by Dr. M. Tauseef Omer Point-of-Care Ultrasound (POCUS) holds immense value in the neonatal unit. It is a non-invasive, bedside utility that helps make immediate decisions.
It enables clinicians to rapidly identify both normal and abnormal findings, supporting the diagnosis of a wide range of conditions.
Applications:
Cardiac:
4 chamber view and Situs
Univentricular heart
Pulmonary hypertension
Normal and abnormal anatomy of great vessels of heart
Wall motion
Ventricular septal defect
Patent ductus arteriosus
Pneumopericardium
Pericardial effusion
Lungs:
Normal signs relating lungs
Pneumothorax
Pleural effusion
Consolidation
Endotracheal tube position
Chest tube position
Respiratory distress syndrome vs TTN (LUSco score)
Diaphragmatic assessment for weaning from ventilator or phrenic nerve injury
Gastrointestinal and KUB:
Bowel perfusion and vascularity
Size of liver, spleen, kidneys, pelvis, ureters
Necrotizing enterocolitis (Air in bowel wall, air in porta hepatis, aperistaltic segments of intestine)
Nephrocalcinosis
Guidance for paracentesis
Position of umbilical lines
Position of OG tube
Tracheo-esophageal fistula
Hypertrophic pyloric stenosis
Midgut volvulus & Axis of superior mesenteric vessels
Intussusception
Meconium peritonitis
Bladder volume
Bladder wall thickness
Cystic kidney diseases
Renal Vein thrombosis
Portal Vein thrombosis
Ascites
Neurosonography:
Intraventricular haemorrhage
Ventricular dimensions
Bedside brain perfusion
HIE
Raised ICP by optic sheath diameter assessement
Landmarks for lumbar puncture
Landmarks for ventricular tap
Peripheral vascular assess and assessment of soft tissue injury
Hemodynamic monitoring
IVC collapsibility for assessment of volume status
Guidance for inotropic support
No comments:
Post a Comment