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Good Practice Concepts in Pediatric Critical Care Point-of-Care Ultrasound: A Modified Delphi Consensus Initiative.

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Summary

Pediatric critical care experts developed 25 consensus recommendations for point-of-care ultrasound (POCUS) institutional practice, covering clinical use, education, quality assurance, equipment, and research.

Keywords:
best-practiceconsensus guidelinespediatricspoint-of-carestandardsultrasound

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Area of Science:

  • Pediatric Critical Care Medicine
  • Point-of-Care Ultrasound (POCUS)

Background:

  • The Pediatric Research Collaborative on Critical UltraSound (PeRCCUS), a subgroup of the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI), convened a workgroup.
  • The workgroup aimed to establish early guidance for institutional point-of-care ultrasound (POCUS) practices in pediatric critical care.

Purpose of the Study:

  • To define early guidance for point-of-care ultrasound (POCUS) institutional practice in pediatric critical care.
  • To foster comprehensive guidelines for the broad adoption of POCUS in pediatric critical care medicine.

Main Methods:

  • A modified Delphi method was employed to generate consensus statements.
  • An expert multidisciplinary, multi-institutional workgroup was assembled.
  • Iterative voting rounds using a 7-point Likert-type scale were conducted until consensus was achieved.

Main Results:

  • Consensus was reached on 25 recommendations.
  • Recommendations spanned five key domains: clinical application, quality assurance, equipment, education, and research.

Conclusions:

  • Consensus recommendations were established for the institutional adoption of POCUS in pediatric critical care.
  • These recommendations address clinical use, educational programs, quality assurance, technical requirements, and future research directions.