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

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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)

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Singh, Yogen, Tissot, Cecile, Fraga, María V., Yousef, Nadya, Cortes, Rafael Gonzalez, Lopez, Jorge, Sanchez-de-Toledo, Joan, Brierley, Joe, Colunga, Juan Mayordomo, Raffaj, Dusan, Da Cruz, Eduardo, Durand, Philippe, Kenderessy, Peter, Lang, Hans-Joerg, Nishisaki, Akira, Kneyber, Martin C., Tissieres, Pierre, Conlon, Thomas W., De Luca, Daniele·2020·Critical Care

DOI 10.1186/s13054-020-2787-9PMC PMC7041196

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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.

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Fig. 1 Flow chart of the methodology used in POCUS guidelines and consensus developmentCC BY · PubMed Central

Fig. 2 Estimated level of training required for the implementation of POCUS recommendations. Recommendations are listed according to their progressive number for each sectionCC BY · PubMed Central

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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
ORCID: Singh, Yogen
Yousef, Nadya
Brierley, Joe
Colunga, Juan Mayordomo
Raffaj, Dusan
Lang, Hans-Joerg
Nishisaki, Akira
Kneyber, Martin C.
Conlon, Thomas W.
Venue: Critical Care
Publisher: Springer Science and Business Media LLC
Published: 2020-02-24
Volume: 24
Issue: 1
Pages: 65-65
ISSN: 1364-8535 (ISSN-L)
DOI: 10.1186/s13054-020-2787-9
PMC: PMC7041196
OpenAlex: W3007973847
Cited by: 659
References: 176
Citations by year: 2026: 105 · 2025: 107 · 2024: 80 · 2023: 115 · 2022: 124 · 2021: 81 · 2020: 43
FWCI: 57.62
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
creativecommons.org/licenses/by/4.0 (tdm)
creativecommons.org/licenses/by/4.0 (vor)
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 › Critical Care and Intensive Care Medicine › 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

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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)

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