{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:41:50Z","timestamp":1747183310613,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,2,21]],"date-time":"2022-02-21T00:00:00Z","timestamp":1645401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Neonatologist\u2010performed echocardiography (NPE) is recommended during shock. We aimed to assess factors associated with NPE utilisation in the NICU and physiological information obtained during management of shock.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An Internet\u2010based survey, sent to neonatologists with interest in haemodynamics, studying NPE utilisation in shock management through a real clinical case and correlating its use with responders\u2019 training and NICU settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010nine completed surveys were received from the United Kingdom: 38%, Western Europe: 32%, Canada: 23% and other countries: 7%. Whilst managing the given clinical case, 90% of responders expected first NPE to exclude congenital heart disease\u2014although only 61% could exclude it confidently (71% in trained clinicians vs. 29% without training; <jats:italic>p\u00a0<\/jats:italic>&lt;\u00a00.01). NPE utilisation prior to initiate treatment was significantly correlated with mean number of neonatologists able to perform NPE in the NICU (4.9 vs. 2.9 neonatologists per unit; <jats:italic>p\u00a0<\/jats:italic>=\u00a00.02). Similarly, for ongoing therapeutic guidance, NPE was more used in trained clinicians (<jats:italic>p\u00a0<\/jats:italic>&lt;\u00a00.01). 88% and 81% of responders studied a combination of multiple parameters to assess filling and systemic flow, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Neonatologist\u2010performed echocardiography during shock management differs with previous training and number of doctors able to perform echocardiography in NICU. This study highlighted the need for enhanced training implementation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16280","type":"journal-article","created":{"date-parts":[[2022,2,9]],"date-time":"2022-02-09T15:33:52Z","timestamp":1644420832000},"page":"971-978","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Utilisation of neonatologist\u2010performed echocardiography in shock among neonatologists with interest in haemodynamic: International survey"],"prefix":"10.1111","volume":"111","author":[{"given":"Virginie","family":"Meau\u2010Petit","sequence":"first","affiliation":[{"name":"Evelina London Children\u2019s hospital Guy\u2019s and St Thomas\u2019 Foundation Trust  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5325-5838","authenticated-orcid":false,"given":"Yael","family":"Levy","sequence":"additional","affiliation":[{"name":"Armand Trousseau hospital Assistance Publique H\u00f4pitaux de Paris  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Guellec","sequence":"additional","affiliation":[{"name":"Armand Trousseau hospital Assistance Publique H\u00f4pitaux de Paris  Paris 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