Echocardiography in PICU: when the heart sees what is invisible to the eye

Objective: Echocardiography has become an indispensable bedside diagnostic tool in the realm of pediatric intensive care units (PICU). It has proven to be an influential factor in the formula of clinical decision‐making. This study aimed to delineate the impact of echocardiography on the management...

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Main Authors: Fatma Rabah, Khalfan Al‐Senaidi, Ismail Beshlawi, Alddai Alnair, Anas‐Alwogud Ahmed Abdelmogheth
Format: Article
Language:Portuguese
Published: Brazilian Society of Pediatrics 2016-01-01
Series:Jornal de Pediatria (Versão em Português)
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2255553615001603
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author Fatma Rabah
Khalfan Al‐Senaidi
Ismail Beshlawi
Alddai Alnair
Anas‐Alwogud Ahmed Abdelmogheth
author_facet Fatma Rabah
Khalfan Al‐Senaidi
Ismail Beshlawi
Alddai Alnair
Anas‐Alwogud Ahmed Abdelmogheth
author_sort Fatma Rabah
collection DOAJ
description Objective: Echocardiography has become an indispensable bedside diagnostic tool in the realm of pediatric intensive care units (PICU). It has proven to be an influential factor in the formula of clinical decision‐making. This study aimed to delineate the impact of echocardiography on the management of critically ill pediatric patients in the PICU at Sultan Qaboos University Hospital, Oman. Method: This was a retrospective cohort study conducted in a five‐bed PICU. Patients admitted to the PICU from January of 2011 to December of 2012 were reviewed. Those who have undergone bedside echocardiography during their ICU stay were recruited. Electronic patient record was used as data source. Results: Over a‐24‐month period, 424 patients were admitted in this PICU. One hundred and one clinically indicated transthoracic echocardiograms were performed. 81.8% of these presented new findings (n = 82) that significantly impacted the clinical decision of patient management, namely, alteration in drug therapy and procedure, whereas no difference in the management was yielded in the remaining 17.8% of the studied cases. Conclusions: Echocardiography had a significant impact on the management of PICU patients. Such salutary effect was consequently reflected on the outcome. Pediatric intensivists are encouraged to acquire such bedside skill.
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spelling doaj.art-f71e1737f2604f80a3facbf17e999cfe2022-12-22T04:38:40ZporBrazilian Society of PediatricsJornal de Pediatria (Versão em Português)2255-55362016-01-019219610010.1016/j.jpedp.2015.11.002Echocardiography in PICU: when the heart sees what is invisible to the eyeFatma RabahKhalfan Al‐SenaidiIsmail BeshlawiAlddai AlnairAnas‐Alwogud Ahmed AbdelmoghethObjective: Echocardiography has become an indispensable bedside diagnostic tool in the realm of pediatric intensive care units (PICU). It has proven to be an influential factor in the formula of clinical decision‐making. This study aimed to delineate the impact of echocardiography on the management of critically ill pediatric patients in the PICU at Sultan Qaboos University Hospital, Oman. Method: This was a retrospective cohort study conducted in a five‐bed PICU. Patients admitted to the PICU from January of 2011 to December of 2012 were reviewed. Those who have undergone bedside echocardiography during their ICU stay were recruited. Electronic patient record was used as data source. Results: Over a‐24‐month period, 424 patients were admitted in this PICU. One hundred and one clinically indicated transthoracic echocardiograms were performed. 81.8% of these presented new findings (n = 82) that significantly impacted the clinical decision of patient management, namely, alteration in drug therapy and procedure, whereas no difference in the management was yielded in the remaining 17.8% of the studied cases. Conclusions: Echocardiography had a significant impact on the management of PICU patients. Such salutary effect was consequently reflected on the outcome. Pediatric intensivists are encouraged to acquire such bedside skill.http://www.sciencedirect.com/science/article/pii/S2255553615001603EchocardiographyPediatric cardiologyPediatric intensive careClinical decision making
spellingShingle Fatma Rabah
Khalfan Al‐Senaidi
Ismail Beshlawi
Alddai Alnair
Anas‐Alwogud Ahmed Abdelmogheth
Echocardiography in PICU: when the heart sees what is invisible to the eye
Jornal de Pediatria (Versão em Português)
Echocardiography
Pediatric cardiology
Pediatric intensive care
Clinical decision making
title Echocardiography in PICU: when the heart sees what is invisible to the eye
title_full Echocardiography in PICU: when the heart sees what is invisible to the eye
title_fullStr Echocardiography in PICU: when the heart sees what is invisible to the eye
title_full_unstemmed Echocardiography in PICU: when the heart sees what is invisible to the eye
title_short Echocardiography in PICU: when the heart sees what is invisible to the eye
title_sort echocardiography in picu when the heart sees what is invisible to the eye
topic Echocardiography
Pediatric cardiology
Pediatric intensive care
Clinical decision making
url http://www.sciencedirect.com/science/article/pii/S2255553615001603
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AT ismailbeshlawi echocardiographyinpicuwhentheheartseeswhatisinvisibletotheeye
AT alddaialnair echocardiographyinpicuwhentheheartseeswhatisinvisibletotheeye
AT anasalwogudahmedabdelmogheth echocardiographyinpicuwhentheheartseeswhatisinvisibletotheeye