Point-of-care ultrasound by the pediatrician in the diagnosis and follow-up of community-acquired pneumonia

Toro, Manuel Sobrino; Martínez, José Luis; Falcão, Ricardo Viana; Prata‐Barbosa, Arnaldo; Cunha, Antonio José Ledo Alves da

doi:10.1016/j.jped.2020.07.003

Cited by 3 publications

(5 citation statements)

References 86 publications

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“…In this study, the PPLs in confirmed PE showed predominant a delayed regression and a significant size reduction on B‐LUS follow‐up ( P < .05, Wilcoxon signed‐rank test), in accordance with CT findings reported in a previous study 16 . The delayed regression differentiates these PPLs from those due to acute pneumonia or pleurisy, which, on B‐LUS follow‐up within 2 weeks, show either marked regression or (in approximately 50% of patients) even disappearance under therapy 27 …”

Section: Discussionsupporting

confidence: 89%

“…16 The delayed regression differentiates these PPLs from those due to acute pneumonia or pleurisy, which, on B-LUS follow-up within 2 weeks, show either marked regression or (in approximately 50% of patients) even disappearance under therapy. 27 On CEUS, the lesions showed variable patterns on baseline examination, in line with reported data. 8 On baseline CEUS, a pathologic enhancement pattern characteristic of embolic PPLs was seen in 77.8% of patients.…”

Section: Discussionsupporting

confidence: 89%

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Peripheral Pulmonary Lesions in Confirmed Pulmonary Arterial Embolism

Zadeh

Dietrich

Kmoth

et al. 2021

J of Ultrasound Medicine

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Purpose This retrospective study aimed to describe the B‐mode lung ultrasound (B‐LUS) and contrast‐enhanced ultrasound (CEUS) follow‐up patterns of peripheral pulmonary lesions (PPLs) in patients with confirmed pulmonary embolism (PE). Patients and Methods Data from 27 patients with a confirmed diagnosis of PE and PPLs over 5 mm from October 2009 to November 2018 were included retrospectively in the study. The inclusion criteria were performance of a baseline CEUS examination, a short‐term B‐LUS and CEUS follow‐up, and a long‐term B‐LUS follow‐up of PPLs. The homogeneity of enhancement of PPLs (homogeneous/inhomogeneous/absent) on CEUS and the presence and size of PPLs on B‐LUS were evaluated. Results A total of n = 25/27 (92.6%) lesions showed absent or inhomogeneous enhancement during baseline examination or short‐term follow‐up, indicating impaired perfusion. On short‐term CEUS follow‐up, 9/27 cases (33.3%) showed a pattern shift. On B‐LUS long‐term follow‐up, 26/27 lesions (96.3%) were detectable for an average of 10 weeks (range 3–32 weeks). The size of reference lesions was significantly reduced at the time of the final follow‐up examination (P < .05). Conclusion B‐LUS follow‐up showed that, in patients with confirmed PE, PPLs had a delayed regression. On CEUS follow‐up examination, various perfusion patterns of PPLs were observed, indicating the different ages and the variable reparative processes of pulmonary infarction. In PPLs independent of the underlying signs and symptoms, follow‐up B‐LUS and CEUS examinations may be helpful for a possible retrospective diagnosis of peripheral pulmonary infarction suggestive of PE.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 89%

Peripheral Pulmonary Lesions in Confirmed Pulmonary Arterial Embolism

Zadeh

Dietrich

Kmoth

et al. 2021

J of Ultrasound Medicine

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“…

protocol from apex to base that need scanning with different position, we wonder whether any sedation was used to get necessary co-operation for such elaborate examination. Although sedation is not mandatory, its use has been mentioned [4].Finally, it would have been of further interest if any correlation between arterial blood gases and POCUS were analyzed to plan the treatment protocol [3].The authors probably did not have the scope of including severe cases. We applaud the authors for presenting their nice observation.

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confidence: 99%

“…protocol from apex to base that need scanning with different position, we wonder whether any sedation was used to get necessary co-operation for such elaborate examination. Although sedation is not mandatory, its use has been mentioned [4].…”

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confidence: 99%

Point-of-Care Thoracic Ultrasound in Children with Bronchiolitis: Correspondence

et al. 2022

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“…In pediatric patients, unlike other imaging modalities, ultrasound is a useful modality because it involves no irradiation or sedation and can be performed repeatedly at the patient’s bedside [ 6 , 8 ]. In addition, pediatric patients sometimes present with nonspecific clinical signs; therefore, ultrasound is useful to evaluate directly various locations suspected of being affected by an infectious disease [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Role of ultrasound in the treatment of pediatric infectious diseases: case series and narrative review

et al. 2022

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Background Infectious diseases are common in pediatric patients. In these patients, ultrasound is a useful imaging modality that involves no irradiation or sedation and can be performed repeatedly at the patient’s bedside. The purpose of this review was to show pediatric cases with infectious disease that used ultrasound to decide the methods of treatment. Data sources Literature review was performed using Pubmed as the medical database source. No year-of-publication restriction was placed. The mesh terms used were: “ultrasound”, “sonography”, “infectious disease”, “treatment”, “antibiotics”, “surgical intervention”, “pediatric”, “children”, “deep neck abscess”, “pyothorax”, “empyema”, “pneumonia”, “urinary tract infection”, “intra-abdominal abscess”, “soft tissue infection”, “septic arthritis”, “osteomyelitis”, and “surgical site infection”. Results We presented pediatric case series with infectious diseases, including deep neck abscess, pyothorax and empyema, pneumonia, urinary tract infection, intra-abdominal abscess, soft tissue infection, septic arthritis and osteomyelitis, and surgical-site infection. Ultrasound was useful for evaluating the extent and location of inflammation and abscess and for decision-making concerning surgical intervention. Conclusion Knowledge of these sonographic findings is important for sonographers during examinations and for physicians when determining the treatment plan and period of antibiotic therapy for infected lesions.

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Point-of-care ultrasound by the pediatrician in the diagnosis and follow-up of community-acquired pneumonia

Cited by 3 publications

References 86 publications

Peripheral Pulmonary Lesions in Confirmed Pulmonary Arterial Embolism

Peripheral Pulmonary Lesions in Confirmed Pulmonary Arterial Embolism

Point-of-Care Thoracic Ultrasound in Children with Bronchiolitis: Correspondence

Role of ultrasound in the treatment of pediatric infectious diseases: case series and narrative review

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