Point-of-Care Ultrasound for Earlier Detection of Pediatric Pneumonia

Autor: John H. Priester, Prasanna Kumar, Jesse Naumann, Katherine Dolbec, Peter Weimersheimer, Christian D. Pulcini
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Clinical Practice and Cases in Emergency Medicine, Vol 8, Iss 3, Pp 305-307 (2024)
Druh dokumentu: article
ISSN: 2474-252X
DOI: 10.5811/cpcem.7216
Popis: Case Presentation: An 8-month-old infant presented to a general emergency department with chief complaints of rhinorrhea, decreased activity, and fever. A point-of-care lung ultrasound (LUS) was performed at bedside with potential early findings of pneumonia. Based on these findings on LUS, a chest radiograph (CXR) was ordered and performed with no acute findings. He was discharged without antibiotics based on these findings; unfortunately, he returned two days later with worsening symptoms requiring chest tube placement, mechanical ventilation, and prolonged hospitalization for complicated bacterial pneumonia. Discussion: Pneumonia is a major cause of pediatric morbidity and mortality worldwide. Despite evidence supporting the utilization of LUS for the diagnosis of pediatric pneumonia, CXR remains the default imaging for clinical decision-making in most settings. In this case, earlier antibiotics and higher reliance on LUS for clinical decision-making may have prevented the morbidity associated with this hospitalization.
Databáze: Directory of Open Access Journals