Evidence map›Paper›PMID 40521309›Full record

ArticleJournal of medical ultrasound

The Pediatric Tri-POCUS Approach: Conceptual Review and Case Series.

Daniel Palanca Arias, Marcos Clavero Adell, Victoria Estabén Boldova, José Enrique Alonso Formento, Ariada Ayerza Casas, Almudena Alonso Ojembarrena

Erratum issuedAbstract read
In one paragraph

Article in Journal of medical ultrasound. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Daniel Palanca AriasDepartment of Pediatric Intensive Care Medicine, Pediatric Intensive Care Unit, Miguel Servet University Hospital, Zaragoza, Spain.
Marcos Clavero AdellDepartment of Pediatric Cardiology, Miguel Servet University Hospital, Zaragoza, Spain.
Victoria Estabén BoldovaEmergency Department, Nuestra Señora de Gracia Hospital, Zaragoza, Spain.
José Enrique Alonso FormentoEmergency Department, Miguel Servet University Hospital, Zaragoza, Spain.
Ariada Ayerza CasasDepartment of Pediatric Cardiology, Miguel Servet University Hospital, Zaragoza, Spain.
Almudena Alonso OjembarrenaDepartment of Neonatal Intensive Care Medicine, Neonatal Intensive Care Unit, Puerta del Mar University Hospital, Cádiz, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effective fluid management presents a significant challenge for pediatric intensivists. Enhanced ultrasound data that predict adverse outcomes, such as edema and venous congestion, can provide important information about optimal fluid management. The integration of bedside multiorgan ultrasound protocols (Multi-POCUS) mitigates the limitations of individual scoring systems, enabling more accurate fluid monitoring and management. The Tri-POCUS approach, described initially in adult patients, combines lung ultrasound, focused cardiac ultrasound, and venous excess ultrasound, and its application in the pediatric population is proposed. This study examines the Tri-POCUS approach from a pediatric perspective: we applied it to a cohort of critically ill pediatric patients with venous congestion admitted to a pediatric intensive care unit. Four cases are presented to demonstrate the bedside utility of the Tri-POCUS approach in critically ill children with the goal of monitoring venous congestion.

Indexed as

Fluid overloadhepatic venous Dopplerinferior vena cavaintrarenal venous Dopplerpediatric intensive care unitpoint of care ultrasoundportal venous Dopplerultrasonography/heartultrasonography/lungvenous congestionvenous excess ultrasoundVExUS score

Identifiers

PMID40521309
PMCPMC12161702

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Registered trials

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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.