Establishing Intensivist-Driven Ultrasound at the PICU Bedside-It's About Time Article

International Collaboration

cited authors

  • Su, Erik, Pustavoitau, Aliaksei, Hirshberg, Elliotte L., Nishisaki, Akira, Conlon, Thomas, Kantor, David B., Weber, Mark D., Godshall, Aaron J., Burzynski, Jeffrey H., Thompson, Ann E.

funding text

  • Dr. Su was supported by the National Institute of Child Health and Human Development T32HD040686: Pediatric Neurointensive Care and Resuscitation Research within 36 months of the submission of this manuscript. Dr. Su taught in the Johns Hopkins University Critical Care Ultrasonography Course, the Harvard Medical School Ultrasonography for Intensivists & Emergency Medicine Clinicians Course, the Children's Hospital of Philadelphia Pediatric Emergency Medicine, the Critical Care Medicine: Bedside Ultrasound Courses, and in the Society of Critical Care Medicine Ultrasound Courses. Dr. Pustavotau taught in the Johns Hopkins University Critical Care Ultrasonography Course. Dr. Hirshberg taught in the Harvard Medical School Ultrasonography for Intensivists & Emergency Medicine Clinicians Course and taught in the Society of Critical Care Medicine Ultrasound Courses (received support for travel and a stipend for lectures from SCCM during these courses). Dr. Nishisaki taught in the Children's Hospital of Philadelphia Pediatric Emergency Medicine and Critical Care Medicine: Bedside Ultrasound Courses and taught in the Society of Critical Care Medicine (SCCM) Ultrasound Courses. He is the recipient of grants from the Agency for Healthcare Research and Quality (AHRQ): R03HS021583 (Evaluating Safety And Quality Of Tracheal Intubation In Pediatric ICUs) and R18HS022464 (Improving The Safety and Quality of Tracheal Intubation In Pediatric ICUs). He lectured in the SCCM's course on Current Concepts, Pediatric Critical Care Medicine and received support for travel from SCCM (lecturer, Current Concepts, Pediatric Critical Care Medicine, SCCM). His institution received grant support from AHRQ RO3 (evaluation of current tracheal intubation practice in multiple PICU). Dr. Conlon taught in the Children's Hospital of Philadelphia Pediatric Emergency Medicine and Critical Care Medicine: Bedside Ultrasound Courses and taught in the Society of Critical Care Medicine Ultrasound Courses. Dr. Kantor taught in the Society of Critical Care Medicine Ultrasound Courses. Dr. Weber is employed by Duke University Medical Center and provided expert testimony (expert reviewer for unrelated case). Dr. Godshall taught in the Society of Critical Care Medicine Ultrasound Courses (honorarium) Dr. Burzynski taught in the Society of Critical Care Medicine Ultrasound Courses. Dr. Thompson is employed by the University of Pittsburgh, University of Pittsburgh Physicians; is a Section Editor for Pediatric Critical Care Medicine; participates in a data safety monitoring board paid through Emmes Corp.; has provided expert testimony status on asthmaticus; receives royalties from Elsevier (section editor Pediatric Critical Care Medicine); and received support for travel from Emmes Corp. for the data safety monitoring board for FDA/NIH BPCA.

abstract

  • Objective: To discuss pediatric intensivist-driven ultrasound and the exigent need for research and practice definitions pertaining to its implementation within pediatric critical care, specifically addressing issues in ultrasound-guided vascular access and intensivist-driven echocardiography. Conclusions: Intensivist-driven ultrasound improves procedure safety and reduces time to diagnosis in clinical ultrasound applications, as demonstrated primarily in adult patients. Translating these applications to the PICU requires thoughtful integration of the technology into practice and would best be informed by dedicated ultrasound research in critically ill children.

authors

Publication Date

  • September 1, 2014

webpage

published in

category

start page

  • 649

end page

  • 652

volume

  • 15

issue

  • 7

WoS Citations

  • 4

WoS References

  • 32