safe, standardized protocol for outpatient initiation of propranolol therapy for infantile hemangiomas. STUDY DESIGN: Retrospective review. SETTING: Academic tertiary care pediatric hospital. SUBJECTS AND METHODS: Forty-nine infantile hemangioma patients were offered propranolol therapy and included in the study. Any patients requiring hospital admission were excluded. Screening consisted of cardiology evaluation, including electrocardiography and, when indicated, echocardiography...
January 2011: Otolaryngology—Head and Neck Surgery
Alfred B Cheng, Deborah A Levine, James W Tsung, Colin K L Phoon
No abstract text is available yet for this article.
February 2012: American Journal of Emergency Medicine
Robert Dalla Pozza, Markus Loeff, Rainer Kozlik-Feldmann, Heinrich Netz
BACKGROUND: The aims of this study were to determine the usefulness of hand-carried ultrasound devices in pediatric cardiology and to compare the performance of three different hand-carried ultrasound devices in a pediatric cardiology outpatient clinic and intensive care unit. METHODS: One hundred ten patients (49 male; mean age, 6.4 ± 5.2 years; range 0.1-38 years) with congenital heart defects or innocent heart murmurs were examined using Siemens Acuson P10, Siemens Acuson P50, and Philips CX 50 systems...
December 2010: Journal of the American Society of Echocardiography
Sarah Murphy, Christine Cserti-Gazdewich, Aggrey Dhabangi, Charles Musoke, Nicolette Nabukeera-Barungi, Daniel Price, Mary Etta King, Javier Romero, Natan Noviski, Walter Dzik
OBJECTIVE: To investigate whether hand-carried ultrasound technology may be valuable in the assessment of children with acute malaria. Every year, approximately 800,000 children under the age of 5 yrs die of complications of Plasmodium falciparum malaria infection. The advent of hand-carried ultrasound technology has made diagnostic ultrasonography possible in underresourced settings. DESIGN: We performed a pilot observational study collecting clinical data and performing ultrasound examinations on children diagnosed with P...
March 2011: Pediatric Critical Care Medicine
Andrew Savage, Anthony Hlavacek, Jeremy Ringewald, Girish Shirali
BACKGROUND: Parameters derived from Doppler echocardiography, such as the myocardial performance index (MPI) and the ratio of peak velocity of early diastolic prograde flow (E) across the atrioventricular valve (AVV) divided by the peak velocity of early diastolic tissue motion at the AVV annulus (E') (E:E' ratio), are routinely used to assess ventricular function. However, they have not been compared with measurements obtained by cardiac catheterization (CC) in children. METHODS: We prospectively studied post-cardiac transplant children undergoing CC with near-simultaneous echocardiographic imaging for MPI and E:E'...
August 2010: Journal of Heart and Lung Transplantation
M Di Nardo, G M De Matteis, C Cecchetti, E Pasotti, C Tomasello, M Marano, D Perrotta, F Stoppa, N Pirozzi
Although significant steps have been taken to monitor complex hemodynamics in neonatal and pediatric intensive care units, cardiovascular function in neonates is still evaluated by measuring blood pressure, heart rate, diuresis, central venous pressure (if a central venous catheter was placed), capillary refill time and oxygen saturation measurement in the upper and lower extremities. The use of other non-invasive or invasive technologies (for example, continuous impedance cardiography, transesophageal Doppler and continuous pulse contour methods) is, in fact, quite problematic in neonates in whom relevant hemodynamic changes are common during the transition to postnatal life...
March 2010: Minerva Anestesiologica
Judith P Lazol, Steven E Lichtenstein, Edmund H Jooste, Dana Shiderly, Nivedit A Kudchadker, Gregory H Tatum, Richard A Orr, Peter D Wearden, Victor O Morell, Ricardo A Munoz, Constantinos Chrysostomou
OBJECTIVE: To characterize the effects of dexmedetomidine on the pulmonary artery pressure in patients after congenital cardiac surgery. DESIGN: Prospective observational pilot study. SETTING: Pediatric cardiac intensive care unit at a university hospital. PATIENTS: Twenty-two patients who received dexmedetomidine after cardiothoracic surgery. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: An echocardiogram was performed at three time points: 1) baseline (T0); 2) 6 mins after dexmedetomidine loading (T1); and 3) 1 hr after initiation of dexmedetomidine infusion (T2)...
September 2010: Pediatric Critical Care Medicine
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