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Related Concept Videos

Ultrasonography01:17

Ultrasonography

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Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
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Ultrasound I: Abdominal Ultrasonography01:20

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Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
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Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
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Point-of-Care Ultrasound in Children With Medical Complexity.

Sigmund J Kharasch1,2, Helene Dumas2, Calvin Huang1

  • 1Massachusetts General Hospital, Boston, Massachusetts.

Hospital Pediatrics
|April 19, 2023
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Point-of-care ultrasound (POCUS) is valuable for children with medical complexity (CMC), revealing abnormalities in lung, diaphragmatic, and cardiac imaging. This technology aids in answering clinical questions and providing essential baseline and follow-up data.

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Area of Science:

  • Pediatric critical care medicine
  • Medical imaging
  • Ultrasound technology

Background:

  • Children with medical complexity (CMC) present with chronic, multisystem health conditions, functional limitations, and high healthcare needs.
  • These children often require specialized care in post-acute settings.
  • Understanding the utility of diagnostic tools in this population is crucial.

Purpose of the Study:

  • To describe the indications for point-of-care ultrasound (POCUS) in children with medical complexity (CMC).
  • To detail the applications of POCUS in this patient group.
  • To report POCUS findings in CMC admitted to a pediatric post-acute care hospital.

Main Methods:

  • A descriptive study design was employed.
  • POCUS scans performed for clinical purposes in CMC patients were analyzed.
  • Inclusion criteria included POCUS requests from medical team providers for eligible children.

Main Results:

  • 104 POCUS evaluations were conducted across 33 CMC patients.
  • Lung, diaphragmatic, and cardiac ultrasounds constituted 57% of all POCUS studies.
  • Abnormal findings were frequent, particularly in diaphragmatic (82%) and lung (73%) ultrasounds.

Conclusions:

  • Lung, diaphragmatic, and cardiac ultrasound are the most common POCUS applications in post-acute pediatric care.
  • POCUS demonstrates significant utility in answering clinical questions for CMC.
  • POCUS can provide valuable baseline and follow-up information, potentially expanding its role in managing CMC.