Introduction to neonatologist-performed echocardiography.

Introduction to neonatologist-performed echocardiography.
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DOI:
10.1038/s41390-018-0076-y
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发表时间:
2018-07
期刊:
影响因子:
3.6
通讯作者:
European Special Interest Group ‘Neonatologist Performed Echocardiography’ (NPE)
European Special Interest Group ‘Neonatologist Performed Echocardiography’ (NPE)
中科院分区:
医学3区
文献类型:
--
作者:
Groves AM;Singh Y;Dempsey E;Molnar Z;Austin T;El-Khuffash A;de Boode WP;European Special Interest Group ‘Neonatologist Performed Echocardiography’ (NPE)

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心脏超声技术越来越多地用于新生儿重症监护室,以指导患病新生儿的心肺护理。这是讨论“心脏病学家进行的超声心动图”(NPE)现状的八篇综述文章中的第一篇。本介绍性评论的目的是讨论NPE的四个关键要素。扫描的适应症进行了总结,使心脏科医生与超声心动图技能的实践范围明确。解释超声的基本物理学,以允许图像优化和避免伪影的错误结论。为了确保患者在超声心动图检查期间的安全,建议预防心肺不稳定、体温过低、感染和皮肤损伤。建议采用结构化的超声心动图方法,每次扫描时以相同的顺序采集相同的标准视图,以确保儿科医生确认正常的结构解剖或采集必要的图像,以便儿科心脏病专家在审查扫描时进行检查。
Cardiac ultrasound techniques are increasingly used in the neonatal intensive care unit to guide cardiorespiratory care of the sick newborn. This is the first in a series of eight review articles discussing the current status of “neonatologist-performed echocardiography” (NPE). The aim of this introductory review is to discuss four key elements of NPE. Indications for scanning are summarized to give the neonatologist with echocardiography skills a clear scope of practice. The fundamental physics of ultrasound are explained to allow for image optimization and avoid erroneous conclusions from artifacts. To ensure patient safety during echocardiography recommendations are given to prevent cardiorespiratory instability, hypothermia, infection, and skin lesions. A structured approach to echocardiography, with the same standard views acquired in the same sequence at each scan, is suggested in order to ensure that the neonatologist confirms normal structural anatomy or acquires the necessary images for a pediatric cardiologist to do so when reviewing the scan.
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