The Experts below are selected from a list of 1668 Experts worldwide ranked by ideXlab platform
Yogen Singh - One of the best experts on this subject based on the ideXlab platform.
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neonatal trainees perspective and current training opportunities in Neonatologist performed echocardiography in the uk
Archives of Disease in Childhood-fetal and Neonatal Edition, 2020Co-Authors: Yogen Singh, Gautham Rajendran, Sajeev JobAbstract:Neonatologist performed echocardiography (NPE) is now being considered an important skill for clinicians providing care to sick infants in the neonatal intensive care unit (NICU), and it can help in making timely and accurate clincial decisions in the neonatal intensive care unit. Only a few centres have inhouse tertiary paediatric cardiology services in the UK, while majority of the NICUs depend on Neonatologist-performed echocardiography (NPE) services. With the fast-changing role of functional echocardiography in the intensive care, skills in Neonatologist performed echocardiography become even more important.1–3 Increasingly echocardiography is being used in the NICU for haemodynamic evaluation and to guide management in infants with haemodynamic instability. Recommendations for echocardiography training of Neonatologists have been published.1–4 However, there …
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current clinical practice in Neonatologist performed echocardiography in the uk
Archives of Disease in Childhood-fetal and Neonatal Edition, 2019Co-Authors: Yogen SinghAbstract:Bedside point of care echocardiography can provide valuable anatomical and physiological information to make timely and accurate clinical decisions while managing sick infants in the intensive care unit. Neonatologist-performed echocardiography (NPE) is rapidly being adopted in the clinical practice. Recently, three major expert consensus statements have been published to standardise the clinical practice and promote a structured training across the world1–3; including the Expert Consensus Statement on ‘Neonatologist Performed Echocardiography (NPE): training and accreditation in the UK’. There is no robust data available on the number of Neonatologists performing echocardiography or their current clinical practice in the UK. This study was performed to evaluate the current clinical practice in …
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Introduction to Neonatologist-performed echocardiography
Pediatric Research, 2018Co-Authors: Alan M Groves, Yogen Singh, Eugene Dempsey, Topun Austin, Afif El-khuffash, Zoltán Molnár, Willempieter De BoodeAbstract:Cardiac ultrasound techniques are increasingly used in the neonatal intensive care unit to guide cardiorespiratory care of the sick newborn. This is the first in a series of eight review articles discussing the current status of “Neonatologist-performed echocardiography” (NPE). The aim of this introductory review is to discuss four key elements of NPE. Indications for scanning are summarized to give the Neonatologist with echocardiography skills a clear scope of practice. The fundamental physics of ultrasound are explained to allow for image optimization and avoid erroneous conclusions from artifacts. To ensure patient safety during echocardiography recommendations are given to prevent cardiorespiratory instability, hypothermia, infection, and skin lesions. A structured approach to echocardiography, with the same standard views acquired in the same sequence at each scan, is suggested in order to ensure that the Neonatologist confirms normal structural anatomy or acquires the necessary images for a pediatric cardiologist to do so when reviewing the scan.
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education training and accreditation of Neonatologist performed echocardiography in europe framework for practice
Pediatric Research, 2018Co-Authors: Yogen Singh, Samir Gupta, Kajsa Bohlin, Charles Christoph Roehr, Cecile Tissot, Sheryle Rogerson, M Breindahl, Afif Elkhuffash, Willempieter De BoodeAbstract:There is a growing interest worldwide in using echocardiography in the neonatal unit to act as a complement to the clinical assessment of the hemodynamic status of premature and term infants. However, there is a wide variation in how this tool is implemented across many jurisdictions, the level of expertise, including the oversight of this practice. Over the last 5 years, three major expert consensus statements have been published to provide guidance to Neonatologists performing echocardiography, with all recommending a structured training program and clinical governance system for quality assurance. Neonatal practice in Europe is very heterogeneous and the proximity of neonatal units to pediatric cardiology centers varies significantly. Currently, there is no overarching governance structure for training and accreditation in Europe. In this paper, we provide a brief description of the current training recommendations across several jurisdictions including Europe, North America, and Australia and describe the steps required to achieve a sustainable governance structure with the responsibility to provide accreditation to Neonatologist performed echocardiography in Europe.
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recommendations for Neonatologist performed echocardiography in europe consensus statement endorsed by european society for paediatric research espr and european society for neonatology esn
Pediatric Research, 2016Co-Authors: Willempieter De Boode, Yogen Singh, Topun Austin, Alan M Groves, Eugene M. Dempsey, Samir Gupta, Kajsa Bohlin, Beate Horsberg Eriksen, David Van Laere, Zoltán MolnárAbstract:Recommendations for Neonatologist performed echocardiography in Europe: Consensus Statement endorsed by European Society for Paediatric Research (ESPR) and European Society for Neonatology (ESN)
Willempieter De Boode - One of the best experts on this subject based on the ideXlab platform.
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Introduction to Neonatologist-performed echocardiography
Pediatric Research, 2018Co-Authors: Alan M Groves, Yogen Singh, Eugene Dempsey, Topun Austin, Afif El-khuffash, Zoltán Molnár, Willempieter De BoodeAbstract:Cardiac ultrasound techniques are increasingly used in the neonatal intensive care unit to guide cardiorespiratory care of the sick newborn. This is the first in a series of eight review articles discussing the current status of “Neonatologist-performed echocardiography” (NPE). The aim of this introductory review is to discuss four key elements of NPE. Indications for scanning are summarized to give the Neonatologist with echocardiography skills a clear scope of practice. The fundamental physics of ultrasound are explained to allow for image optimization and avoid erroneous conclusions from artifacts. To ensure patient safety during echocardiography recommendations are given to prevent cardiorespiratory instability, hypothermia, infection, and skin lesions. A structured approach to echocardiography, with the same standard views acquired in the same sequence at each scan, is suggested in order to ensure that the Neonatologist confirms normal structural anatomy or acquires the necessary images for a pediatric cardiologist to do so when reviewing the scan.
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education training and accreditation of Neonatologist performed echocardiography in europe framework for practice
Pediatric Research, 2018Co-Authors: Yogen Singh, Samir Gupta, Kajsa Bohlin, Charles Christoph Roehr, Cecile Tissot, Sheryle Rogerson, M Breindahl, Afif Elkhuffash, Willempieter De BoodeAbstract:There is a growing interest worldwide in using echocardiography in the neonatal unit to act as a complement to the clinical assessment of the hemodynamic status of premature and term infants. However, there is a wide variation in how this tool is implemented across many jurisdictions, the level of expertise, including the oversight of this practice. Over the last 5 years, three major expert consensus statements have been published to provide guidance to Neonatologists performing echocardiography, with all recommending a structured training program and clinical governance system for quality assurance. Neonatal practice in Europe is very heterogeneous and the proximity of neonatal units to pediatric cardiology centers varies significantly. Currently, there is no overarching governance structure for training and accreditation in Europe. In this paper, we provide a brief description of the current training recommendations across several jurisdictions including Europe, North America, and Australia and describe the steps required to achieve a sustainable governance structure with the responsibility to provide accreditation to Neonatologist performed echocardiography in Europe.
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Introduction to Neonatologist-performed echocardiography
'Springer Science and Business Media LLC', 2018Co-Authors: Groves A.m., Singh Y., Dempsey E., Molnar Z., Austin T., El-khuffash A., Willempieter De BoodeAbstract:Item does not contain fulltextCardiac ultrasound techniques are increasingly used in the neonatal intensive care unit to guide cardiorespiratory care of the sick newborn. This is the first in a series of eight review articles discussing the current status of "Neonatologist-performed echocardiography" (NPE). The aim of this introductory review is to discuss four key elements of NPE. Indications for scanning are summarized to give the Neonatologist with echocardiography skills a clear scope of practice. The fundamental physics of ultrasound are explained to allow for image optimization and avoid erroneous conclusions from artifacts. To ensure patient safety during echocardiography recommendations are given to prevent cardiorespiratory instability, hypothermia, infection, and skin lesions. A structured approach to echocardiography, with the same standard views acquired in the same sequence at each scan, is suggested in order to ensure that the Neonatologist confirms normal structural anatomy or acquires the necessary images for a pediatric cardiologist to do so when reviewing the scan
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recommendations for Neonatologist performed echocardiography in europe consensus statement endorsed by european society for paediatric research espr and european society for neonatology esn
Pediatric Research, 2016Co-Authors: Willempieter De Boode, Yogen Singh, Topun Austin, Alan M Groves, Eugene M. Dempsey, Samir Gupta, Kajsa Bohlin, Beate Horsberg Eriksen, David Van Laere, Zoltán MolnárAbstract:Recommendations for Neonatologist performed echocardiography in Europe: Consensus Statement endorsed by European Society for Paediatric Research (ESPR) and European Society for Neonatology (ESN)
Alan M Groves - One of the best experts on this subject based on the ideXlab platform.
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Introduction to Neonatologist-performed echocardiography
Pediatric Research, 2018Co-Authors: Alan M Groves, Yogen Singh, Eugene Dempsey, Topun Austin, Afif El-khuffash, Zoltán Molnár, Willempieter De BoodeAbstract:Cardiac ultrasound techniques are increasingly used in the neonatal intensive care unit to guide cardiorespiratory care of the sick newborn. This is the first in a series of eight review articles discussing the current status of “Neonatologist-performed echocardiography” (NPE). The aim of this introductory review is to discuss four key elements of NPE. Indications for scanning are summarized to give the Neonatologist with echocardiography skills a clear scope of practice. The fundamental physics of ultrasound are explained to allow for image optimization and avoid erroneous conclusions from artifacts. To ensure patient safety during echocardiography recommendations are given to prevent cardiorespiratory instability, hypothermia, infection, and skin lesions. A structured approach to echocardiography, with the same standard views acquired in the same sequence at each scan, is suggested in order to ensure that the Neonatologist confirms normal structural anatomy or acquires the necessary images for a pediatric cardiologist to do so when reviewing the scan.
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recommendations for Neonatologist performed echocardiography in europe consensus statement endorsed by european society for paediatric research espr and european society for neonatology esn
Pediatric Research, 2016Co-Authors: Willempieter De Boode, Yogen Singh, Topun Austin, Alan M Groves, Eugene M. Dempsey, Samir Gupta, Kajsa Bohlin, Beate Horsberg Eriksen, David Van Laere, Zoltán MolnárAbstract:Recommendations for Neonatologist performed echocardiography in Europe: Consensus Statement endorsed by European Society for Paediatric Research (ESPR) and European Society for Neonatology (ESN)
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expert consensus statement Neonatologist performed echocardiography nope training and accreditation in uk
European Journal of Pediatrics, 2016Co-Authors: Yogen Singh, Alan M Groves, Samir Gupta, Anjum Gandhi, John Thomson, Shakeel A Qureshi, John M SimpsonAbstract:UNLABELLED Targeted echocardiographic assessments of haemodynamic status are increasingly utilised in many settings. Application in the neonatal intensive care units (NICU) is increasingly demanded but challenging given the risk of underlying structural lesions. This statement follows discussions in UK led by the Neonatologists with an Interest in Cardiology and Haemodynamics (NICHe) group in collaboration with the British Congenital Cardiac Association (BCCA) and the Paediatricians with Expertise in Cardiology Special Interest Group (PECSIG). Clear consensus was agreed on multiple aspects of best practice for Neonatologist-performed echocardiogram (NoPE)-rigorous attention to infection control and cardiorespiratory/thermal stability, early referral to paediatric cardiology with suspicion of structural disease, reporting on standardised templates, reliable image storage, regular skills maintenance, collaboration with a designated paediatric cardiologist, and regular scan audit/review. It was agreed that NoPE assessments should confidently exclude structural lesions at first scan. Practitioners would be expected to screen and establish gross normality of structure at first scan and obtain confirmation from paediatric cardiologist if required, and subsequently, functional echocardiography can be performed for haemodynamic assessment to guide management of newborn babies. To achieve training, NICHe group suggested that mandatory placements could be undertaken during core registrar training or neonatal subspecialty grid training with a paediatric cardiology placement for 6 months and a neonatology placement for a minimum of 6 months. In the future, we hope to define a precise curriculum for assessments. Technological advances may provide solutions-improvements in telemedicine may have Neonatologists assessing haemodynamic status with paediatric cardiologists excluding structural lesions and neonatal echocardiography simulators could increase exposure to multiple pathologies and allow limitless practice in image acquisition. CONCLUSION We propose developing training places in specialist paediatric cardiology centres and neonatal units to facilitate training and suggest all UK practitioners performing Neonatologist-performed echocardiogram adopt this current best practice statement. WHAT IS KNOWN Neonatologist-performed echocardiogram (NoPE) also known as targeted neonatal echocardiography (TNE) or functional ECHO is increasingly recognised and utilised in care of sick newborn and premature babies. There are differences in training for echocardiography across continents and formal accreditation processes are lacking. WHAT IS NEW This is the first document of consensus best practice statement for training of Neonatologists in Neonatologist-performed echocardiogram (NoPE), jointly drafted by Neonatologists with interest in cardiology & haemodynamics (NICHe), paediatric cardiology and paediatricians with expertise in cardiology interest groups in UK. Key elements of a code of practice for Neonatologist-performed echocardiogram are suggested.
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expert consensus statement Neonatologist performed echocardiography nope training and accreditation in uk
European Journal of Pediatrics, 2016Co-Authors: Yogen Singh, Alan M Groves, Samir Gupta, Anjum Gandhi, John Thomson, Shakeel A Qureshi, John M SimpsonAbstract:Targeted echocardiographic assessments of haemodynamic status are increasingly utilised in many settings. Application in the neonatal intensive care units (NICU) is increasingly demanded but challenging given the risk of underlying structural lesions. This statement follows discussions in UK led by the Neonatologists with an Interest in Cardiology and Haemodynamics (NICHe) group in collaboration with the British Congenital Cardiac Association (BCCA) and the Paediatricians with Expertise in Cardiology Special Interest Group (PECSIG). Clear consensus was agreed on multiple aspects of best practice for Neonatologist-performed echocardiogram (NoPE)—rigorous attention to infection control and cardiorespiratory/thermal stability, early referral to paediatric cardiology with suspicion of structural disease, reporting on standardised templates, reliable image storage, regular skills maintenance, collaboration with a designated paediatric cardiologist, and regular scan audit/review. It was agreed that NoPE assessments should confidently exclude structural lesions at first scan. Practitioners would be expected to screen and establish gross normality of structure at first scan and obtain confirmation from paediatric cardiologist if required, and subsequently, functional echocardiography can be performed for haemodynamic assessment to guide management of newborn babies. To achieve training, NICHe group suggested that mandatory placements could be undertaken during core registrar training or neonatal subspecialty grid training with a paediatric cardiology placement for 6 months and a neonatology placement for a minimum of 6 months. In the future, we hope to define a precise curriculum for assessments. Technological advances may provide solutions—improvements in telemedicine may have Neonatologists assessing haemodynamic status with paediatric cardiologists excluding structural lesions and neonatal echocardiography simulators could increase exposure to multiple pathologies and allow limitless practice in image acquisition.
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international perspectives the Neonatologist as an echocardiographer
Neoreviews, 2006Co-Authors: Alan M Groves, Carl A Kuschel, Jonathan R SkinnerAbstract:When echocardiography is necessary in the newborn period, it often is needed urgently. ( 1) However, staffing, organizational, and geographic limitations make it unlikely for pediatric cardiologists to provide 24-hour coverage for echocardiographic assessment of sick newborns in most centers. (2) Pediatric cardiology services also could be overwhelmed with requests for assessments of ductal shunting in preterm infants who have yet to develop clinical signs. (3) In many parts of the world, literature on the value of early hemodynamic assessment and increased access to ultrasonography equipment with improving image quality has motivated Neonatologists to develop echocardiographic skills. As a result, echocardiography is increasingly considered an integral component of the assessment of the critically ill newborn. (2)(4)(5) An increasing number of Neonatologists are undertaking assessments of functional hemodynamic status by echocardiography, with particular interest in volume of ductal shunt, (3) severity of persistent pulmonary hypertension, (6) and detection of low systemic blood flow. (7) In addition, some Neonatologists have assumed the responsibility of excluding structural congenital heart disease in newborns presenting with cyanosis or a cardiac murmur. This review describes the principal applications of echocardiography by the Neonatologist, with some practical guidance on method of assessment and interpretation of findings. Echocardiography is highly user-dependent. (8) The primary concern about Neonatologists performing echocardiography has been the potential for misdiagnosis, particularly failure to recognize cardiac disease. There is scope for error in the diagnosis of both structural and functional cardiac pathology. Although errors in assessment of structural cardiac disease usually become evident over time, cardiac function changes dramatically during the neonatal period, so it is more difficult to assess whether interoperator discrepancies in functional assessment are due to observer error or true functional change. Some reports have suggested an unacceptably high error rate in the diagnosis of structural …
Samir Gupta - One of the best experts on this subject based on the ideXlab platform.
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education training and accreditation of Neonatologist performed echocardiography in europe framework for practice
Pediatric Research, 2018Co-Authors: Yogen Singh, Samir Gupta, Kajsa Bohlin, Charles Christoph Roehr, Cecile Tissot, Sheryle Rogerson, M Breindahl, Afif Elkhuffash, Willempieter De BoodeAbstract:There is a growing interest worldwide in using echocardiography in the neonatal unit to act as a complement to the clinical assessment of the hemodynamic status of premature and term infants. However, there is a wide variation in how this tool is implemented across many jurisdictions, the level of expertise, including the oversight of this practice. Over the last 5 years, three major expert consensus statements have been published to provide guidance to Neonatologists performing echocardiography, with all recommending a structured training program and clinical governance system for quality assurance. Neonatal practice in Europe is very heterogeneous and the proximity of neonatal units to pediatric cardiology centers varies significantly. Currently, there is no overarching governance structure for training and accreditation in Europe. In this paper, we provide a brief description of the current training recommendations across several jurisdictions including Europe, North America, and Australia and describe the steps required to achieve a sustainable governance structure with the responsibility to provide accreditation to Neonatologist performed echocardiography in Europe.
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recommendations for Neonatologist performed echocardiography in europe consensus statement endorsed by european society for paediatric research espr and european society for neonatology esn
Pediatric Research, 2016Co-Authors: Willempieter De Boode, Yogen Singh, Topun Austin, Alan M Groves, Eugene M. Dempsey, Samir Gupta, Kajsa Bohlin, Beate Horsberg Eriksen, David Van Laere, Zoltán MolnárAbstract:Recommendations for Neonatologist performed echocardiography in Europe: Consensus Statement endorsed by European Society for Paediatric Research (ESPR) and European Society for Neonatology (ESN)
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expert consensus statement Neonatologist performed echocardiography nope training and accreditation in uk
European Journal of Pediatrics, 2016Co-Authors: Yogen Singh, Alan M Groves, Samir Gupta, Anjum Gandhi, John Thomson, Shakeel A Qureshi, John M SimpsonAbstract:UNLABELLED Targeted echocardiographic assessments of haemodynamic status are increasingly utilised in many settings. Application in the neonatal intensive care units (NICU) is increasingly demanded but challenging given the risk of underlying structural lesions. This statement follows discussions in UK led by the Neonatologists with an Interest in Cardiology and Haemodynamics (NICHe) group in collaboration with the British Congenital Cardiac Association (BCCA) and the Paediatricians with Expertise in Cardiology Special Interest Group (PECSIG). Clear consensus was agreed on multiple aspects of best practice for Neonatologist-performed echocardiogram (NoPE)-rigorous attention to infection control and cardiorespiratory/thermal stability, early referral to paediatric cardiology with suspicion of structural disease, reporting on standardised templates, reliable image storage, regular skills maintenance, collaboration with a designated paediatric cardiologist, and regular scan audit/review. It was agreed that NoPE assessments should confidently exclude structural lesions at first scan. Practitioners would be expected to screen and establish gross normality of structure at first scan and obtain confirmation from paediatric cardiologist if required, and subsequently, functional echocardiography can be performed for haemodynamic assessment to guide management of newborn babies. To achieve training, NICHe group suggested that mandatory placements could be undertaken during core registrar training or neonatal subspecialty grid training with a paediatric cardiology placement for 6 months and a neonatology placement for a minimum of 6 months. In the future, we hope to define a precise curriculum for assessments. Technological advances may provide solutions-improvements in telemedicine may have Neonatologists assessing haemodynamic status with paediatric cardiologists excluding structural lesions and neonatal echocardiography simulators could increase exposure to multiple pathologies and allow limitless practice in image acquisition. CONCLUSION We propose developing training places in specialist paediatric cardiology centres and neonatal units to facilitate training and suggest all UK practitioners performing Neonatologist-performed echocardiogram adopt this current best practice statement. WHAT IS KNOWN Neonatologist-performed echocardiogram (NoPE) also known as targeted neonatal echocardiography (TNE) or functional ECHO is increasingly recognised and utilised in care of sick newborn and premature babies. There are differences in training for echocardiography across continents and formal accreditation processes are lacking. WHAT IS NEW This is the first document of consensus best practice statement for training of Neonatologists in Neonatologist-performed echocardiogram (NoPE), jointly drafted by Neonatologists with interest in cardiology & haemodynamics (NICHe), paediatric cardiology and paediatricians with expertise in cardiology interest groups in UK. Key elements of a code of practice for Neonatologist-performed echocardiogram are suggested.
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expert consensus statement Neonatologist performed echocardiography nope training and accreditation in uk
European Journal of Pediatrics, 2016Co-Authors: Yogen Singh, Alan M Groves, Samir Gupta, Anjum Gandhi, John Thomson, Shakeel A Qureshi, John M SimpsonAbstract:Targeted echocardiographic assessments of haemodynamic status are increasingly utilised in many settings. Application in the neonatal intensive care units (NICU) is increasingly demanded but challenging given the risk of underlying structural lesions. This statement follows discussions in UK led by the Neonatologists with an Interest in Cardiology and Haemodynamics (NICHe) group in collaboration with the British Congenital Cardiac Association (BCCA) and the Paediatricians with Expertise in Cardiology Special Interest Group (PECSIG). Clear consensus was agreed on multiple aspects of best practice for Neonatologist-performed echocardiogram (NoPE)—rigorous attention to infection control and cardiorespiratory/thermal stability, early referral to paediatric cardiology with suspicion of structural disease, reporting on standardised templates, reliable image storage, regular skills maintenance, collaboration with a designated paediatric cardiologist, and regular scan audit/review. It was agreed that NoPE assessments should confidently exclude structural lesions at first scan. Practitioners would be expected to screen and establish gross normality of structure at first scan and obtain confirmation from paediatric cardiologist if required, and subsequently, functional echocardiography can be performed for haemodynamic assessment to guide management of newborn babies. To achieve training, NICHe group suggested that mandatory placements could be undertaken during core registrar training or neonatal subspecialty grid training with a paediatric cardiology placement for 6 months and a neonatology placement for a minimum of 6 months. In the future, we hope to define a precise curriculum for assessments. Technological advances may provide solutions—improvements in telemedicine may have Neonatologists assessing haemodynamic status with paediatric cardiologists excluding structural lesions and neonatal echocardiography simulators could increase exposure to multiple pathologies and allow limitless practice in image acquisition.
John M Simpson - One of the best experts on this subject based on the ideXlab platform.
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expert consensus statement Neonatologist performed echocardiography nope training and accreditation in uk
European Journal of Pediatrics, 2016Co-Authors: Yogen Singh, Alan M Groves, Samir Gupta, Anjum Gandhi, John Thomson, Shakeel A Qureshi, John M SimpsonAbstract:UNLABELLED Targeted echocardiographic assessments of haemodynamic status are increasingly utilised in many settings. Application in the neonatal intensive care units (NICU) is increasingly demanded but challenging given the risk of underlying structural lesions. This statement follows discussions in UK led by the Neonatologists with an Interest in Cardiology and Haemodynamics (NICHe) group in collaboration with the British Congenital Cardiac Association (BCCA) and the Paediatricians with Expertise in Cardiology Special Interest Group (PECSIG). Clear consensus was agreed on multiple aspects of best practice for Neonatologist-performed echocardiogram (NoPE)-rigorous attention to infection control and cardiorespiratory/thermal stability, early referral to paediatric cardiology with suspicion of structural disease, reporting on standardised templates, reliable image storage, regular skills maintenance, collaboration with a designated paediatric cardiologist, and regular scan audit/review. It was agreed that NoPE assessments should confidently exclude structural lesions at first scan. Practitioners would be expected to screen and establish gross normality of structure at first scan and obtain confirmation from paediatric cardiologist if required, and subsequently, functional echocardiography can be performed for haemodynamic assessment to guide management of newborn babies. To achieve training, NICHe group suggested that mandatory placements could be undertaken during core registrar training or neonatal subspecialty grid training with a paediatric cardiology placement for 6 months and a neonatology placement for a minimum of 6 months. In the future, we hope to define a precise curriculum for assessments. Technological advances may provide solutions-improvements in telemedicine may have Neonatologists assessing haemodynamic status with paediatric cardiologists excluding structural lesions and neonatal echocardiography simulators could increase exposure to multiple pathologies and allow limitless practice in image acquisition. CONCLUSION We propose developing training places in specialist paediatric cardiology centres and neonatal units to facilitate training and suggest all UK practitioners performing Neonatologist-performed echocardiogram adopt this current best practice statement. WHAT IS KNOWN Neonatologist-performed echocardiogram (NoPE) also known as targeted neonatal echocardiography (TNE) or functional ECHO is increasingly recognised and utilised in care of sick newborn and premature babies. There are differences in training for echocardiography across continents and formal accreditation processes are lacking. WHAT IS NEW This is the first document of consensus best practice statement for training of Neonatologists in Neonatologist-performed echocardiogram (NoPE), jointly drafted by Neonatologists with interest in cardiology & haemodynamics (NICHe), paediatric cardiology and paediatricians with expertise in cardiology interest groups in UK. Key elements of a code of practice for Neonatologist-performed echocardiogram are suggested.
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expert consensus statement Neonatologist performed echocardiography nope training and accreditation in uk
European Journal of Pediatrics, 2016Co-Authors: Yogen Singh, Alan M Groves, Samir Gupta, Anjum Gandhi, John Thomson, Shakeel A Qureshi, John M SimpsonAbstract:Targeted echocardiographic assessments of haemodynamic status are increasingly utilised in many settings. Application in the neonatal intensive care units (NICU) is increasingly demanded but challenging given the risk of underlying structural lesions. This statement follows discussions in UK led by the Neonatologists with an Interest in Cardiology and Haemodynamics (NICHe) group in collaboration with the British Congenital Cardiac Association (BCCA) and the Paediatricians with Expertise in Cardiology Special Interest Group (PECSIG). Clear consensus was agreed on multiple aspects of best practice for Neonatologist-performed echocardiogram (NoPE)—rigorous attention to infection control and cardiorespiratory/thermal stability, early referral to paediatric cardiology with suspicion of structural disease, reporting on standardised templates, reliable image storage, regular skills maintenance, collaboration with a designated paediatric cardiologist, and regular scan audit/review. It was agreed that NoPE assessments should confidently exclude structural lesions at first scan. Practitioners would be expected to screen and establish gross normality of structure at first scan and obtain confirmation from paediatric cardiologist if required, and subsequently, functional echocardiography can be performed for haemodynamic assessment to guide management of newborn babies. To achieve training, NICHe group suggested that mandatory placements could be undertaken during core registrar training or neonatal subspecialty grid training with a paediatric cardiology placement for 6 months and a neonatology placement for a minimum of 6 months. In the future, we hope to define a precise curriculum for assessments. Technological advances may provide solutions—improvements in telemedicine may have Neonatologists assessing haemodynamic status with paediatric cardiologists excluding structural lesions and neonatal echocardiography simulators could increase exposure to multiple pathologies and allow limitless practice in image acquisition.
