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Good Practice Concepts in Pediatric Critical Care Point-of-Care Ultrasound: A Modified Delphi Consensus Initiative
Editorial   Peer reviewed

Good Practice Concepts in Pediatric Critical Care Point-of-Care Ultrasound: A Modified Delphi Consensus Initiative

Jamie S Penk, Vidit Bhargava, Harsha Chandnani, Grace Chong, Thomas Conlon, Ryan L DeSanti, J Wesley Diddle, Alejandro Floh, Saul Flores, Anyir Hsieh, …
Pediatric critical care medicine, v 27(2), pp 228-234
01 Feb 2026
PMID: 41642060

Abstract

Child Consensus Critical Care - methods Critical Care - standards Delphi Technique Humans Pediatrics - standards Point-of-Care Systems - standards Practice Guidelines as Topic Ultrasonography - methods Ultrasonography - standards
We assembled a workgroup within the Pediatric Research Collaborative on Critical UltraSound (PeRCCUS), a subgroup of the Pediatric Acute Lung Injury and Sepsis Investigators (PALISI), to define early guidance for point-of-care ultrasound (POCUS) institutional practice and foster future comprehensive guidelines for its broad adoption in pediatric critical care medicine. A modified Delphi method was used for creating the statements. The first meeting was an open proposal session for workgroup members to suggest items for consideration. This was followed by a cycle of voting for levels of agreement along a 7-point Likert-type scale. Items were reviewed, with only items receiving a score of greater than or equal to 6 progressing to the next stage of voting and lower-scoring items reconsidered, with only consensus items proceeding to the next stage for additional rounds of voting until consensus was reached. Multi-institutional, multidisciplinary, workgroup of experts on POCUS organized within PeRCCUS as a subgroup of PALISI. None. Consensus was obtained for 25 recommendations across five domains: clinical application, quality assurance, equipment, education, and research. We report consensus recommendations for institutions on clinical use, educational programs, quality assurance, technical requirements, and future research opportunities for the adoption of pediatric critical care medicine POCUS.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Critical Care Medicine
Pediatrics
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