Evidence map›Paper›PMID 27513327›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2016

The state of point-of-care ultrasonography use and training in neonatal-perinatal medicine and pediatric critical care medicine fellowship programs.

J Nguyen, R Amirnovin, R Ramanathan, S Noori

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03744169 (Use of Point-of-care Lung Ultrasound to Diagnose the Etiology of Acute Respiratory Failure in a Pediatric Intensive Care Unit.), which is not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03744169 completednot on this mapstarted 2018, after this paper: background citation

Use of Point-of-care Lung Ultrasound to Diagnose the Etiology of Acute Respiratory Failure in a Pediatric Intensive Care Unit.

TypeobservationalSponsorUniversity of Wisconsin, MadisonRan2018 to 2020Enrolled88ConditionsPediatric Respiratory Diseases, Respiratory FailureArmsLung ultrasound, Clinical exam, Chest x-ray
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 80 citations in OpenAlex.

  1. Article
  2. Article
  3. Neonatal point-of-care ultrasound-steps for program development.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Neonatal cardiac POCUS-a survey of academic neonatal centers in the United States.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
  9. Observational
  10. Article
  11. Article
  12. Review
  13. The POCUS Imperative.Journal of graduate medical education · 2023
    Article
  14. Article
  15. Essentials of neonatal-perinatal medicine fellowship: innovations in medical education.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Review
  16. The Inter-Rater Reliability of Pediatric Point-of-Care Lung Ultrasound Interpretation in Children With Acute Respiratory Failure.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2022
    Article
  17. Essentials of Neonatal-Perinatal Medicine fellowship: part 2 - clinical education and experience.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Review
  18. Article
  19. Article
  20. Point-of-care ultrasound for the evaluation of venous cannula position in neonatal extracorporeal membrane oxygenation.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

J NguyenDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
R AmirnovinAnesthesiology Critical Care Medicine, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
R RamanathanDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
S NooriDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Children's Hospital of Los Angeles · USLAC+USC Medical Center · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe current state of point-of-care ultrasonography (POCUS) use and education in neonatal-perinatal medicine (NPM) and pediatric critical care medicine (PCCM) is unknown. Our aim was to quantify POCUS use, training and perceptions regarding education and barriers among the United States NPM and PCCM fellowship programs. STUDY

designA 14-question survey was emailed to the fellowship directors of all the United States NPM and PCCM fellowship programs.

resultsThe response rate was 55% (52/95) and 59% (39/66) for NPM and PCCM programs, respectively. Over 90% of respondents in both groups believe that fellows and attendings should receive POCUS training. PCCM programs, compared with NPM, had greater access to POCUS machines (97% vs 63%, P<0.001), and more often used POCUS for diagnoses and management (76% vs 29%, P<0.001) and procedural guidance (95% vs 37%, P<0.001). The most common indications were cardiac/hemodynamics, pulmonary pathology and vascular access in both specialties. PCCM reported more training to fellows (90% vs 29%, P<0.001). Both group perceived lack of time to learn, lack of equipment/funds, liability concerns, lack of personnel to train physicians and cardiology/radiology resistance as significant barriers to POCUS implementation.

conclusionsBoth NPM and PCCM fellowship programs believe in the benefits of POCUS and that their physicians should receive the necessary training. Compared with PCCM, NPM fellowships programs have less access to POCUS machines and less frequently use POCUS and train their fellows and attendings. There remain significant barriers to utilization of POCUS, especially in NPM.

Indexed as

Attitude of Health PersonnelChildCritical CareCross-Sectional StudiesCurriculumFellowships and ScholarshipsHumansInternship and ResidencyPediatricsPoint-of-Care SystemsSurveys and QuestionnairesUltrasonographyUnited States

Identifiers

PMID27513327
OpenAlexW2512493329

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.