Pediatric Rapid Ultrasound for Shock and Hypotension Phenotype Differentiation in the Emergency Department: Evaluation of Feasibility and Reliability in a Malawi Cohort

Roxanne Assies; Yamikani Chimalizeni; Mercy Kumwenda; Harriet Khofi; Josephine Langton; Job B. M. van Woensel; Job C. J. Calis

doi:10.1097/pcc.0000000000003735

March 31, 2025Pediatric Critical Care MedicineOpen Access

Pediatric Rapid Ultrasound for Shock and Hypotension Phenotype Differentiation in the Emergency Department: Evaluation of Feasibility and Reliability in a Malawi Cohort

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Key Points

The study aims to assess the feasibility and reliability of pediatric Rapid Ultrasound for Shock and Hypotension (p-RUSH) in children presenting with shock.
Prospective observational study conducted from February 2019 to December 2019.
Thirty children aged 2 months to 16 years with shock were enrolled in a pediatric emergency department.
Two independent reviewers assessed ultrasound images using a novel algorithmic flow diagram.
The p-RUSH was performed within a median time of 11.5 minutes with 92.3% interpretability of image frames.
Qualitative assessments of cardiac performance correlated significantly with left ventricle metrics (r = 0.684, p < 0.05).
In 23 out of 30 children, the shock phenotype diagnosis suggested hypovolemic or distributive shock as the most common.

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Implication

Prospective observational study evaluates feasibility and reliability of p-RUSH ultrasound in children with shock, indicating potential for improved care in low-resource settings.

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Cite This Study

Assies et al. (2025) studied this question.

synapsesocial.com/papers/6a3260ee81ec1bb6b0dde0c5 https://doi.org/10.1097/pcc.0000000000003735

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Pediatric Rapid Ultrasound for Shock and Hypotension Phenotype Differentiation in the Emergency Department: Evaluation of Feasibility and Reliability in a Malawi Cohort

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Pediatric Rapid Ultrasound for Shock and Hypotension Phenotype Differentiation in the Emergency Department: Evaluation of Feasibility and Reliability in a Malawi Cohort

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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