Cited by 659Ultrasound in Clinical ApplicationsSepsis Diagnosis and TreatmentHemodynamic Monitoring and Therapy

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)

Open access
Singh, Yogen, Tissot, Cecile, Fraga, María V., Yousef, Nadya, Cortes, Rafael Gonzalez, Lopez, Jorge, Sanchez-de-Toledo, Joan, Brierley, Joe +11 more·2020·Critical Care

Abstract

BACKGROUND: Point-of-care ultrasound (POCUS) is nowadays an essential tool in critical care. Its role seems more important in neonates and children where other monitoring techniques may be unavailable. POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC) aimed to provide evidence-based clinical guidelines for the use of POCUS in critically ill neonates and children. METHODS: Creation of an international Euro-American panel of paediatric and neonatal intensivists expert in POCUS and systematic review of relevant literature. A literature search was performed, and the level of evidence was assessed according to a GRADE method. Recommendations were developed through discussions managed following a Quaker-based consensus technique and evaluating appropriateness using a modified blind RAND/UCLA voting method. AGREE statement was followed to prepare this document. RESULTS: Panellists agreed on 39 out of 41 recommendations for the use of cardiac, lung, vascular, cerebral and abdominal POCUS in critically ill neonates and children. Recommendations were mostly (28 out of 39) based on moderate quality of evidence (B and C). CONCLUSIONS: Evidence-based guidelines for the use of POCUS in critically ill neonates and children are now available. They will be useful to optimise the use of POCUS, training programs and further research, which are urgently needed given the weak quality of evidence available.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1186/s13054-020-2787-9

Cites

176 of 176 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Echocardiography can easily and rapidly quantify ventricular function and size to guide circulation management.

    “Echocardiography can easily and rapidly quantify ventricular function and size to guide circulation management (2)”

    From Innovative wearable technology for continuous echocardiographic monitoring: first-in-neonate case report (2025) · cites this paper as [2]

    The Results section says cardiac POCUS can assess ventricular function semi-quantitatively in critically ill neonates and children and describes measures of ventricular dimensions. It does not establish that function and size can be easily and rapidly quantified; it specifies that detailed functional assessment requires advanced echocardiography training. Its discussion of filling and fluid responsiveness supports a role in circulation assessment, but is narrower than the claim. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Echocardiography is widely used in the cardiac evaluation of critically ill neonates.

    “which is widely used in the cardiac evaluation of critically ill neonates”

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Singh, Y., Tissot, C., Fraga, M. V., Yousef, N., Cortes, R. G., Lopez, J., Sanchez-de-Toledo, J., Brierley, J., Colunga, J. M., Raffaj, D., Da Cruz, E., Durand, P., Kenderessy, P., Lang, H.-J., Nishisaki, A., Kneyber, M. C., Tissieres, P., Conlon, T. W., & De Luca, D.
Affiliations
  • University of Cambridge (GB)
  • Assistance Publique – Hôpitaux de Paris (FR)
  • Great Ormond Street Hospital (GB)
  • Instituto de Salud Carlos III (ES)
  • Nottingham University Hospitals NHS Trust (GB)
  • Médecins Sans Frontières (CH)
  • Children's Hospital of Philadelphia (US)
  • University Medical Center Groningen (NL)
Corresponding author
Singh, Yogen
Venue
Critical Care
Published
2020-02-24
Volume
24
Issue
1
Pages
65-65
ISSN
1364-8535 (ISSN-L)
OpenAlex
W3007973847
Cited by
659
References
176
Citations by year
2026: 105 · 2025: 107 · 2024: 80 · 2023: 115 · 2022: 124 · 2021: 81 · 2020: 43 · 2019: 1 · 2015: 1
FWCI
57.62
Type
journal article
Language
en
Open access
Locations
  • Critical Care (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, cc-by)
  • Apollo (University of Cambridge) (submittedVersion, cc-by)
  • HAL (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, cc-by)
  • Apollo (cc-by)
Topics
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Ultrasound in Clinical Applications
  • Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
Keywords
point-of-care ultrasound, critically ill neonates, critically ill children, echocardiography, lung ultrasound, vascular ultrasound, cerebral ultrasound, abdominal ultrasound, pediatric intensive care, neonatal intensive care, ultrasound training
MeSH terms
Systematic Reviews as Topic, Critical Care, Humans, Infant, Newborn, Intensive Care Units, Neonatal, Ultrasonography, Intensive Care, Neonatal, Critical Illness, Point-of-Care Systems

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review