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Updated: Mar 19, 2026

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
Basic-targeted echocardiography for neonatologists: a trainee's perspective
Francesco Raimondi1, Salvatore Porzio2, Luigi Balestriere3
1a Department of Translational Medical Sciences-Division of Neonatology , University "Federico II" , Naples , Italy.
Neonatologists are increasingly using targeted echocardiography, but most trainees require support from pediatric cardiologists for its independent use. Educational standards should consider the varying skill levels of these practitioners.
Area of Science:
- Neonatology
- Pediatric Cardiology
- Medical Education
Background:
- Targeted echocardiography is gaining traction among neonatologists.
- However, its effectiveness and the proficiency of its users require further investigation.
Purpose of the Study:
- To survey trainees of targeted echocardiography courses.
- To describe their professional characteristics and skill levels in performing echocardiography.
Main Methods:
- A survey was conducted among 38 former trainees of targeted echocardiography courses.
- Data collected included professional background and self-reported abilities in performing echocardiography.
Main Results:
- Most participants (76%) were experienced neonatologists, with 84% proficient in other bedside ultrasound diagnostics.
- While respondents practiced various indications, less than half could independently perform most procedures without pediatric cardiologist support.
- Independent practice rates varied from 2% (inhaled nitric oxide) to 53% (myocardial contractility assessment).
Conclusions:
- The profile of neonatologists using targeted echocardiography is diverse.
- Current educational and evaluation standards for targeted echocardiography should account for the varying levels of independent practice among trainees.
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