Guidelines and Recommendations for Targeted Neonatal Echocardiography and Cardiac Point-of-Care Ultrasound in the Neonatal Intensive Care Unit: An Update from the American Society of Echocardiography

Patrick J McNamara; Amish Jain; Afif El-Khuffash; Regan Giesinger; Dany Weisz; Lindsey Freud; Philip T Levy; Shazia Bhombal; Willem de Boode; Tina Leone; Bernadette Richards; Yogen Singh; Jennifer M Acevedo; John Simpson; Shahab Noori; Wyman W Lai

doi:10.1016/j.echo.2023.11.016

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Guidelines and Recommendations for Targeted Neonatal Echocardiography and Cardiac Point-of-Care Ultrasound in the Neonatal Intensive Care Unit: An Update from the American Society of Echocardiography

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Guidelines and Recommendations for Targeted Neonatal Echocardiography and Cardiac Point-of-Care Ultrasound in the Neonatal Intensive Care Unit: An Update from the American Society of Echocardiography

Patrick J McNamara, Amish Jain, Afif El-Khuffash, Regan Giesinger, Dany Weisz, Lindsey Freud, Philip T Levy, Shazia Bhombal, Willem de Boode, Tina Leone, …

Journal of the American Society of Echocardiography, Vol.37(2), pp.171-215

02/2024

DOI: 10.1016/j.echo.2023.11.016

PMID: 38309835

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Abstract

Targeted neonatal echocardiography (TNE) involves the use of comprehensive echocardiography to appraise cardiovascular physiology and neonatal hemodynamics to enhance diagnostic and therapeutic precision in the neonatal intensive care unit. Since the last publication of guidelines for TNE in 2011, the field has matured through the development of formalized neonatal hemodynamics fellowships, clinical programs, and the expansion of scientific knowledge to further enhance clinical care. The most common indications for TNE include adjudication of hemodynamic significance of a patent ductus arteriosus, evaluation of acute and chronic pulmonary hypertension, evaluation of right and left ventricular systolic and/or diastolic function, and screening for pericardial effusions and/or malpositioned central catheters. Neonatal cardiac point-of-care ultrasound (cPOCUS) is a limited cardiovascular evaluation which may include line tip evaluation, identification of pericardial effusion and differentiation of hypovolemia from severe impairment in myocardial contractility in the hemodynamically unstable neonate. This document is the product of an American Society of Echocardiography task force composed of representatives from neonatology-hemodynamics, pediatric cardiology, pediatric cardiac sonography, and neonatology-cPOCUS. This document provides (1) guidance on the purpose and rationale for both TNE and cPOCUS, (2) an overview of the components of a standard TNE and cPOCUS evaluation, (3) disease and/or clinical scenario-based indications for TNE, (4) training and competency-based evaluative requirements for both TNE and cPOCUS, and (5) components of quality assurance. The writing group would like to acknowledge the contributions of Dr. Regan Giesinger who sadly passed during the final revisions phase of these guidelines. Her contributions to the field of neonatal hemodynamics were immense.

Neonatology

Ultrasonography

United States

Child

Echocardiography

Female

Hemodynamics - physiology

Humans

Infant, Newborn

Intensive Care Units, Neonatal

Point-of-Care Systems

Details

Title: Subtitle: Guidelines and Recommendations for Targeted Neonatal Echocardiography and Cardiac Point-of-Care Ultrasound in the Neonatal Intensive Care Unit: An Update from the American Society of Echocardiography
Creators: Patrick J McNamara - University of Iowa
Amish Jain - University of Toronto
Afif El-Khuffash - Royal College of Surgeons in Ireland
Regan Giesinger - University of Iowa
Dany Weisz - University of Toronto
Lindsey Freud - University of Toronto
Philip T Levy - Harvard University
Shazia Bhombal - Children's Healthcare of Atlanta
Willem de Boode - Radboud University Nijmegen
Tina Leone - Columbia University
Bernadette Richards - Nationwide Children's Hospital
Yogen Singh - Loma Linda University
Jennifer M Acevedo - Northwestern University
John Simpson - Evelina London Children's Healthcare
Shahab Noori - Children's Hospital of Los Angeles
Wyman W Lai - University of California, Irvine
Resource Type: Journal article
Publication Details: Journal of the American Society of Echocardiography, Vol.37(2), pp.171-215
DOI: 10.1016/j.echo.2023.11.016
PMID: 38309835
NLM abbreviation: J Am Soc Echocardiogr
ISSN: 0894-7317
eISSN: 1097-6795
Publisher: Elsevier
Language: English
Date published: 02/2024
Academic Unit: Stead Family Department of Pediatrics; Neonatology; Internal Medicine
Record Identifier: 9984557956802771

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