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)
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 (ESP...
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| Format: | Article |
| Language: | English |
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BMC
2020-02-01
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| Series: | Critical Care |
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| Online Access: | http://link.springer.com/article/10.1186/s13054-020-2787-9 |
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Article |
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DOAJ |
| language |
English |
| format |
Article |
| sources |
DOAJ |
| author |
Yogen Singh Cecile Tissot María V. Fraga Nadya Yousef Rafael Gonzalez Cortes Jorge Lopez Joan Sanchez-de-Toledo Joe Brierley Juan Mayordomo Colunga Dusan Raffaj Eduardo Da Cruz Philippe Durand Peter Kenderessy Hans-Joerg Lang Akira Nishisaki Martin C. Kneyber Pierre Tissieres Thomas W. Conlon Daniele De Luca |
| spellingShingle |
Yogen Singh Cecile Tissot María V. Fraga Nadya Yousef Rafael Gonzalez Cortes Jorge Lopez Joan Sanchez-de-Toledo Joe Brierley Juan Mayordomo Colunga Dusan Raffaj Eduardo Da Cruz Philippe Durand Peter Kenderessy Hans-Joerg Lang Akira Nishisaki Martin C. Kneyber Pierre Tissieres Thomas W. Conlon Daniele De Luca 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) Critical Care Neonate Children Ultrasound Point of care ultrasound (POCUS) Paediatric intensive care unit (PICU) Neonatal intensive care unit (NICU) |
| author_facet |
Yogen Singh Cecile Tissot María V. Fraga Nadya Yousef Rafael Gonzalez Cortes Jorge Lopez Joan Sanchez-de-Toledo Joe Brierley Juan Mayordomo Colunga Dusan Raffaj Eduardo Da Cruz Philippe Durand Peter Kenderessy Hans-Joerg Lang Akira Nishisaki Martin C. Kneyber Pierre Tissieres Thomas W. Conlon Daniele De Luca |
| author_sort |
Yogen Singh |
| title |
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) |
| title_short |
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) |
| title_full |
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) |
| title_fullStr |
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) |
| title_full_unstemmed |
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) |
| title_sort |
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) |
| publisher |
BMC |
| series |
Critical Care |
| issn |
1364-8535 |
| publishDate |
2020-02-01 |
| description |
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. |
| topic |
Neonate Children Ultrasound Point of care ultrasound (POCUS) Paediatric intensive care unit (PICU) Neonatal intensive care unit (NICU) |
| url |
http://link.springer.com/article/10.1186/s13054-020-2787-9 |
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doaj-653b17a7edad4889b5632e1d2a0c1a112020-11-25T02:08:41ZengBMCCritical Care1364-85352020-02-0124111610.1186/s13054-020-2787-9International 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)Yogen Singh0Cecile Tissot1María V. Fraga2Nadya Yousef3Rafael Gonzalez Cortes4Jorge Lopez5Joan Sanchez-de-Toledo6Joe Brierley7Juan Mayordomo Colunga8Dusan Raffaj9Eduardo Da Cruz10Philippe Durand11Peter Kenderessy12Hans-Joerg Lang13Akira Nishisaki14Martin C. Kneyber15Pierre Tissieres16Thomas W. Conlon17Daniele De Luca18Department of Paediatrics - Neonatology and Paediatric Cardiology, Cambridge University Hospitals and University of Cambridge School of Clinical MedicinePaediatric Cardiology, Centre de Pédiatrie, Clinique des GrangettesDepartment of Paediatrics, Children’s Hospital of Philadelphia and Perelman School of MedicineDivision of Paediatrics and Neonatal Critical Care, APHP - Paris Saclay University Hospitals, “A. Béclère” Medical centreDepartment of Paediatric Intensive Care, Gregorio Marañón General University HospitalDepartment of Paediatric Intensive Care, Gregorio Marañón General University HospitalDepartment of Paediatric Cardiology, Sant Joan de Déu HospitalDepartment of Paediatric Intensive Care, Great Ormond Street HospitalDepartment of Paediatric Intensive Care, Hospital Universitario Central de Asturias, Oviedo. CIBER-Enfermedades Respiratorias. Instituto de Salud Carlos III, Madrid. Instituto de Investigación Sanitaria del Principado de AsturiasDepartment of Paediatric Intensive Care, Nottingham University HospitalsDepartment of Paediatric and Cardiac Intensive Care, Children’s Hospital ColoradoDivision of Paediatric Critical Care, APHP - Paris Saclay University Hospitals, “Kremlin Bicetre” Medical CentreDepartment of Paediatric Anaesthesia and Intensive Care, Children’s Hospital Banska BystricaDepartment of Paediatrics, Medicins Sans Frontieres (Suisse)Department of Anaesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia and Perelman School of MedicineDepartment of Paediatrics, Division of Paediatric Critical Care Medicine, Beatrix Children’s Hospital Groningen, University Medical Center GroningenDivision of Paediatric Critical Care, APHP - Paris Saclay University Hospitals, “Kremlin Bicetre” Medical CentreDepartment of Anaesthesiology and Critical Care Medicine, Children’s Hospital of Philadelphia and Perelman School of MedicineDivision of Paediatrics and Neonatal Critical Care, APHP - Paris Saclay University Hospitals, “A. Béclère” Medical centreAbstract 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.http://link.springer.com/article/10.1186/s13054-020-2787-9NeonateChildrenUltrasoundPoint of care ultrasound (POCUS)Paediatric intensive care unit (PICU)Neonatal intensive care unit (NICU) |