Point-of-care ultrasound in a department of pediatric and adolescent surgery

Efrat Avinadav, Anastasia Almog, Dragan Kravarusic, Emanuelle Seguier, Inbal Samuk, Adrianna Nika, Enrique Freud

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Point-of-care ultrasound (POCUS) is becoming a common tool for routine use in emergency medicine, anesthesiology and intensive care for diagnostic and interventional purposes. When a portable ultrasound device became available for the department of Pediatric and Adolescent Surgery at the Schneider’s Children Medical Center of Israel, we added POCUS assessments to the physician’s daily rounds. POCUS is performed by pediatric surgeons trained in basic ultrasonography skills. Starting September 2015 all POCUS examinations were documented. Objectives: To describe the current use and the diagnostic and therapeutic impacts of POCUS in a department of pediatric and adolescent surgery. Methods: We conducted an observational study of all the documented POCUS procedures performed during a half-year period. Data regarding patient condition and the POCUS procedures were collected, as well as data on the use of other diagnostic modalities, mainly formal ultrasound exams (by radiologists) and computed tomography scans and their correlation with the POCUS assessment. Results: Fifty-one POCUS exams were performed during the study period, most of which served to define the presence and resolution of a collection – intraabdominal (34%) and subcutaneous (31%). Despite a high rate for formal diagnostic studies (65%), probably due to a relative lack of confidence of surgeons performing the POCUS exams during this initial period, most results (92%) were compatible. Conclusions: The ability and availability to perform multiple POCUS exams by the attending physician proved to be a valuable aide to the classical physical and laboratory examinations of surgical patients, and we predict its increasing use in daily practice.

Original languageEnglish
Pages (from-to)677-679
Number of pages3
JournalIsrael Medical Association Journal
Volume18
Issue number11
StatePublished - Nov 2016

Keywords

  • Bedside ultrasound
  • Point-of-care ultrasound (POCUS)

Fingerprint

Dive into the research topics of 'Point-of-care ultrasound in a department of pediatric and adolescent surgery'. Together they form a unique fingerprint.

Cite this