Résumé
L’échographie en médecine d’urgence est utilisée depuis plus de 20 ans et fait partie intégrante de la formation des urgentistes en médecine d’adulte, notamment dans l’évaluation des traumatismes abdominaux ou la recherche d’un anévrisme aortique. Son utilisation en pédiatrie est plus récente, et peu de pédiatres, y compris aux États-Unis, travaillant aux urgences ont la possibilité d’utiliser ou de se former à l’échographie. Le champ des applications potentielles est néanmoins varié, et il y a une véritable nécessité d’évaluer et de valider nos pratiques. Cet article propose de faire le point sur les différentes possibilités offertes aux pédiatres (hors échocardiographie fonctionnelle) à travers notre expérience aux urgences pédiatriques de l’hôpital Necker-Enfant-Malades.
Abstract
Bedside emergency ultrasound has been used in the emergency department for over 20 years and is part of the core content for training residents in emergency medicine. In adult centers, emergency ultrasound is routinely used in the management of patients with abdominal trauma or aortic aneurysm. Despite its increasing use, few paediatric emergency physicians have access to or training in ultrasound imaging. There are numerous potential applications. However we need to understand its uses and limits. The goal of this work is to review the current applications offered to the paediatrician through our experience in the Department of Paediatric Emergency Care at Necker-Enfants-Malades Hospital in Paris.
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Références
Hockberger RS, Binder LS, Graber MA, et al (2001) The model of the clinical practice of emergency medicine. Ann Emerg Med 37:745–770
Heller MB, Mandavia D, Tayal VS, et al (2002) Residency training in emergency ultrasound: fulfilling the mandate. Acad Emerg Med 9:835–839
Scaife ER, Fenton SJ, Hansen KW, Metzger RR (2009) Use of focused abdominal sonography for trauma at pediatric and adult trauma centers: a survey. J Pediatr Surg 44:1746–1749
Ramirez-Schrempp D, Dorfman DH, Tien I, et al (2008) Bedside ultrasound in pediatric emergency medicine fellowship programs in the United States: little formal training. Pediatr Emerg Care 24:664–667
Carl ML, Durston WE, Guerra WF (2000) Survey of staff opinions on ultrasound by emergency physicians. Am J Emerg Med 18:340–342
American College of Emergency Physicians (2009) Emergency ultrasound guidelines. Ann Emerg Med 53(4):550–570
Doniger SJ, Ishimine P, Fox JC, et al (2009) Randomized controlled trial of ultrasound-guided peripheral intravenous catheter placement vs traditional techniques in difficult-access pediatric patients. Pediatr Emerg Care 25:154–159
Witt M, Baumann BM, McCans K (2005) Bladder ultrasound increases catheterization success in pediatric patients. Acad Emerg Med 12:371–374
Chen L, Hsiao AL, Moore CL, et al (2005) Utility of bedside bladder ultrasound before urethral catheterization in young children. Pediatrics 115:108–111
Milling TJ Jr, Van Amerongen R, Melville L, et al (2005) Use of ultrasonography to identify infants for whom urinary catheterization will be unsuccessful because of insufficient urine volume: validation of the urinary bladder index. Ann Emerg Med 45:510–513
Vieira RL, Levy JA (2010) Bedside ultrasonography to identify hip effusions in pediatric patients. Ann Emerg Med 55:284–289
Shavit I, Eidelman M, Galbraith R (2006) Sonography of the hip-joint by the emergency physician: its role in the evaluation of children presenting with acute limp. Pediatr Emer Care 22:570–573
Tsung JW, Blaivas M (2008) Emergency department diagnosis of pediatric hip effusion and guided arthrocentesisusing point-of-care ultrasound. J Emer Med 35:393–399
Turkcuer I, Atilla R, Topacoglu H, et al (2006) Do we really need plain and soft-tissue radiographies to detect radiolucent foreign bodies in the ED? Am J Emerg Med 24:763–768
Nienaber A, Harvey M, Cave G (2010) Accuracy of bedside ultrasound for the detection of soft tissue foreign bodies by emergency doctors. Emerg Med Australas 22:30–34
Saboo SS, Saboo SH, Soni SS, et al (2009) High-resolution sonography is effective in detection of soft tissue foreign bodies: experience from a rural Indian center. J Ultrasound Med 28:1245–1249
Tayal VS, Hasan N, Norton HJ, et al (2006) The effect of soft-tissue ultrasound on the management of cellulitis in the emergency department. Acad Emerg Med 13:384–388
Squire BT, Fox JC, Anderson C (2005) ABSCESS: applied bedside sonography for convenient evaluation of superficial soft tissue infections. Acad Emerg Med 12:601–606
Konuş OL, Ozdemir A, Akkaya A, et al (1998) Normal liver, spleen and kidney dimensions in neonates, infants and children: evaluation with sonography. AJR Am J Roentgenol 171:1693–1698
Akhtar S, Theodoro D, Gaspari R, et al (2009) Resident training in emergency ultrasound: consensus recommendations from the 2008 Council of Emergency Medicine Residency Directors Conference. Acad Emerg Med 16:S32–S36
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Escoda, S., Guedj, R., Blakime, P. et al. Échographie aux urgences pédiatriques. Ann. Fr. Med. Urgence 1, 179–184 (2011). https://doi.org/10.1007/s13341-011-0044-1
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DOI: https://doi.org/10.1007/s13341-011-0044-1