ARTICLE IN PRESSGUIDELINES AND STANDARDSRecommendations for CardiacPoint-of-Care Ultrasound in Children:AReport from the American Society ofEchocardiography*Jimmy C.Lu,MD,FASE,Alan Riley,MD,FASE,Thomas Conlon,MD,Jami C.Levine,MD,Charisse Kwan,MD,Wanda C.Miller-Hance,MD,FASE,Neha Soni-Patel,MEd,RCCS,RDCS,FASE,andTimothy Slesnick,MD,FASE,Ann Arbor,Michigan;Houston,Texas;Philadelphia,Pennsylyania;Boston,Massachusetts;London,Ontario,Canada;Cleveland,Ohio;and Atlanta,GeorgiaCardiac point-of-care ultrasound has the potential to improve patient care,but its application to children re-quires consideration of anatomic and physiologic differences from adult populations,and corresponding tech-nical aspects of performance.This document is the product of an American Society of Echocardiography taskforce composed of representatives from pediatric cardiology,pediatric critical care medicine,pediatric emer-gency medicine,pediatric anesthesiology,and others,assembled to provide expert guidance.This diversegroup aimed to identify common considerations across disciplines to guide evolution of indications,and toidentify common requirements and infrastructure necessary for optimal performance,training,and qualityassurance in the practice of cardiac point-of-care ultrasound in children.The recommendations presentedare intended to facilitate collaboration among subspecialties and with pediatric echocardiography laboratoriesby identifying key considerations regarding (1)indications,(2)imaging recommendations,(3)training and com-petency assessment,and (4)quality assurance.Keywords:Point-of-care ultrasound,PediatricsTABLE OF CONTENTSPURPOSE OF THIS DOCUMENTPurpose of This DocumentUltrasound is a powerful tool for evaluating cardiac structures andDefinitions2function.Technological advances and education have led to wide-I.Indicationsspread bedside use of point-of-care ultrasound (POCUS)by prac-titioners from a variety of disciplines and subspecialties.One ofA.Framework for cardiac POCUS indicationsB.Proposed Indications for Cardiac POCUSthe goals of the American Society of Echocardiography (ASE)isIL.Imaging Recommendationsto provide education and guidance in cardiac imaging to practi-A.Equipment and Technical Considerations5tioners across a range of diverse clinical and experiential back-B.Imaging Overview5grounds.C.Recommended Imaging Views5Two prior ASE task forces addressed the use of cardiac POCUS inD.Storage and Reporting8adults,resulting in the development of educational modules (avail-IIl.Training and Competency Assessment9able on the ASE website)and published recommendations for echo-A.Defining Cardiac POCUS Competency9cardiography laboratories participating in training.These prior taskB.Competency Assessment10forces specifically excluded children because of unique consider-IV.Quality Assurance11ations within this population.First,practice patterns differ,with rela-Conclusion11tively delayed clinical use of pediatric cardiac POCUS.CardiacFrom the University of Mich
