Inpatient echocardiograms not requiring Cardiology consultation

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