Interpretation of the clinical guideline for point-of-care ultrasonography in the neonatal intensive care unit in the United States

DONG Wen-Hui; DENG Bo-Yin; YUE Guang; Yasser Elsayed; JU Rong; WANG Jian-Hui; SHI Yuan

doi:10.7499/j.issn.1008-8830.2302004

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Chinese Journal of Contemporary Pediatrics ›› 2023, Vol. 25 ›› Issue (7) : 672-677. DOI: 10.7499/j.issn.1008-8830.2302004

GUIDELINE INTERPRETATION

Interpretation of the clinical guideline for point-of-care ultrasonography in the neonatal intensive care unit in the United States

DONG Wen-Hui¹, DENG Bo-Yin¹, YUE Guang^1,2, Yasser Elsayed³, JU Rong², WANG Jian-Hui¹, SHI Yuan¹

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Abstract

In December 2022, the American Academy of Pediatrics released a clinical guideline for point-of-care ultrasonography (POCUS) in the neonatal intensive care unit (NICU). The guideline outlined the development and current status of POCUS in the NICU, and summarized the key elements and implementation guidelines for successful implementation of POCUS in the NICU. This article provides an overview of the key points of the clinical guideline and analyzes the current status of POCUS in China, providing a reference for the implementation of POCUS in neonatal care in China.

Key words

Point-of-care ultrasonography / Clinical guideline / Interpretation / Neonate

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DONG Wen-Hui, DENG Bo-Yin, YUE Guang, Yasser Elsayed, JU Rong, WANG Jian-Hui, SHI Yuan. Interpretation of the clinical guideline for point-of-care ultrasonography in the neonatal intensive care unit in the United States[J]. Chinese Journal of Contemporary Pediatrics. 2023, 25(7): 672-677 https://doi.org/10.7499/j.issn.1008-8830.2302004

References

1 Moore CL, Copel JA. Point-of-care ultrasonography[J]. N Engl J Med, 2011, 364(8): 749-757. PMID: 21345104. DOI: 10.1056/NEJMra0909487.
2 Burdjalov V, Srinivasan P, Baumgart S, et al. Handheld, portable ultrasound in the neonatal intensive care nursery: a new, inexpensive tool for the rapid diagnosis of common neonatal problems[J]. J Perinatol, 2002, 22(6): 478-483. PMID: 12168127. DOI: 10.1038/sj.jp.7210782.
3 Miller LE, Stoller JZ, Fraga MV. Point-of-care ultrasound in the neonatal ICU[J]. Curr Opin Pediatr, 2020, 32(2): 216-227. PMID: 31851056. DOI: 10.1097/MOP.0000000000000863.
4 Stewart DL, Elsayed Y, Fraga MV, et al. Use of point-of-care ultrasonography in the NICU for diagnostic and procedural purposes[J]. Pediatrics, 2022, 150(6): e2022060052. DOI: 10.1542/peds.2022-060052.
5 Ben Fadel N, Pulgar L, Khurshid F. Point of care ultrasound (POCUS) in Canadian neonatal intensive care units (NICUs): where are we?[J]. J Ultrasound, 2019, 22(2): 201-206. PMID: 31073871. PMCID: PMC6531515. DOI: 10.1007/s40477-019-00383-4.
6 Zieleskiewicz L, Lopez A, Hraiech S, et al. Bedside POCUS during ward emergencies is associated with improved diagnosis and outcome: an observational, prospective, controlled study[J]. Crit Care, 2021, 25(1): 34. PMID: 33482873. PMCID: PMC7825196. DOI: 10.1186/s13054-021-03466-z.
7 Huang SJ, McLean AS. Do we need a critical care ultrasound certification program? Implications from an Australian medical-legal perspective[J]. Crit Care, 2010, 14(3): 313. PMID: 20550724. PMCID: PMC2911686. DOI: 10.1186/cc8968.
8 Singh Y, Tissot C, Fraga MV, et al. International evidence-based guidelines on point of care ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)[J]. Crit Care, 2020, 24(1): 65. PMID: 32093763. PMCID: PMC7041196. DOI: 10.1186/s13054-020-2787-9.
9 Mateer JR, Jehle D. Ultrasonography in emergency medicine[J]. Acad Emerg Med, 1994, 1(2): 149-152. PMID: 7621172. DOI: 10.1111/j.1553-2712.1994.tb02746.x.
10 Ultrasound guidelines: emergency, point-of-care and clinical ultrasound guidelines in medicine[J]. Ann Emerg Med, 2017, 69(5): e27-e54. PMID: 28442101. DOI: 10.1016/j.annemergmed.2016.08.457.
11 Maw AM, Morris MA, Barnard JG, et al. Multi-level stakeholder perspectives on determinants of point of care ultrasound implementation in a US academic medical center[J]. Diagnostics (Basel), 2021, 11(7): 1172. PMID: 34203357. PMCID: PMC8305030. DOI: 10.3390/diagnostics11071172.
12 床旁超声在急危重症临床应用专家共识组. 床旁超声在急危重症临床应用的专家共识[J]. 中华急诊医学杂志, 2016, 25(1): 10-21. DOI: 10.3760/cma.j.issn.1671-0282.2016.01.005.
13 Arichai P, Delaney M, Slamowitz A, et al. Pediatric residency point-of-care ultrasound training needs assessment and educational intervention[J]. Cureus, 2022, 14(9): e28696. PMID: 36204025. PMCID: PMC9527041. DOI: 10.7759/cureus.28696.
14 Strony R, Marin JR, Bailitz J, et al. Systemwide clinical ultrasound program development: an expert consensus model[J]. West J Emerg Med, 2018, 19(4): 649-653. PMID: 30013699. PMCID: PMC6040893. DOI: 10.5811/westjem.2018.4.37152.
15 Vieillard-Baron A, Millington SJ, Sanfilippo F, et al. A decade of progress in critical care echocardiography: a narrative review[J]. Intensive Care Med, 2019, 45(6): 770-788. PMID: 30911808. DOI: 10.1007/s00134-019-05604-2.
16 Price S, Via G, Sloth E, et al. Echocardiography practice, training and accreditation in the intensive care: document for the World Interactive Network Focused on Critical Ultrasound (WINFOCUS)[J]. Cardiovasc Ultrasound, 2008, 6: 49. PMID: 18837986. PMCID: PMC2586628. DOI: 10.1186/1476-7120-6-49.
17 Expert Round Table on Ultrasound in ICU. International expert statement on training standards for critical care ultrasonography[J]. Intensive Care Med, 2011, 37(7): 1077-1083. PMID: 21614639. DOI: 10.1007/s00134-011-2246-9.
18 Mayo PH, Beaulieu Y, Doelken P, et al. American College of Chest Physicians/La Société de Réanimation de Langue Fran?aise statement on competence in critical care ultrasonography[J]. Chest, 2009, 135(4): 1050-1060. PMID: 19188546. DOI: 10.1378/chest.08-2305.
19 Suzuki R, Kanai M, Oya K, et al. A prospective randomized study to compare standard versus intensive training strategies on long-term improvement in critical care ultrasonography proficiency[J]. BMC Med Educ, 2022, 22(1): 732. PMID: 36280812. PMCID: PMC9594969. DOI: 10.1186/s12909-022-03780-2.
20 Love JN, Yarris LM, Ankel FK, et al. Emergency medicine milestones: the next step[J]. Acad Emerg Med, 2015, 22(7): 847-848. PMID: 26112362. DOI: 10.1111/acem.12700.
21 Rong KT, Lee G, Herbst MK. Effectiveness of near-peer versus faculty point-of-care ultrasound instruction to third-year medical students[J]. POCUS J, 2022, 7(2): 239-244. PMID: 36896384. PMCID: PMC9983727. DOI: 10.24908/pocus.v7i2.15746.
22 AIUM practice parameter for the performance of point-of-care ultrasound examinations[J]. J Ultrasound Med, 2019, 38(4): 833-849. PMID: 30895665. DOI: 10.1002/jum.14972.
23 Medicine AIoUi. Training guidelines for physicians and advanced clinical providers performing point-of-care ultrasound examinations[EB/OL].[2023-03-10]. https://www.aium.org/resources/training-guidelines/view/training-guidelines-for-physicians-who-evaluate-and-interpret-diagnostic-ultrasound-examinations.
24 Rozycki GS, Ochsner MG, Jaffin JH, et al. Prospective evaluation of surgeons' use of ultrasound in the evaluation of trauma patients[J]. J Trauma, 1993, 34(4): 516-526. PMID: 8487337. DOI: 10.1097/00005373-199304000-00008.
25 Bloom BA, Gibbons RC. Focused Assessment with Sonography for Trauma[M]. Treasure Island (FL): StatPearls Publishing, 2023.
26 Chaitra S, Hattiholi VV. Diagnostic accuracy of bedside lung ultrasound in emergency protocol for the diagnosis of acute respiratory failure[J]. J Med Ultrasound, 2022, 30(2): 94-100. PMID: 35832369. PMCID: PMC9272727. DOI: 10.4103/JMU.JMU_25_21.
27 Keikha M, Salehi-Marzijarani M, Soldoozi Nejat R, et al. Diagnostic accuracy of rapid ultrasound in shock (RUSH) exam; a systematic review and meta-analysis[J]. Bull Emerg Trauma, 2018, 6(4): 271-278. PMID: 30402514. PMCID: PMC6215077. DOI: 10.29252/beat-060402.
28 Lichtenstein D. Fluid administration limited by lung sonography: the place of lung ultrasound in assessment of acute circulatory failure (the FALLS-protocol)[J]. Expert Rev Respir Med, 2012, 6(2): 155-162. PMID: 22455488. DOI: 10.1586/ers.12.13.
29 不明原因休克急诊超声临床实践专家共识组. 不明原因休克急诊超声临床实践专家共识[J]. 中华急诊医学杂志, 2017, 26(5): 498-506. DOI: 10.3760/cma.j.issn.1671-0282.2017.05.004.
30 Stewart DL, Elsayed Y, Fraga MV, et al. Use of point-of-care ultrasonography in the NICU for diagnostic and procedural purposes[J]. Pediatrics, 2022, 150(6): e2022060053. DOI: 10.1542/peds.2022-060053.
31 Eisen LA, Leung S, Gallagher AE, et al. Barriers to ultrasound training in critical care medicine fellowships: a survey of program directors[J]. Crit Care Med, 2010, 38(10): 1978-1983. PMID: 20657275. DOI: 10.1097/CCM.0b013e3181eeda53.
32 Mirza HS, Logsdon G, Pulickal A, et al. A national survey of neonatologists: barriers and prerequisites to introduce point-of-care ultrasound in neonatal ICUs[J]. Ultrasound Q, 2017, 33(4): 265-271. PMID: 28430713. DOI: 10.1097/RUQ.0000000000000281.
33 ECRI top 10 health technology hazards for 2020[J]. J Radiol Nurs, 2020, 39(1): 6. DOI: 10.1016/s1546-0843(20)30009-2.
34 张秋彬, 徐军, 朱华栋, 等. 2018年国内300家三级医院急诊科即时超声检查现况调查[J]. 中华危重病急救医学, 2019, 31(4): 484-487. PMID: 31109426. DOI: 10.3760/cma.j.issn.2095-4352.2019.04.022.
35 Herbst MK, Camargo CA, Perez A, et al. Use of point-of-care ultrasound in Connecticut emergency departments[J]. J Emerg Med, 2015, 48(2): 191-196.e2. PMID: 25440859. DOI: 10.1016/j.jemermed.2014.09.017.
36 重症超声协作组. 重症超声协作组课程体系[EB/OL]. [2023-06-06]. http://www.ccusg.cn/kctx.
37 封志纯. 新生儿专科医师规范化培训计划[C]//2017全国新生儿学术研讨会论文集. 北京, 2017.
38 Boulger C, Liu RB, De Portu G, et al. A national point-of-care ultrasound competition for medical students[J]. J Ultrasound Med, 2019, 38(1): 253-258. PMID: 29781170. DOI: 10.1002/jum.14670.