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How can clinical information gleaned from focused cardiac ultrasound (FCU) be used to augment clinical assessments in children with suspected septic shock? This month’s Concise Critical Appraisal analyzes a study published in Pediatric Critical Care Medicine that sought to show how often a clinician’s hemodynamic characterization of a child with septic shock was altered by FCU and to further validate an expert-developed algorithm for these assessments.
In pediatrics, point-of-care ultrasound (POCUS) is increasingly being used in the evaluation of bronchiolitis, diaphragm function, and intracranial hypertension, among other conditions, leading one author to suggest that “essentially any structure that can be interrogated transcutaneously through a thin layer of gel may be assessed with POCUS in children.”1 In 2020, the Emergency Care Research Institute (ECRI), a medical safety advisory council, published a list of safety concerns surrounding POCUS, which was subsequently endorsed by the Joint Commission. The list includes the absence of:
Posted: 6/10/2021 | 0 comments
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