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

• Anatoly A. Krushelnitsky
• Denis I. Yudenkov
• Maxim V. Kondratev
• Anastasiya S. Petrova
• Olga F. Serova

Abstract

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

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