AbstractObjectiveTo investigate the current state of clinical practice and training regarding the use of cardiac point of care ultrasound (cPOCUS) in neonatal intensive care units.Study designAn online survey was disseminated through the Association of Academic Directors of Neonatology to appraise clinical usage, infrastructure, and training for cPOCUS.

摘要目的调查新生儿重症监护病房使用心脏即时超声（cPOCUS）的临床实践和培训现状。研究设计在线调查通过新生儿学学术总监协会传播，以评估CPOCU的临床使用，基础设施和培训。

A single response per center was obtained.ResultsOverall survey response rate was 51% (48/94). Of respondents [40/48 (83%)] who reported having a POCUS program, 19/40 (47%) reported performing cPOCUS. In 74% of centers, <10 cPOCUS studies are performed monthly. Only 16% (3/19) of centers had standardized imaging protocols.

获得了每个中心的单个响应。结果总体调查回复率为51%（48/94）。在报告有POCUS计划的受访者中[40/48（83%）]，有19/40（47%）报告执行了CPOCU。在74%的中心，每月进行不到10次cPOCUS研究。。

The most common indication for cPOCUS was central line evaluation. Only 9 (19%) programs reported cPOCUS training, of whom 4 had a formalized process of ongoing competency assessment.ConclusionAlthough use of cPOCUS is increasing, program infrastructure and governance, training, and evaluation vary markedly between institutions and are missing in many.

cPOCUS最常见的指征是中线评估。只有9个（19%）项目报告了cPOCUS培训，其中4个有正式的持续能力评估流程。结论尽管CPOCU的使用正在增加，但各机构之间的项目基础设施和治理，培训和评估差异很大，许多机构都没有。

There is an urgent need to develop consensus standards regarding clinical practice and training..

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Fig. 1: Reported indications for which cardiac POCUS is utilized.

图1：使用心脏POCUS的报告适应症。

Data availability

数据可用性

Attached Appendix 1.

附件1。

ReferencesNguyen J, Amirnovin R, Ramanathan R, Noori S. The state of point-of-care ultrasonography use and training in neonatal-perinatal medicine and pediatric critical care medicine fellowship programs. J Perinatol. 2016;36:972–6.Article

参考文献Nguyen J，Amirnovin R，Ramanathan R，Noori S.新生儿围产期医学和儿科重症监护医学奖学金计划中的即时超声检查使用和培训状况。J Perinatol。2016年；36:972–6.文章

PubMed

PubMed

Google Scholar

谷歌学者

Mirza HS, Logsdon G, Pulickal A, Stephens M, Wadhawan R. A national survey of neonatologists: barriers and prerequisites to introduce point-of-care ultrasound in neonatal ICUs. Ultrasound Q. 2017;33:265–71.Article

Mirza HS，Logsdon G，Pulickal A，Stephens M，Wadhawan R.全国新生儿科医生调查：在新生儿ICU中引入即时超声的障碍和先决条件。超声波Q.2017；33:265–71.文章

PubMed

PubMed

Google Scholar

谷歌学者

Stewart DL, Elsayed Y, Fraga MV, Coley BD, Annam A, Milla SS. Use of point-of-care ultrasonography in the NICU for diagnostic and procedural purposes. Pediatrics. 2022;150:e2022060053.Article

斯图尔特DL，埃尔萨耶德Y，弗拉加MV，科利BD，安南A，米拉SS。在NICU中使用即时超声检查进行诊断和手术。儿科。2022年；150:e2022060053.文章

PubMed

PubMed

Google Scholar

谷歌学者

Singh Y, Tissot C, Fraga MV, Yousef N, Cortes RG, Lopez J, et al. International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC).

Singh Y，Tissot C，Fraga MV，Yousef N，Cortes RG，Lopez J等。欧洲儿科和新生儿重症监护学会（ESPNIC）POCUS工作组发布的危重新生儿和儿童POCUS国际循证指南。

Crit Care. 2020;24:65.Article .

重症监护。2020;24:65文章。

PubMed

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

McNamara PJ, Barker P, Jain A, Lai WW. Towards use of POCUS to evaluate hemodynamics in critically ill neonates: caution before adoption in this population. Crit Care. 2021;25:92.Article

麦克纳马拉PJ，巴克P，贾恩A，赖WW。使用POCUS评估危重新生儿的血流动力学：在该人群中采用前的注意事项。暴击护理。2021年；25:92.文章

PubMed

PubMed

PubMed Central

公共医学中心

Google Scholar

谷歌学者

Lopez L, Saurers DL, Barker PCA, Cohen MS, Colan SD, Dwyer J, et al. Guidelines for performing a comprehensive pediatric transthoracic echocardiogram: recommendations from the American Society of Echocardiography. J Am Soc Echocardiogr. 2024;37:119–70.Article

Lopez L，Saurers DL，Barker PCA，Cohen MS，Colan SD，Dwyer J等。进行全面小儿经胸超声心动图的指南：美国超声心动图学会的建议。J Am Soc超声心动图。2024年；37:119–70.文章

PubMed

PubMed

Google Scholar

谷歌学者

Elsayed Y, Wahab MGA, Mohamed A, Fadel NB, Bhombal S, Yousef N, et al. Point-of-care ultrasound (POCUS) protocol for systematic assessment of the crashing neonate-expert consensus statement of the international crashing neonate working group. Eur J Pediatr. 2023;182:53–66.Article

Elsayed Y，Wahab MGA，Mohamed A，Fadel NB，Bhombal S，Yousef N等。国际撞车新生儿工作组系统评估撞车新生儿专家共识声明的护理点超声（POCUS）方案。欧洲儿科杂志。2023年；182:53–66.文章

PubMed

PubMed

Google Scholar

谷歌学者

Yousef N, Singh Y, De Luca D. “Playing it SAFE in the NICU” SAFE-R: a targeted diagnostic ultrasound protocol for the suddenly decompensating infant in the NICU. Eur J Pediatr. 2022;181:393–8.Article

Yousef N，Singh Y，De Luca D.“在新生儿重症监护病房中安全行事”SAFE-R：针对新生儿重症监护病房突然失代偿的婴儿的有针对性的超声诊断方案。欧洲儿科杂志。2022年；181:393–8.文章

PubMed

PubMed

Google Scholar

谷歌学者

Firszt O, Grabowska A, Saran A, Kluczewska E Implementation of a standardized lung ultrasound protocol for respiratory distress in a neonatal intensive care unit: an observational study. J Perinatol. 2024;44:1264–8.Kurepa D, Boyar V, Zaghloul N, Beachy J, Zaytseva A, Teng D, et al. Structured neonatal point-of-care ultrasound training program.

。J Perinatol。2024年；44:1264–8.Kurepa D，Boyar V，Zaghloul N，Beachy J，Zaytseva A，Teng D等。结构化新生儿即时超声培训计划。

Am J Perinatol. 2021;38:e284–91.Article .

我得到了J Perinatol。2021;38:e284-91文章。

PubMed

PubMed

Google Scholar

谷歌学者

Finan E, Sehgal A, Khuffash AE, McNamara PJ. Targeted neonatal echocardiography services: need for standardized training and quality assurance. J Ultrasound Med. 2014;33:1833–41.Article

芬南E，塞加尔A，胡夫法什AE，麦克纳马拉PJ。有针对性的新生儿超声心动图服务：需要标准化培训和质量保证。J超声波医学2014；33:1833-41.文章

PubMed

PubMed

Google Scholar

谷歌学者

Harris PA, Taylor R, Minor BL, Elliott V, Fernandez M, O’Neal L, et al. The REDCap consortium: building an international community of software platform partners. J Biomed Inf. 2019;95:103208.Article

Harris PA，Taylor R，Minor BL，Elliott V，Fernandez M，O'Neal L等。REDCap财团：建立软件平台合作伙伴的国际社区。《生物医学杂志》，2019年；95:103208.文章

Google Scholar

谷歌学者

Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)–a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inf. 2009;42:377–81.Article

哈里斯PA，泰勒R，蒂尔克R，佩恩J，冈萨雷斯N，康德JG。研究电子数据采集（REDCap）–一种元数据驱动的方法和工作流程，用于提供转化研究信息学支持。J生物医学信息2009；42:377-81.文章

Google Scholar

谷歌学者

McNamara PJ. Personal communication with The Association of Academic Division Directors of Neonatology (AANDD) listserv. 2023.Giesinger RE, Hobson AA, Bischoff AR, Klein JM, McNamara PJ. Impact of early screening echocardiography and targeted PDA treatment on neonatal outcomes in “22-23” week and “24-26” infants.

麦克纳马拉PJ。与新生儿学学术部主任协会（AANDD）listserv的个人交流。2023年。吉辛格·雷（Giesinger RE），霍布森（Hobson）AA，比肖夫（Bischoff AR），克莱恩（Klein JM），麦克纳马拉（McNamara PJ）。早期筛查超声心动图和靶向PDA治疗对“22-23”周和“24-26”婴儿新生儿结局的影响。

Semin Perinatol. 2023;47:151721.Article .

Semin Perinatol。2023年；47:151721。文章。

PubMed

PubMed

Google Scholar

谷歌学者

Jones AE, Tayal VS, Sullivan DM, Kline JA. Randomized, controlled trial of immediate versus delayed goal-directed ultrasound to identify the cause of nontraumatic hypotension in emergency department patients. Crit Care Med. 2004;32:1703–8.Article

琼斯AE，塔亚尔VS，沙利文DM，克莱恩JA。立即与延迟目标导向超声的随机对照试验，以确定急诊科患者非创伤性低血压的原因。Crit Care Med。2004；32:1703–8.文章

PubMed

PubMed

Google Scholar

谷歌学者

Shokoohi H, Boniface KS, Pourmand A, Liu YT, Davison DL, Hawkins KD, et al. Bedside ultrasound reduces diagnostic uncertainty and guides resuscitation in patients with undifferentiated hypotension. Crit Care Med. 2015;43:2562–9.Article

Shokoohi H，Boniface KS，Pourmand A，Liu YT，Davison DL，Hawkins KD等。床边超声可降低诊断不确定性，并指导未分化低血压患者的复苏。Crit Care Med。2015；43:2562–9.文章

PubMed

PubMed

Google Scholar

谷歌学者

Heiberg J, El-Ansary D, Canty DJ, Royse AG, Royse CF. Focused echocardiography: a systematic review of diagnostic and clinical decision-making in anaesthesia and critical care. Anaesthesia. 2016;71:1091–100.Article

Heiberg J，El Ansary D，Canty DJ，Royse AG，Royse CF.聚焦超声心动图：麻醉和重症监护中诊断和临床决策的系统评价。麻醉。2016年；71:1091–100.文章

PubMed

PubMed

Google Scholar

谷歌学者

Watkins LA, Dial SP, Koenig SJ, Kurepa DN, Mayo PH. The utility of point-of-care ultrasound in the pediatric intensive care unit. J Intensive Care Med. 2022;37:1029–36.Article

Watkins LA，Dial SP，Koenig SJ，Kurepa DN，Mayo PH。即时超声波在儿科重症监护病房中的应用。；37:1029–36.文章

PubMed

PubMed

Google Scholar

谷歌学者

Jain A, Ruoss JL, Fraga MV, McNamara PJ. Clarification of boundaries and scope of cardiac POCUS vs. targeted neonatal echocardiography. J Perinatol. 2023;43:1207–10.Article

Jain A，Ruoss JL，Fraga MV，McNamara PJ。澄清心脏POCUS与靶向新生儿超声心动图的边界和范围。J Perinatol。2023年；43:1207–10.文章

PubMed

PubMed

Google Scholar

谷歌学者

Noori S, Ramanathan R, Lakshminrusimha S, Singh Y Hemodynamic assessment by neonatologist using echocardiography: Primary provider versus consultation model. Pediatr Res. 2024 https://doi.org/10.1038/s41390-024-03248-7.Jankowich M, Gartman E. Ultrasound in the intensive care unit. Chapter 16, pp 359–360 2015.Download referencesAcknowledgementsJ Lauren Ruoss2, Brady Thomas1, Regan E.

Noori S，Ramanathan R，Lakshminrusimha S，Singh Y新生儿科医生使用超声心动图评估血流动力学：主要提供者与咨询模型。儿科研究2024https://doi.org/10.1038/s41390-024-03248-7.JankowichM，Gartman E。重症监护室的超声波检查。第16章，第359-360页2015。下载参考文献致谢J Lauren Ruoss2，Brady Thomas1，Regan E。

Giesinger1, Patrick J. McNamara1.Author informationAuthors and AffiliationsDivision of Neonatal-Perinatal Medicine, University of Iowa, Iowa City, IA, USANumra Abdul Aleem, John T. Wren Jr., Amy H. Stanford, Rachael M. Hyland, Brady Thomas, Regan E. Giesinger & Patrick J. McNamaraDivision of Neonatal-Perinatal Medicine, Orlando Health Winnie Palmer Hospital for Women and Babies, Orlando, FL, USAJ.

Giesinger1，PatrickJ.McNamara1。作者信息作者和附属机构爱荷华大学新生儿围产期医学系，爱荷华州爱荷华市，USANumra Abdul Aleem，JohnT.Wren Jr.，AmyH.Stanford，RachaelM.Hyland，Brady Thomas，Regan E.Giesinger＆PatrickJ.McNamaraDivision of Newary Periotal Medicine，Orlando Health Winnie Palmer Hospital for Women and Babies，Orland，FL，USAJ。

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PubMed Google ScholarContributionsNA –design, data collection, analysis, writing first draft, approving final draft; JLR, BT, REG, JW, AS, RH – design, approval of final draft; PJM – design, data collection, analysis, approval of final draft.Corresponding authorCorrespondence to.

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Patrick J. McNamara.Ethics declarations

帕特里克·J·麦克纳马拉。道德宣言

Competing interests

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The authors declare no competing interests.

作者声明没有利益冲突。

Ethics approval and consent to participate

道德批准和同意参与

The study was approved by the University of Iowa’s Institutional Review Board and waiver of consent was obtained.

这项研究得到了爱荷华大学机构审查委员会的批准，并获得了同意书的放弃。

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Additional informationPublisher的注释Springer Nature在已发布的地图和机构隶属关系中的管辖权主张方面保持中立。补充信息调查内容权利和许可Pringer Nature或其许可方（例如协会或其他合作伙伴）根据与作者或其他权利持有人的出版协议对本文拥有专有权；本文接受稿件版本的作者自行存档仅受此类出版协议和适用法律的条款管辖。转载和许可本文引用本文Aleem，N.A.，Wren，J.T.，Ruoss，J.L。

et al. Neonatal cardiac POCUS—a survey of academic neonatal centers in the United States..

等。新生儿心脏POCUS-美国学术新生儿中心的调查。。

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