A systematic review of point-of-care abdominal ultrasound scans performed by general surgeons in paediatric patients

Elsevier

Available online 18 January 2023

The SurgeonAuthor links open overlay panelHighlights•

Evidence for ultrasound scans in appendicitis and hypertrophic pyloric stenosis.

More research needed to implement in hospitals, especially small volume centres.

Robust ultrasound training programme recommended for clinical practice.

AbstractBackground/purpose

Bedside point-of-care ultrasound scans are a cheap, quick and safe diagnostic tool. There is increasing evidence for the use of point-of-care surgeon-performed ultrasound scans in adults, however there are fewer studies of its use in children. This systematic review aims to provide an up-to-date summary of the evidence behind surgeon-performed ultrasound scans in paediatric surgery.

Methods

The PubMed database was used to conduct this systematic review between the dates 1 Jan 1980 to 1 June 2020 (last search: 1 June 2020). Seven primary research studies were included in this review.

Results

There is good evidence for the use of ultrasound scans in appendicitis and hypertrophic pyloric stenosis. Training times are easily achievable and transferable within a surgical department.

Conclusions

Although the use of surgeon-performed bedside ultrasound scans has been described in appendicitis and hypertrophic pyloric stenosis, more research is required to embed this into clinical practice, particularly in low volume centres such as district general hospitals. A robust training programme is also recommended to incorporate ultrasound scans into clinical practice.

Keywords

Paediatric surgery

Ultrasound scans

Bedside

Point-of-care

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Crown Copyright © 2023 Published by Elsevier Ltd on behalf of Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. All rights reserved.

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