Targeted neonatal echocardiography (TnECHO) service in a Canadian neonatal intensive care unit: a 4-year experience

A El-Khuffash; C Herbozo; A Jain; A Lapointe; P J McNamara

doi:10.1038/jp.2013.42

Back

Targeted neonatal echocardiography (TnECHO) service in a Canadian neonatal intensive care unit: a 4-year experience

Journal article

Peer reviewed

Targeted neonatal echocardiography (TnECHO) service in a Canadian neonatal intensive care unit: a 4-year experience

A El-Khuffash, C Herbozo, A Jain, A Lapointe and P J McNamara

Journal of perinatology, Vol.33(9), pp.687-690

09/2013

DOI: 10.1038/jp.2013.42

PMID: 23619373

View Online

Abstract

To characterize the effect of a targeted neonatal echocardiography (TnECHO) program on decision making in a tertiary level unit. Retrospective cohort study of neonates, admitted between September 2007 and April 2011. Details of the TnECHO, and the clinical decisions within 6 h of the consultation were recorded. A total of 199 infants underwent 512 echocardiograms with a median (interquartile range) of 2 (1 to 3) TnECHO studies per infant. The indications included assessment for patent ductus arteriosus (PDA; n=261, 51%), post-PDA ligation assessment (n=101, 19%), pulmonary hemodynamics (n=81, 16%), myocardial performance and systemic blood flow (n=52, 10%), and central venous catheter tip position (n=6, 1%). TnECHO consultation was followed by a change in clinical management in 212 cases (41%) and avoidance of a planned intervention in 112 cases (22%). TnECHO may be a useful tool to guide clinical decisions in the neonatal intensive care unit setting. Well-planned prospective studies are needed to assess the impact of TnECHO on outcomes.

Canada

Echocardiography

Humans

Male

Infant, Premature, Diseases - therapy

Ductus Arteriosus, Patent - therapy

Referral and Consultation - organization & administration

Cardiology Service, Hospital - organization & administration

Infant, Premature

Infant, Premature, Diseases - diagnostic imaging

Female

Retrospective Studies

Ductus Arteriosus, Patent - diagnostic imaging

Intensive Care, Neonatal - organization & administration

Infant, Newborn

Details

Title: Subtitle: Targeted neonatal echocardiography (TnECHO) service in a Canadian neonatal intensive care unit: a 4-year experience
Creators: A El-Khuffash - Department of Paediatrics, The Rotunda Hospital, Dublin, Ireland
C Herbozo
A Jain
A Lapointe
P J McNamara
Resource Type: Journal article
Publication Details: Journal of perinatology, Vol.33(9), pp.687-690
DOI: 10.1038/jp.2013.42
PMID: 23619373
NLM abbreviation: J Perinatol
ISSN: 0743-8346
eISSN: 1476-5543
Language: English
Date published: 09/2013
Academic Unit: Stead Family Department of Pediatrics; Neonatology; Internal Medicine
Record Identifier: 9984093330402771

Metrics

31 Record Views

73 Times Cited - Web of Science

See more details