Inpatient echocardiograms not requiring Cardiology consultation

What's New

02.08.21 Updates to contact details and haematology/oncology criteria wording

Please enter requests on TrakCare and obtain reports via Clinical Portal and/or HeartSuite; result interpretation is the responsibility of the requesting team

Agree non-portable scans time by contacting the Cardiology Department reception (ext 84079

ID (Infectious Diseases) Consultant request

  • Pyrexia of unknown origin
  • Staph aureus sepsis/bacteraemia
  • Suspected Kawasaki disease at 2 & 6 weeks after onset of fever
  • PIMS-TS

Haematology/Oncology

  • Protocol-based ventricular function assessment pre & post chemotherapy or BMT for haemodynamically stable well patients

NICU Level 1

  • Congenital diaphragmatic hernia – cardiac anatomy & assessment of function/PA pressure/PDA
  • Non-cardiac ECMO: cardiac anatomy (rule out TAPVD) and cannula position
  • Multiple congenital anomalies in absence of clinical signs of congenital heart disease (e.g.“pre-anaesthetic screening echo”)

PICU

  • Assessment for pericardial effusion/suspected tamponade
  • Non-cardiac ECMO: cardiac anatomy and cannula position
  • ID or Haem/Onc reasons as noted above
  • Multiple congenital anomalies in absence of clinical signs of congenital heart disease (e.g.“pre-anaesthetic screening echo”)
  • Day One post-cardiac surgery

NB: Echocardiography has no routine use in determining central venous line tip position or ascertaining patency of veins distal to SVC/IVC/innominate vein – consider vascular USS instead)

If cardiac involvement is suspected, a medical Cardiology consultation is required. Echo requests other than listed above will not be processed. To organise a Cardiology consultation:

Urgent (inpatient only): phone ext 84440 to request clinical review by duty Cardiology Middle Grade (Registrar or ANP); consider PICU referral if patient is unwell

Routine (inpatient and outpatient): referral letter by a senior Paediatrician (ST5 or above, Consultant) addressed to Consultant Cardiologist for e-vetting

Editorial Information

Last reviewed: 26 July 2021

Next review: 31 July 2024

Author(s): M Ilina

Approved By: Clincal Effectiveness