Point-of-care critical care ultrasound plays an increasingly important role in the management of critically ill neonates. Nevertheless, it has not received sufficient attention or been widely implemented in China. To promote the adoption and development of this technology in neonatal care in China, to keep pace with the ongoing integration of ultrasound into clinical practice, and to better meet the demands of contemporary neonatal critical care, this commentary elucidates the necessity of routine use of critical care ultrasound in neonatal intensive care units.