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Neonatologist performed echocardiography (NPE) in Italian neonatal intensive care units: a national survey.
Corsini, Iuri; Ficial, Benjamim; Fiocchi, Stefano; Schena, Federico; Capolupo, Irma; Cerbo, Rosa Maria; Condò, Manuela; Doni, Daniela; La Placa, Simona; Porzio, Salvatore; Rossi, Katia; Salvadori, Sabrina; Savoia, Marilena.
Afiliación
  • Corsini I; Neonatal Intensive Care Unit, Division of Neonatology, Careggi University Hospital of Florence, Florence, Italy. corsiniiuri@gmail.com.
  • Ficial B; Neonatal Unit, Azienda Ospedaliera Universitaria Integrata di Verona, Verona, Italy.
  • Fiocchi S; Neonatologia e Terapia Intensiva Neonatale, Ospedale Valduce, Como, Italy.
  • Schena F; Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
  • Capolupo I; Neonatal Intensive Care Unit, Ospedale Pediatrico Bambino Gesù, Rome, Italy.
  • Cerbo RM; Neonatal Intensive Care Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
  • Condò M; Neonatal Intensive Care Unit, Ospedale A. Manzoni, Lecco, Italy.
  • Doni D; Neonatal Intensive Care Unit, FMBBM San Gerardo, Monza, Italy.
  • La Placa S; Neonatal Intensive Care Unit, AOUP Giaccone, Palermo, Italy.
  • Porzio S; Neonatal Section, San Michele Hospital, Maddaloni, NA, Italy.
  • Rossi K; Neonatal Intensive Care Unit, Policlinico di Modena, Modena, Italy.
  • Salvadori S; Neonatal Intensive Care Unit, Azienda Ospedaliera-Università di Padova, Padova, Italy.
  • Savoia M; Neonatal Intensive Care Unit, Azienda Ospedaliera Universitaria S Maria della Misericordia, Udine, Italy.
Ital J Pediatr ; 45(1): 131, 2019 Oct 22.
Article en En | MEDLINE | ID: mdl-31640752
BACKGROUND: Neonatologist performed echocardiography (NPE) has increasingly been used to assess the hemodynamic status in neonates. Aim of this survey was to investigate the utilization of NPE in Italian neonatal intensive care units (NICUs). METHODS: We conducted an on-line survey from June to September 2017. A questionnaire was developed by the Italian neonatal cardiology study group and was sent to each Italian NICU. RESULTS: The response rate was 77%. In 94% of Italian NICUs functional echocardiography was used by neonatologists, cardiologists or both (57, 15 and 28% respectively). All the respondents used NPE in neonates with patent ductus arteriosus and persistent pulmonary hypertension, 93% in neonates with hypotension or shock, 85% in neonates with perinatal asphyxia, 78% in suspicion of cardiac tamponade, and 73% for line positioning. In 30% of center, there was no NPE protocol. Structural echocardiography in stable and critically ill neonates was performed exclusively by neonatologists in 46 and 36% of center respectively. CONCLUSIONS: NPE is widely used in Italian NICUs by neonatologists. Structural echocardiography is frequently performed by neonatologists. Institutional protocols for NPE are lacking. There is an urgent need of a formal training process and accreditation to standardize the use of NPE.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pautas de la Práctica en Medicina / Ecocardiografía / Unidades de Cuidado Intensivo Neonatal / Neonatólogos / Cardiopatías Congénitas Límite: Humans / Newborn País/Región como asunto: Europa Idioma: En Revista: Ital J Pediatr Asunto de la revista: PEDIATRIA Año: 2019 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pautas de la Práctica en Medicina / Ecocardiografía / Unidades de Cuidado Intensivo Neonatal / Neonatólogos / Cardiopatías Congénitas Límite: Humans / Newborn País/Región como asunto: Europa Idioma: En Revista: Ital J Pediatr Asunto de la revista: PEDIATRIA Año: 2019 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Reino Unido