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Point of care ultrasonography in the pediatric emergency department

IMPORTANCE: Point-of-care ultrasonography (POCUS) allows to obtain real-time images to correlate with the patient’s presenting signs and symptoms. It can be used by various specialties and may be broadly divided into diagnostic and procedural applications. OBJECTIVE: We aimed at reviewing current kn...

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Autores principales: Le Coz, Julien, Orlandini, Silvia, Titomanlio, Luigi, Rinaldi, Victoria Elisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064059/
https://www.ncbi.nlm.nih.gov/pubmed/30053886
http://dx.doi.org/10.1186/s13052-018-0520-y
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author Le Coz, Julien
Orlandini, Silvia
Titomanlio, Luigi
Rinaldi, Victoria Elisa
author_facet Le Coz, Julien
Orlandini, Silvia
Titomanlio, Luigi
Rinaldi, Victoria Elisa
author_sort Le Coz, Julien
collection PubMed
description IMPORTANCE: Point-of-care ultrasonography (POCUS) allows to obtain real-time images to correlate with the patient’s presenting signs and symptoms. It can be used by various specialties and may be broadly divided into diagnostic and procedural applications. OBJECTIVE: We aimed at reviewing current knowledge on the use of POCUS in Pediatric Emergency Departments (PEDs). FINDINGS: US diagnostic capacity in paediatric patients with suspected pneumonia has been studied and debated whereas literature regarding the usefulness of point-of-care echocardiography in the pediatric setting is still limited. Similarly, Focused Assessment with Sonography for Trauma (FAST) has become a standard procedure in adult emergency medicine but it is still not well codified in the pediatric practice. Concerning procedural applications of POCUS we identified 4 main groups: peripheral vascular access, bladder catheterizations, identification and drainage of abnormal fluid collections and foreign body identification. CONCLUSIONS AND RELEVANCE: Bedside emergency ultrasound is routinely used by adult emergency physicians and in the last 10 years its application is recognized and applied in PED. Pediatric emergency physicians are encouraged to familiarize with POCUS as it is a safe technology and can be extremely helpful in performing diagnosis, managing critical situations and guiding procedures, which results in globally improving pediatric patients care.
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spelling pubmed-60640592018-07-31 Point of care ultrasonography in the pediatric emergency department Le Coz, Julien Orlandini, Silvia Titomanlio, Luigi Rinaldi, Victoria Elisa Ital J Pediatr Review IMPORTANCE: Point-of-care ultrasonography (POCUS) allows to obtain real-time images to correlate with the patient’s presenting signs and symptoms. It can be used by various specialties and may be broadly divided into diagnostic and procedural applications. OBJECTIVE: We aimed at reviewing current knowledge on the use of POCUS in Pediatric Emergency Departments (PEDs). FINDINGS: US diagnostic capacity in paediatric patients with suspected pneumonia has been studied and debated whereas literature regarding the usefulness of point-of-care echocardiography in the pediatric setting is still limited. Similarly, Focused Assessment with Sonography for Trauma (FAST) has become a standard procedure in adult emergency medicine but it is still not well codified in the pediatric practice. Concerning procedural applications of POCUS we identified 4 main groups: peripheral vascular access, bladder catheterizations, identification and drainage of abnormal fluid collections and foreign body identification. CONCLUSIONS AND RELEVANCE: Bedside emergency ultrasound is routinely used by adult emergency physicians and in the last 10 years its application is recognized and applied in PED. Pediatric emergency physicians are encouraged to familiarize with POCUS as it is a safe technology and can be extremely helpful in performing diagnosis, managing critical situations and guiding procedures, which results in globally improving pediatric patients care. BioMed Central 2018-07-27 /pmc/articles/PMC6064059/ /pubmed/30053886 http://dx.doi.org/10.1186/s13052-018-0520-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Review
Le Coz, Julien
Orlandini, Silvia
Titomanlio, Luigi
Rinaldi, Victoria Elisa
Point of care ultrasonography in the pediatric emergency department
title Point of care ultrasonography in the pediatric emergency department
title_full Point of care ultrasonography in the pediatric emergency department
title_fullStr Point of care ultrasonography in the pediatric emergency department
title_full_unstemmed Point of care ultrasonography in the pediatric emergency department
title_short Point of care ultrasonography in the pediatric emergency department
title_sort point of care ultrasonography in the pediatric emergency department
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6064059/
https://www.ncbi.nlm.nih.gov/pubmed/30053886
http://dx.doi.org/10.1186/s13052-018-0520-y
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