Journal of Anesthesia

, Volume 33, Issue 3, pp 435–440 | Cite as

Perioperative point of care ultrasound in pediatric anesthesiology: a case series highlighting real-time intraoperative diagnosis and alteration of management augmenting physical examination

  • Adam C. AdlerEmail author
  • Arvind Chandrakantan
  • Frederick T. Conlin
Special Article


Use of diagnostic point of care ultrasound, has come to the forefront of interest within anesthesiology. Much data on the use of point of care ultrasound in emergency medicine and critical care medicine for diagnosis and treatment in acute situations exists. While use of point of care ultrasound has become more prevalent in anesthesia practice, documentation of its use and especially alteration in management based on real-time ultrasound findings in the perioperative period remains scarce. This case series discusses six pediatric patients in which real-time intra-operative use of point of care ultrasound resulted in alteration of management.


Ultrasound Point of care ultrasound Perioperative Pediatric Cardiac Transthoracic 


Author contributions

ACA: study design, data analysis, manuscript preparation and direct patient care. This author has approved the final manuscript. AC: study design and manuscript preparation. This author has approved the final manuscript. FTC: study design and manuscript preparation. This author has approved the final manuscript.



Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

Supplementary material

Video 1: Lung ultrasound highlighting normal lung sliding followed by appearance of a lung pulse demonstrating a lung segment that is not being ventilated. (MP4 22426 kb)

Video 2: Parasternal short axis view identifying dyskinesia of the left ventricle anterolateral wall and hypokinesia of the anterior and anteroseptal segments with preserved ejection fraction. (MP4 71831 kb)

Video 3: Parasternal short axis view identifying left ventricle antero-septal wall hypokinesis as well as the brief period of absent cardiac activity coinciding with electrocardiographic asystole. (MP4 73269 kb)

Video 4: Subcostal 4 chamber view demonstrating the large pleural effusion with collapsed lung segment. Additional view reveals the paradoxical motion of the atrial septum. (MP4 15740 kb)


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Copyright information

© Japanese Society of Anesthesiologists 2019

Authors and Affiliations

  1. 1.Department of Anesthesiology, Perioperative and Pain MedicineTexas Children’s Hospital, Baylor College of MedicineHoustonUSA
  2. 2.Department of Anesthesiology, Baystate Medical CenterUniversity of MassachusettsSpringfieldUSA

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