POINT-OF-CARE ECHOCARDIOGRAPHY IN EARLY DETECTION OF CRITICAL CONGENITAL HEART DISEASES: IMPACT ON NEONATAL MANAGEMENT

Abstract

Critical congenital heart diseases (CCHDs) are severe cardiac malformations that require early intervention to ensure neonatal survival. Point-of-care ultrasound (POCUS) emerges as a promising tool for the early detection of these conditions, allowing for immediate diagnosis and management at the bedside. This systematic review examined the impact of POCUS on the detection of CCHDs, focusing on its diagnostic accuracy, professional training, and impact on neonatal outcomes. The research was conducted in databases such as PubMed/MEDLINE, Scopus, and Web of Science, using terms like "point-of-care ultrasound" and "critical congenital heart disease." Included studies demonstrated that POCUS has high sensitivity and specificity in identifying cardiac anomalies, exceeding 85% sensitivity and 90% specificity. Furthermore, the implementation of POCUS improves clinical management, reducing neonatal complications and facilitating immediate referral to specialized centers. However, continuous professional training is essential for the effectiveness of this approach. The widespread use of POCUS, especially in resource-limited settings, has the potential to transform the management of CCHDs, significantly contributing to the reduction of neonatal morbidity and mortality.