Ultrasound in pediatric intensive care unit

master's thesis

• Title (croatian): Primjena ultrazvuka u jedinici intenzivnog liječenja djece
• Author: Katharina Anna Leipfinger
• Mentor: Mario Ćuk (mentor)
• Committee member: Danko Milošević (predsjednik povjerenstva)
• Committee member: Marija Jelušić (član povjerenstva)
• Committee member: Mario Ćuk (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Pediatrics); Zagreb
• Defense date and country: 2018-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Pediatrics

Abstract

OBJECTIVE: This narrative review provides an overview of the use of ultrasound in pediatric intensive care. It investigates point-of-care ultrasound (POCUS), which is a goal-directed approach for rapid clinical decision making and provides a multiorgan approach for assessment of complex disease states. This review is organized by integrating point-of-care ultrasonography for pediatric intensive care into the A-Airway, B-Breathing, C-Circulation, D-Disability resuscitation sequence in the primary assessment of critically ill patients after the paragon of the ABCD curriculum by Lichtenstein et al. ----- METHODS: Data is collected by literature research on Pubmed and referencing literature of found articles. Educational literature is taken from chapters in edited books. Point-of-care ultrasound represents an extensively used tool by different fields, therefore taken literature spans various specialities including emergency medicine, anaesthesiology, intensive care, pediatrics, and cardiology. ----- DISCUSSION: Point-of-care ultrasound in pediatric critical care is an emerging field and further studies are required. In relation to the ABCD assessment, research needs to be conducted for POCUS in pediatric patients with congenital malformations and patients after cardiac surgery. Different protocols and approaches for the same clinical presentation need to be compared in order to define a standard. Assessment of inferior vena cava is still controversial and requires a standard. ----- CONCLUSION: Point-of-care ultrasound in pediatric intensive care is the leading method for accurate assessment and timely intervention. It enhances decision-making, management and intervention as an extension of traditional physical examination. Due to its established use in clinical practice and its development potentials, it should be integrated into medical school curriculum.

Abstract (croatian)

CILJEVI: Spomenuti osvrt omogućava pregled korištenja ultrazvuka u pedijatrijskoj intezivnoj njezi. Istražuje „point of care“ ultrazvuk (POCUS), koji ima ciljani pristup brzog kliničkog odlučivanja i omogućuje multiorganski pristup za određivanje kompliciranih bolesti. Ovaj osvrt je organiziran tako da je POCUS uključen u pedijatrijsku intezivnu njegu kao dio ABCD slijeda (A-dišni putevi, B-disanje, C-cirkulacija, D-kratki neurološki pregled) tijekom oživljavanja u primarnom određivanju stanja kritičnih bolesnika nakon ABCD plana Lichtensteina i drugih. ----- METODE: Podaci su prikupljeni pretragom literature Pubmed-a i literature spomenute u određenim člancima. Edukacijska literatura je uzeta iz poglavlja uređenih knjiga. POCUS predstavlja alat koji se opsežno koristi u različitim poljima medicine te zbog toga spomenuta literatura obuhvaća različite grane specijalizacije poput hitne medicine, anesteziologije, intezivne medicine, pedijatrije i kardiologije. ----- RASPRAVA: POCUS u pedijatrijskoj intezivnoj njezi je polje u nastajanju i zbog toga su potrebne daljnje studije. U odnosu na određivanje ABCD slijeda, studija bi trebala biti provedena za POCUS u pedijatrijskih bolesnika s kongenitalnim malformacijama i bolesnika nakon operacije srca. Različiti protokoli i pristupi za isti klinički prikaz trebaju biti uspoređeni da bi se odredio standard. Metoda procjene donje šuplje vene je još uvijek kontroverzna i zahtjeva standard. ----- ZAKLJUČAK: "Point of care" ultrazvuk u pedijatrijskoj intezivnoj njezi je vodeća metoda za točnu procjenu i pravovremenu intervenciju. Poboljšava proces odlučivanja, upravljanja i intervencije kao dodatak tradicionalnom liječničkom pregledu. Zbog utvrđene koristi u kliničkoj praksi i potencijala za razvoj, trebalo bi biti uključeno u program medicinskog fakulteta.

• Keywords: point-of-care ultrasound; ultrasound; pediatric intensive care; pediatric critical care; pediatric emergency medicine; goal-directed echocardiography; intensive care
• Keywords (croatian): point-of-care ultrazvuk; ultrazvuk; pedijatrijska intezivna njega; pedijatrijska kritička njega; pedijatrijska hitna medicina; goal-directed ehokardiografija; intenzivna njega
• Language: english
• URN:NBN: urn:nbn:hr:105:886264
• Study programme: Title: Medicine (in English language); Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-04-30 13:42:02