Pediatric emergency care · 2026
Training and Use of Point-of-Care Ultrasound (POCUS) in Pediatrics and Neonatology in Latin America: A Multinational Survey Study.
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Minotta Negret Santiago, Llano López Luis H, Goldfeder Sydney, Matteo Morales Morales Christian H, Rodríguez Chuljak Adriana N, Fuentes Bernal Kasey A, Rojas Flores David P, LLanos Sanclemente César D
Аннотация
OBJECTIVE: This study characterizes the current state of training, clinical use, and implementation barriers of point-of-care ultrasound (POCUS) in Latin America. POCUS has become a fundamental diagnostic tool. However, limited information exists regarding its implementation in this region.
METHODS: A multinational cross-sectional survey study was conducted using an electronic survey administered to health care professionals caring for pediatric and neonatal populations across 21 countries in Latin America and the Caribbean (December 2025 to January 2026). We assessed the prevalence of formal training, frequency of clinical use, implementation barriers, and interest in further training. Analyses were performed using epidemiologically appropriate denominators.
RESULTS: A total of 662 professionals were included, predominantly pediatric intensivists (45.2%) working in high-complexity settings (73.3%). Formal POCUS training was reported by 68.7%. Overall, 80.4% currently use POCUS; among them, 14.5% reported no formal training. Self-perceived unsupervised competence among trained participants was moderate. The most frequent clinical applications were pleural effusion and cardiac tamponade. The main barriers identified were lack of training (77.5%), limited access to equipment (50.5%), and absence of institutional protocols (48.9%). Interest in formal training was very high (92.9%).
CONCLUSIONS: Substantial gaps remain in structured education, equipment access, and institutional protocol development. The significant proportion of untrained users and moderate self-perceived competence highlight an urgent need for standardized training programs. The high level of interest in training represents an opportunity to develop coordinated regional strategies to promote safe and effective POCUS implementation in Latin America.
METHODS: A multinational cross-sectional survey study was conducted using an electronic survey administered to health care professionals caring for pediatric and neonatal populations across 21 countries in Latin America and the Caribbean (December 2025 to January 2026). We assessed the prevalence of formal training, frequency of clinical use, implementation barriers, and interest in further training. Analyses were performed using epidemiologically appropriate denominators.
RESULTS: A total of 662 professionals were included, predominantly pediatric intensivists (45.2%) working in high-complexity settings (73.3%). Formal POCUS training was reported by 68.7%. Overall, 80.4% currently use POCUS; among them, 14.5% reported no formal training. Self-perceived unsupervised competence among trained participants was moderate. The most frequent clinical applications were pleural effusion and cardiac tamponade. The main barriers identified were lack of training (77.5%), limited access to equipment (50.5%), and absence of institutional protocols (48.9%). Interest in formal training was very high (92.9%).
CONCLUSIONS: Substantial gaps remain in structured education, equipment access, and institutional protocol development. The significant proportion of untrained users and moderate self-perceived competence highlight an urgent need for standardized training programs. The high level of interest in training represents an opportunity to develop coordinated regional strategies to promote safe and effective POCUS implementation in Latin America.