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Review
. 2020 Dec 16;55(4):345-353.
doi: 10.14744/TurkPediatriArs.2020.12499. eCollection 2020.

A new stethoscope for pediatric intensivists: Point-of-care ultrasound

Affiliations
Review

A new stethoscope for pediatric intensivists: Point-of-care ultrasound

Dinçer Yıldızdaş et al. Turk Pediatri Ars. .

Abstract

In recent years, the use of point-of-care ultrasound by non-radiologist physicians has become widespread. Especially for clinicians working in pediatric emergency departments and pediatric intensive care units, point-of-care ultrasound has almost become a part of physical examinations due to the rapid responses it offers to the problems of critically ill patients. Numerous studies revealed the important clinical benefits of point-of-care ultrasound use by pediatric intensive care providers. In this review, we aimed to give detailed information about different types of point-of-care ultrasound applications in pediatric intensive care units and wanted to draw attention to the increased use and clinical benefits of this noninvasive and radiation free technique.

Son yıllarda radyoloji uzmanı olmayan klinisyenler tarafından yatak başı ultrasonografi kullanımı yaygınlaşmıştır. Özellikle pediatrik acil servislerde ve çocuk yoğun bakım birimlerinde çalışan uzmanlar için yatak başı ultrasonografi, kritik hastaların sorunlarına sunduğu hızlı yanıtlar nedeniyle neredeyse fizik muayenelerin bir parçası haline gelmiştir. Çok sayıda çalışma, pediatrik yoğun bakım uzmanları tarafından yatak başı ultrason kullanımının klinik faydalarını ortaya koymuştur. Bu derlemede biz çocuk yoğun bakım birimlerindeki farklı yatak başı ultrasonografi uygulamaları hakkında detaylı bilgi vermeyi ve bu girişimsel olmayan ve radyasyon içermeyen tekniğin artan kullanımına ve klinik faydalarına dikkat çekmeyi istedik.

Keywords: Noninvasive; pediatric intensive care; point-of-care ultrasound.

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Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the author.

Figures

Figure 1
Figure 1
View of LVOT in the parasternal long axis
Figure 2
Figure 2
LVOT-VTI measurement using Doppler ultrasound
Figure 3
Figure 3
A lines as a sign of normal lung parenchyma in lung ultrasound
Figure 4
Figure 4
B lines in lung ultrasound
Figure 5
Figure 5
(a) Sea-shore sign for normal lung parenchyma at M-mode. (b) Barcode sign for pneumothorax at M-mode
Figure 6
Figure 6
Pleural effusion in lung ultrasound
Figure 7
Figure 7
M-mode measurement of the maximum and minimum IVC diameters in the sagittal section
Figure 8
Figure 8
Ultrasonographic optic nerve sheath diameter measurement method
Figure 9
Figure 9
Doppler ultrasonographic assessment of the central retinal artery and ophthalmic artery
Figure 10
Figure 10
Confirmation of endotracheal tube placement in trachea

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