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Underutilized Ultrasound Applications in the Neonatal Intensive Care Unit

Underutilized Ultrasound Applications in the Neonatal Intensive Care Unit Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 REVIEW ARTICLE Underutilized Ultrasound Applications in the Neonatal Intensive Care Unit Caroline Engel, MD, Cicero Silva, MD, Kenneth Baker, MD, and T. Rob Goodman, MD infant’s bowel mucosal integrity, resulting in the ability of Abstract: Bedside duplex/color Doppler sonography is used for a intraluminal bacteria to invade the bowel wall and secondarily wide gamut of abnormalities encountered in the neonatal intensive produce gas in that location. care unit. This article emphasizes the use of bedside sonography for Abdominal radiography has conventionally been used evaluation of infants with necrotizing enterocolitis, infants requiring as the imaging of choice for pneumatosis detection; however, line placement, and those in whom a diaphragmatic abnormality is a high interobserver variability has been reported, and sensi- suspected. Although the assessment of those infants requires excel- 4,3 tivity is low. lent operator skills, learning to do so is a definite benefit to these Ultrasound has recently been described as a useful and babies who would otherwise be exposed to ionizing radiation. in some cases superior alternative to radiographs for pneu- matosis detection. The key sonographic sign for pneumato- Key Words: ultrasound, NICU, neonate, necrotizing enterocolitis, sis is punctate echogenic foci, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Ultrasound quarterly Wolters Kluwer Health

Underutilized Ultrasound Applications in the Neonatal Intensive Care Unit

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Publisher
Wolters Kluwer Health
ISSN
0894-8771
eISSN
1536-0253
DOI
10.1097/RUQ.0b013e31827496e5
Publisher site
See Article on Publisher Site

Abstract

Downloaded from http://journals.lww.com/ultrasound-quarterly by BhDMf5ePHKbH4TTImqenVA5KvPVPZ0P5BEgU+IUTEfzO/GUWifn2IfwcEVVH9SSn on 06/10/2020 REVIEW ARTICLE Underutilized Ultrasound Applications in the Neonatal Intensive Care Unit Caroline Engel, MD, Cicero Silva, MD, Kenneth Baker, MD, and T. Rob Goodman, MD infant’s bowel mucosal integrity, resulting in the ability of Abstract: Bedside duplex/color Doppler sonography is used for a intraluminal bacteria to invade the bowel wall and secondarily wide gamut of abnormalities encountered in the neonatal intensive produce gas in that location. care unit. This article emphasizes the use of bedside sonography for Abdominal radiography has conventionally been used evaluation of infants with necrotizing enterocolitis, infants requiring as the imaging of choice for pneumatosis detection; however, line placement, and those in whom a diaphragmatic abnormality is a high interobserver variability has been reported, and sensi- suspected. Although the assessment of those infants requires excel- 4,3 tivity is low. lent operator skills, learning to do so is a definite benefit to these Ultrasound has recently been described as a useful and babies who would otherwise be exposed to ionizing radiation. in some cases superior alternative to radiographs for pneu- matosis detection. The key sonographic sign for pneumato- Key Words: ultrasound, NICU, neonate, necrotizing enterocolitis, sis is punctate echogenic foci,

Journal

Ultrasound quarterly – Wolters Kluwer Health

Published: Dec 1, 2012

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