The Pediatric Tri-POCUS Approach: Conceptual Review and Case Series
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 prot...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-04-01
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| Series: | Journal of Medical Ultrasound |
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| Online Access: | https://journals.lww.com/10.4103/jmu.JMU-D-24-00002 |
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| author | Daniel Palanca Arias Marcos Clavero Adell Victoria Estabén Boldova José Enrique Alonso Formento Ariada Ayerza Casas Almudena Alonso Ojembarrena |
| author_facet | Daniel Palanca Arias Marcos Clavero Adell Victoria Estabén Boldova José Enrique Alonso Formento Ariada Ayerza Casas Almudena Alonso Ojembarrena |
| author_sort | Daniel Palanca Arias |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-9adfbadaffa84c35900df82ef33d0e05 |
| institution | DOAJ |
| issn | 0929-6441 2212-1552 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Medical Ultrasound |
| spelling | doaj-art-9adfbadaffa84c35900df82ef33d0e052025-08-20T03:07:50ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412212-15522025-04-0133215416110.4103/jmu.JMU-D-24-00002The Pediatric Tri-POCUS Approach: Conceptual Review and Case SeriesDaniel Palanca AriasMarcos Clavero AdellVictoria Estabén BoldovaJosé Enrique Alonso FormentoAriada Ayerza CasasAlmudena Alonso OjembarrenaEffective 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.https://journals.lww.com/10.4103/jmu.JMU-D-24-00002fluid overloadhepatic venous dopplerinferior vena cavaintrarenal venous dopplerpediatric intensive care unitpoint of care ultrasoundportal venous dopplerultrasonography/heartultrasonography/lungvenous congestionvenous excess ultrasoundvexus score |
| spellingShingle | Daniel Palanca Arias Marcos Clavero Adell Victoria Estabén Boldova José Enrique Alonso Formento Ariada Ayerza Casas Almudena Alonso Ojembarrena The Pediatric Tri-POCUS Approach: Conceptual Review and Case Series Journal of Medical Ultrasound fluid overload hepatic venous doppler inferior vena cava intrarenal venous doppler pediatric intensive care unit point of care ultrasound portal venous doppler ultrasonography/heart ultrasonography/lung venous congestion venous excess ultrasound vexus score |
| title | The Pediatric Tri-POCUS Approach: Conceptual Review and Case Series |
| title_full | The Pediatric Tri-POCUS Approach: Conceptual Review and Case Series |
| title_fullStr | The Pediatric Tri-POCUS Approach: Conceptual Review and Case Series |
| title_full_unstemmed | The Pediatric Tri-POCUS Approach: Conceptual Review and Case Series |
| title_short | The Pediatric Tri-POCUS Approach: Conceptual Review and Case Series |
| title_sort | pediatric tri pocus approach conceptual review and case series |
| topic | fluid overload hepatic venous doppler inferior vena cava intrarenal venous doppler pediatric intensive care unit point of care ultrasound portal venous doppler ultrasonography/heart ultrasonography/lung venous congestion venous excess ultrasound vexus score |
| url | https://journals.lww.com/10.4103/jmu.JMU-D-24-00002 |
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