Point-of-Care Ultrasound in Pediatric Practice – A Single Centre Experience

Abstract

Objectives: To evaluate the clinical utility and diagnostic accuracy of point-of-care ultrasonography (POCUS) across common pediatric clinical scenarios in a tertiary care setting.

Methods: A prospective observational study was conducted over one year August 2024 to July 2025. POCUS was performed by trained pediatricians in predefined domains including cardiopulmonary, neonatal, trauma, musculoskeletal, vascular access, and soft tissue conditions. Findings were compared with standard diagnostic modalities and final diagnoses. Sensitivity and specificity were calculated wherever applicable.

Results: Lung POCUS showed high diagnostic accuracy for pneumonia (sensitivity 96.2%, specificity 91.4%) and bronchiolitis (96.1% and 92.1%). Cardiac POCUS demonstrated sensitivity of 90% and specificity of 81.8%. FAST examination for blunt abdominal trauma yielded sensitivity of 82.1% and specificity of 91.4%. Musculoskeletal POCUS identified fractures with sensitivity of 86.9% and specificity of 75.7%. POCUS differentiated abscesses from other swellings with sensitivity of 92.5% and specificity of 81.2%. Neonatal lung ultrasound aided early diagnosis of respiratory distress syndrome and guided surfactant therapy.

Conclusion: POCUS is a valuable bedside adjunct that enhances early diagnosis, guides management, and improves procedural success in pediatric practice. Wider training and standardized protocols are required for broader implementation.