Cargando…
Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review
Purpose of this Review: The cardiac point of care ultrasound (POCUS) is among the most impactful examinations in the evaluation of an ill child. This paper will review the English-language literature on cardiac POCUS in the pediatric emergency department (PED), the adult emergency literature with re...
Autor principal: | |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10488602/ https://www.ncbi.nlm.nih.gov/pubmed/37685733 http://dx.doi.org/10.3390/jcm12175666 |
_version_ | 1785103514807042048 |
---|---|
author | Scheier, Eric |
author_facet | Scheier, Eric |
author_sort | Scheier, Eric |
collection | PubMed |
description | Purpose of this Review: The cardiac point of care ultrasound (POCUS) is among the most impactful examinations in the evaluation of an ill child. This paper will review the English-language literature on cardiac POCUS in the pediatric emergency department (PED), the adult emergency literature with relevance to pediatric emergency, and other pediatric cardiac studies outside pediatric emergency with relevance to PED detection of potentially emergent pediatric cardiac pathology. Recent findings: Pediatric emergency physicians can reliably detect decreased left-sided systolic function and pericardial effusion using POCUS. Case reports show that pediatric emergency physicians have detected right-sided outflow tract obstruction, aortic root dilatation, and congenital cardiac disease using POCUS. Training for pediatric cardiac POCUS competency is feasible, and cardiac POCUS does not increase the burden on cardiology resources to the PED. Summary: While cardiac pathology in children is relatively rare, pediatric cardiac POCUS can incorporate a broad curriculum beyond systolic function and the presence of pericardial fluid. Further research should assess pediatric emergency physician performance in the identification of a broader range of cardiac pathology. |
format | Online Article Text |
id | pubmed-10488602 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-104886022023-09-09 Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review Scheier, Eric J Clin Med Review Purpose of this Review: The cardiac point of care ultrasound (POCUS) is among the most impactful examinations in the evaluation of an ill child. This paper will review the English-language literature on cardiac POCUS in the pediatric emergency department (PED), the adult emergency literature with relevance to pediatric emergency, and other pediatric cardiac studies outside pediatric emergency with relevance to PED detection of potentially emergent pediatric cardiac pathology. Recent findings: Pediatric emergency physicians can reliably detect decreased left-sided systolic function and pericardial effusion using POCUS. Case reports show that pediatric emergency physicians have detected right-sided outflow tract obstruction, aortic root dilatation, and congenital cardiac disease using POCUS. Training for pediatric cardiac POCUS competency is feasible, and cardiac POCUS does not increase the burden on cardiology resources to the PED. Summary: While cardiac pathology in children is relatively rare, pediatric cardiac POCUS can incorporate a broad curriculum beyond systolic function and the presence of pericardial fluid. Further research should assess pediatric emergency physician performance in the identification of a broader range of cardiac pathology. MDPI 2023-08-31 /pmc/articles/PMC10488602/ /pubmed/37685733 http://dx.doi.org/10.3390/jcm12175666 Text en © 2023 by the author. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Scheier, Eric Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review |
title | Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review |
title_full | Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review |
title_fullStr | Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review |
title_full_unstemmed | Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review |
title_short | Cardiac POCUS in Pediatric Emergency Medicine: A Narrative Review |
title_sort | cardiac pocus in pediatric emergency medicine: a narrative review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10488602/ https://www.ncbi.nlm.nih.gov/pubmed/37685733 http://dx.doi.org/10.3390/jcm12175666 |
work_keys_str_mv | AT scheiereric cardiacpocusinpediatricemergencymedicineanarrativereview |