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Erschienen in:

01.12.2022 | Cardiology/CT Surgery (K Gist, Section Editor)

Point-of-Care Ultrasound-Guided Procedures in the Pediatric Cardiac Intensive Care Unit

verfasst von: Jessica N. Persson, MD, Ryan J. Good, MD, Sarah A. Gitomer, MD, John S. Kim, MD MS

Erschienen in: Current Treatment Options in Pediatrics | Ausgabe 4/2022

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Abstract

Purpose of Review

This publication will review the numerous uses for procedural point-of-care ultrasound (POCUS), and its supporting literature, specifically for pediatric patients admitted to the cardiac intensive care unit.

Recent Findings

Procedural POCUS can be applied broadly to critically ill children with congenital and acquired heart disease and there is longstanding, supporting evidence for procedures such as central venous catheter placement and thoracentesis. Recently, studies have demonstrated the success of innovative POCUS-guided procedures, including transpyloric enteric tube placement and endotracheal intubation, which are frequently performed in this high-risk population.

Summary

POCUS, a non-invasive, bedside imaging modality, can be used to guide high-risk procedures in vulnerable populations, such as critically ill children with congenital and acquired heart disease. The use of POCUS guidance for procedures in the pediatric cardiac intensive care unit is associated with increased procedural success and fewer complications, thereby enhancing patient safety and, ultimately, outcomes.
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Metadaten
Titel
Point-of-Care Ultrasound-Guided Procedures in the Pediatric Cardiac Intensive Care Unit
verfasst von
Jessica N. Persson, MD
Ryan J. Good, MD
Sarah A. Gitomer, MD
John S. Kim, MD MS
Publikationsdatum
01.12.2022
Verlag
Springer International Publishing
Erschienen in
Current Treatment Options in Pediatrics / Ausgabe 4/2022
Elektronische ISSN: 2198-6088
DOI
https://doi.org/10.1007/s40746-022-00260-z

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Pediatric Nausea—a Review of Current Management

  • Pediatric Gastroenterology (SA Saeed and E Mezoff, Section Editors)

Perinatal Cytomegalovirus Infection

  • Pediatric Neonatology (T Thorkelsson, Section Editor)

Pediatric Overactive Bladder and the Role of Sacral Neuromodulation

  • Pediatric Urology (BA VanderBrink and RP Pramod, Section Editors)

Updates in Pediatric Cholestasis

  • Pediatric Gastroenterology (SA Saeed and E Mezoff, Section Editors)

Poor Weight Gain

  • Pediatric Gastroenterology (SA Saeed and E Mezoff, Section Editors)

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Wie gefährlich sind E-Zigaretten?

E-Zigaretten (Vaper) sind nicht harmlos – sie verführen zur parallelen Nutzung von E- und Tabakzigaretten (Dual Use) und machen das Rauchen für junge Menschen attraktiv u.a. aufgrund der vielfältigen Aromastoffe. Ein niedrigschwelliger Einstieg in die Tabakentwöhnung könnten digitale Anwendungen (DiGA) sein. 

ePA für Kinder und Jugendliche: Neue KBV-Richtlinie schafft Klarheit für Arztpraxen

Mit einer neuen Richtlinie will die Kassenärztliche Bundesvereinigung in Abstimmung mit dem Bundesministerium für Gesundheit Sorgen der Kolleginnen und Kollegen beim Umgang mit der Kinder-ePA ausräumen. Die Richtlinie gerät arg kurz – Pädiater und Pädiaterinnen reagieren dennoch zufrieden.

Weniger Bargeld, weniger Erstickungsnotfälle?

Dadurch, dass immer seltener mit Bargeld gezahlt wird, könnte die Rate an Erstickungsnotfällen bei Kindern zurückgehen. Dieser Hypothese ist ein britisches Forschungsteam in Klinikdaten aus den letzten zweieinhalb Jahrzehnten nachgegangen.

Pneumonie ausschließen: Auf das Röntgenbild ist offenbar Verlass

Das Thoraxröntgen ist gemäß Daten aus den USA eine zuverlässige Methode, um bei Kindern in der Notaufnahme rasch eine Lungenentzündung auszuschließen. Zur Vorsicht rät das Ärzteteam jedoch bei bestimmten klinischen Symptomen.

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