Use of Point-Of-Care Ultrasound (POCUS) in Neonatal Emergencies: A Nationwide Survey Among Neonatologists in India | ||
| Annals of Neonatology | ||
| Articles in Press, Accepted Manuscript, Available Online from 07 November 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/anj.2025.434537.1123 | ||
| Authors | ||
| Rakesh Dey* 1; Shailesh Patel2; Neepa Biswas3; Ratan Kumar Biswas4; Pramita Das5 | ||
| 1Department of Pediatrics and Neonatology,Motherhood hospital, Kolkata, West Bengal, India | ||
| 2Department of Paediatrics,Shri Rawatpura Sarkar Institute of Medical Sciences and Research Institute, Pacheda, Naya Raipur, Chhattisgarh, | ||
| 3Department of Gynaecology & Obstetrics, Spandan Hospital, West Bengal 743337 | ||
| 4Department of Neonatology, IPGME&R & SSKM Hospital, Kolkata, West Bengal 700020, | ||
| 5Department of Paediatrics, BC Roy PGIPS, Kolkata, West Bengal 700054 | ||
| Abstract | ||
| Background: Point-of-care ultrasound (POCUS) is widely recognized for its diagnostic and procedural roles in neonatal emergencies. However, its application in Indian healthcare settings remains limited. Objective: To assess the extent of POCUS use in neonatal practice concerning its clinical applications, barriers, and training and educational needs within the Indian context. Methods: Practicing neonatologists in India were surveyed using a structured Google Form from November 1 to December 31, 2024. A cross-sectional study design was employed to collect demographic information and patterns of POCUS usage, including training and barriers, as well as attitudes towards future implementation strategies. Results: Out of 212 neonatologists contacted for the survey, 120 completed it. POCUS was most frequently used for the assessment of respiratory distress (80%), hemodynamic instability (65%), and procedural assistance (55%). The most frequently cited barriers were inadequate training (70%), challenges with image interpretation (35%), and lack of institutional support (25%). Most respondents supported establishing formal certification (90%) and a tele-ultrasound program. Formally trained neonatologists used more frequently and with higher confidence. Conclusion: POCUS is widely used in neonatal emergencies in India, particularly for cardiopulmonary assessment and procedural guidance. However, there are persistent gaps in training standards, image interpretation skills, and institutional support. There is an urgent need for certification programs and structured educational pathways to ensure safe and consistent practice. | ||
| Keywords | ||
| POCUS; neonatal emergencies; India; survey; ultrasound | ||
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