Current Clinical Practice in Point-of-Care Ultrasound Use in the PICUs Across Europe

Martien H. Humblet*, Yogen Singh, Cecile Tissot, Daniele De Luca, Piet L. Leroy

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Web of Science)

Abstract

Objectives: 1) To investigate the current practice in point-of-care ultrasound use in PICUs across Europe; 2) to understand the barriers for point-of-care ultrasound implementation in the clinical practice; 3) to identify existing point-of-care ultrasound training programs; and 4) to assess training needs.

Design: Cross-sectional electronic survey.

Subjects: Medical directors of European PICUs.

Measurements and Main Results: The response rate was 42.3%; 142 of the 336 invited PICU medical directors from 26 European countries completed the survey. The clinicians in almost all the PICUs across Europe were reported to use point-of-care ultrasound in some form. A significant variation in the clinical practice according to the patient characteristics and presence of a fellowship training program was observed. PICUs with cardiosurgical patients reported using point-of-care ultrasound significantly more often than others. Ultrasound-guided vascular access was the most common point-of-care ultrasound indication, except in PICUs providing joint care for neonates and children. Units with a fellowship training program reported an increased use of point-of-care ultrasound for hemodynamic evaluation, during resuscitation and a positive impact on collaboration with imaging specialties. Although no barrier was deemed substantial to impede point-of-care ultrasound implementation, a number of potential hindrances to its implementation were reported-such as lack of formal training curriculum, collaborative learning opportunities, and quality assurance processes. Bedside informal teaching in point-of-care ultrasound was reported the most common method to acquire point-of-care ultrasound skills.

Conclusions: Point-of-care ultrasound is being used extensively across heterogeneously organized PICU settings in Europe. However, there remains a significant variation in the clinical practice across the units. Clear needs for improved point-of-care ultrasound training programs and clinical governance structure were identified. Evidence-based point-of-care ultrasound guidelines, structured training programs dedicated to neonatal and pediatric intensive care settings, and educational research in point-of-care ultrasound use may help in strengthening clinical governance, making clinical practice uniform and enhancing quality assurance.

Original languageEnglish
Pages (from-to)E716-E722
Number of pages7
JournalPediatric critical care medicine
Volume21
Issue number9
DOIs
Publication statusPublished - Sep 2020

Keywords

  • education
  • Europe
  • pediatric intensive care units
  • point-of-care ultrasound
  • ultrasonography
  • PEDIATRIC CRITICAL-CARE
  • NEONATOLOGIST-PERFORMED ECHOCARDIOGRAPHY
  • BEDSIDE ULTRASOUND
  • INTENSIVE-CARE
  • MEDICINE
  • ULTRASONOGRAPHY
  • RECOMMENDATIONS

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