Developing a Mastery Learning Module for Focused Cardiac Ultrasound Training of Pediatric Critical Care Providers

Riley, Alan; Brown, Kyle; Castro, Danny; Alade, Kiyetta; Adler, Adam C.; Tcharmtchi, Hossein; Altman, Carolyn A.; Thammasitboon, Satid

doi:10.1016/s0735-1097(19)33609-5

Cited by 3 publications

(2 citation statements)

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“…The collaborative was developed after an internal faculty survey demonstrated that while many providers attended POCUS courses, long term skill retention and therefore comfort with adoption in practice was minimal. We therefore wanted to provide a longitudinal educational experience that could help attain mastery‐of‐skill and ensure deliberate practice …”

Section: Lung Examination Using Point‐of‐care Ultrasoundmentioning

confidence: 99%

Cardiac and lung point‐of‐care ultrasound in pediatric anesthesia and critical care medicine: Uses, pitfalls, and future directions to optimize pediatric care

Adler

Brown

Conlin

et al. 2019

Pediatric Anesthesia

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Point-of-care ultrasound (POCUS) has found many relevant applications in pediatric anesthesia and critical care medicine. Specifically, the cardiac and pulmonary POCUS examinations provide a wealth of information from physical examination assistance to diagnostic evaluation and assessment of treatment response. However, as with any adjunct, potentially dangerous pitfalls exist when POCUS is performed, interpreted, and applied by the novice sonographer. Using case illustrations, we highlight the clinical application of POCUS in addition to potential dangers. Additionally, suggestions for learning POCUS, assessing competency and credentialing are reviewed. K E Y W O R D S anesthesiology, cardiac, critical care, perioperative, point-of-care ultrasound, pulmonary, ultrasound | 791 ADLER Et AL. S U PP O RTI N G I N FO R M ATI O N Additional supporting information may be found online in the Supporting Information section at the end of the article. How to cite this article: Adler AC, Brown KA, Conlin FT, Thammasitboon S, Chandrakantan A. Cardiac and lung point-of-care ultrasound in pediatric anesthesia and critical care medicine: Uses, pitfalls, and future directions to optimize pediatric care. Pediatr Anesth. 2019;29:790-798.

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Section: Lung Examination Using Point‐of‐care Ultrasoundmentioning

confidence: 99%

Cardiac and lung point‐of‐care ultrasound in pediatric anesthesia and critical care medicine: Uses, pitfalls, and future directions to optimize pediatric care

Adler

Brown

Conlin

et al. 2019

Pediatric Anesthesia

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“…These advantages have led to an increased uptake by nonimaging specialties where non-radiologist point-of-care US has even become part of specialist training and undergraduate education curricula [8][9][10][11][12]. In the last few years, several societies, e.g., the American Academy of Pediatrics (AAP), the American College of Emergency Physicians, the Society of Hospital Medicine, and the World Federation for Ultrasound in Medicine and Biology, have issued position statements on non-radiologist point-of-care US [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Non-radiologist-performed point-of-care ultrasonography in paediatrics — European Society of Paediatric Radiology position paper

et al. 2020

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Non-radiologist point-of-care ultrasonography (US) is increasingly implemented in paediatric care because it is believed to facilitate a timely diagnosis, such as in ascites or dilated renal pelvicalyceal systems, and can be used to guide interventional procedures. To date, all policy statements have been published by non-radiologic societies. The European Society of Paediatric Radiology hereby issues a position statement on paediatric non-radiologist point-of-care US from the point of view of those leading on children’s imaging, i.e. paediatric radiologists. In this position statement, we will address the boundaries, education, credentialing, quality control, reporting and storage of images in paediatric practice.

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Point-of-care ultrasound in pediatric anesthesia: perioperative considerations

Adler

Matisoff

DiNardo

et al. 2020

Current Opinion in Anaesthesiology

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Purpose of review To review the perioperative applications of point-of-care ultrasound (POCUS). Recent findings The role of point-of-care ultrasonography for perioperative care is expanding with respect to perioperative application. The imaging approach can complement the physical exam and provide additional information for decision-making in pediatric perioperative medicine. This review will focus on applications in the following organ systems: airway, cardiac, pulmonary and gastric. Specifically, POCUS of the airway has been used to optimize endotracheal tube depth, aid in tube size selection and predict difficulty with laryngoscopy and intubation. Lung POCUS has been used to assess for causes hypoxemia as well as to optimize ventilatory mechanics. Cardiac POCUS has been used for assessment of hemodynamics, valvular and ventricular function. Gastric ultrasound has emerged as an evaluative mechanism of gastric content in the setting of fasting as well as to confirm placement of gastric tubes. The applications of POCUS in the perioperative setting continue to evolve as a reliable diagnostic tool that can assist in timely diagnosis, improve procedural safety and has the potential to improve patient outcomes. Summary The utility of perioperative POCUS has been well demonstrated, specifically for examination of the airway, stomach and cardiopulmonary system. It is advisable for the novice sonographer to perform POCUS within the guidelines set by the American Society of Echocardiography regarding basic POCUS. As with all diagnostic modalities, understanding the limitations of ultrasound and POCUS as well as continuous self-assessment is crucial.

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Developing a Mastery Learning Module for Focused Cardiac Ultrasound Training of Pediatric Critical Care Providers

Cited by 3 publications

References 0 publications

Cardiac and lung point‐of‐care ultrasound in pediatric anesthesia and critical care medicine: Uses, pitfalls, and future directions to optimize pediatric care

Cardiac and lung point‐of‐care ultrasound in pediatric anesthesia and critical care medicine: Uses, pitfalls, and future directions to optimize pediatric care

Non-radiologist-performed point-of-care ultrasonography in paediatrics — European Society of Paediatric Radiology position paper

Point-of-care ultrasound in pediatric anesthesia: perioperative considerations

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