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.