A Call to Action for the Pediatric Critical Care Community

Thomas W Conlon1,2, David B Kantor3, Eliotte L Hirshberg1,2,3,4,5,6,7,8,9,10

  • 1Department of Anesthesiology and Critical Care Medicine, The Children's Hospital of Philadelphia, Philadelphia, PA.

Insights

Point-of-care ultrasound (POCUS) use by non-specialist physicians in critical care is safe and effective. Evidence does not support regulatory concerns, highlighting an opportunity for pediatric critical care to lead POCUS integration.

Area of Science:

  • Medical Imaging
  • Critical Care Medicine
  • Pediatric Healthcare

Background:

  • Healthcare regulatory bodies express concerns about non-radiology/cardiology physicians using point-of-care ultrasound (POCUS).
  • A recent perspective highlighted that data do not substantiate many of these concerns.
  • Misconceptions regarding POCUS in critical care settings persist.

Purpose of the Study:

  • To address misconceptions about POCUS use by non-specialist physicians in critical care.
  • To propose next steps for integrating POCUS into pediatric critical care practice.
  • To support the safe and effective translation of POCUS skills and technology at the bedside.

Main Methods:

  • Review of existing data and literature regarding POCUS in critical care.
  • Analysis of regulatory concerns and common misconceptions.
  • Discussion of best practices for POCUS implementation in pediatric critical care.

Main Results:

  • Data do not support many concerns raised by regulatory bodies regarding POCUS.
  • POCUS can be used safely and effectively by non-specialist physicians in critical care.
  • Pediatric critical care has an opportunity to lead in POCUS adoption.

Conclusions:

  • The integration of POCUS into pediatric critical care is feasible and beneficial.
  • Addressing misconceptions and demonstrating safe use are crucial for POCUS adoption.
  • Further steps are needed to support widespread POCUS integration in critical care settings.

Related Concept Videos

Acute Kidney Injury V: Interprofessional Care01:20

Acute Kidney Injury V: Interprofessional Care

Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
124
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.6K
Cardiopulmonary Resuscitation II: ACLS Airway Management01:22

Cardiopulmonary Resuscitation II: ACLS Airway Management

Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
280
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
94
Cardiopulmonary Resuscitation I: Adult01:21

Cardiopulmonary Resuscitation I: Adult

Cardiopulmonary resuscitation, or CPR, is a life-saving emergency procedure performed when a person's heart has stopped beating or they are no longer breathing. The foundation of CPR is Basic Life Support (BLS), which focuses on the early recognition of cardiac arrest, the immediate start of high-quality chest compressions, and the timely use of an automated external defibrillator (AED).Assessing Responsiveness and Checking the Carotid PulseWhen approaching an unresponsive person, first ensure...
288
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:
882