SAFE-R+ ultrasound protocol in the medical practice of intensivist of neonatal intensive care unit


Rapid diagnosis of sudden and life-threatening conditions in the neonatal intensive care unit (NICU) is important for the timely initiation of therapy. Recently, the use of ultrasound as a tool for the implementation of a program for the timely verification of pathological conditions of newborns has become widespread in clinical practice. In the modern literature, various protocols of bedside ultrasound diagnostics (ultrasound diagnostics) – Point – of-Care Ultrasound (POCUS) – used in adult patients, in particular BLUE, FAST, RUSH, etc. are well described. At the same time, the choice of specialized protocols developed specifically for newborns is small (SAFE, SAFE-R).

The team of authors supplemented the existing protocols of emergency diagnostics of the condition of newborns, as a result of which a domestic ultrasound protocol (SAFE-R+) was created. The new diagnostic scheme is specially designed for use by specialists of the NICU and field resuscitation and advisory teams. The main features of SAFE-R+ are represented by the use of standardized ultrasound positions, a single sensor, as well as the effectiveness of diagnosing emergency conditions of newborns by a doctor who has even a minimal amount of training in ultrasound diagnostics.

Keywords:POCUS; SAFE; SAFE-R; SAFE-R+; emergency ultrasound; neonatal intensive care unit

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

For citation: Krushelnitsky A.A., Yudenkov D.I., Kondratev M.V., Petrova A.S., Serova O.F. SAFE-R+ ultrasound protocol in the medical practice of intensivist of neonatal intensive care unit. Neonatologiya: novosti, mneniya, obuchenie [Neonatology: News, Opinions, Training]. 2022; 10 (1): 34–9. DOI: (in Russian)


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Degtyarev Dmitriy Nikolaevich
Doctor of Medical Sciences, Professor, Deputy Director for Scientific Research of the V.I. Kulakov Obstetrics, Gynecology and Perinatology National Medical Research Center of Ministry of Healthсаre of the Russian Federation, Head of the Chair of Neonatology at the Clinical Institute of Children's Health named after N.F. Filatov, I.M. Sechenov First Moscow State Medical University, Chairman of the Ethics Committee of the Russian Society of Neonatologists, Moscow, Russian Federation

ORCID iD 0000-0001-8975-2425
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