Lung ultrasound in neonates – An underused tool

Thakur, Anup; Fursule, Anurag

doi:10.1111/1754-9485.13485

Cited by 7 publications

(2 citation statements)

References 27 publications

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“…More extensive discussion of POCUS techniques would be beyond the scope of this review, and readers are referred to a recent review by Bhoil et al (20). Pediatric specific literature supporting the use of POCUS in the pediatric ICU setting is steadily accumulating (21)(22)(23)(24), but concerns persist about its heterogeneous adoption between different pediatric and neonatal centers (22).…”

Section: Air Leak Syndromesmentioning

confidence: 99%

Complications during mechanical ventilation—A pediatric intensive care perspective

Sood

Ganatra²,

Marques³

et al. 2023

Front. Med.

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Mechanical ventilation is a common procedure performed in pediatric intensive care units, with over 20% of patients requiring invasive ventilator support. The most common indication for endotracheal intubation and ventilation in the pediatric population is respiratory failure either due to respiratory embarrassment or neurologic pathology. Despite the use of ventilation modes that are lung protective in the pediatric population, complications of mechanical ventilation occur frequently. These include atelectasis, post-extubation stridor, perioral tissue damage, ventilator associated pneumonia, mucus plugging, pneumothorax, pneumomediastinum, and ICU neuromyopathy. The purpose of this review is to discuss the risk factors, presentation and management of complications associated with mechanical ventilation in the pediatric population.

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Section: Air Leak Syndromesmentioning

confidence: 99%

Complications during mechanical ventilation—A pediatric intensive care perspective

Sood

Ganatra²,

Marques³

et al. 2023

Front. Med.

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“…2). 7,32,40,45 • B-lines: These laser-like vertical hyperechoic artifacts arise from the pleural line and may continue up to the edge of the screen without fading (Fig. 2).…”

Section: Pleural Linesmentioning

confidence: 99%

Lung Ultrasound in Neonates: An Emerging Tool for Monitoring Critically Ill Infants

Maheshwari¹,

Suryawanshi²,

Paul³

et al. 2023

Newborn

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Context: Neonatal lung ultrasound is emerging as a useful clinical tool for the assessment of lung anatomy and management of various lung pathologies. In this review, we summarize normal lung ultrasound (LUS) findings and specific features of various lung morbidities. Evidence acquisition: A comprehensive literature search was conducted across multiple sources with relevant keywords with an additional filter of the age-group between 0 and 28 days. Findings: Apart from the description of normal newborn lungs, clinical and radiological features of a variety of lung pathologies were evaluated and incorporated in the review. Bedside LUS has evolved to be an important point-of-care imaging modality that can help in day-to-day clinical decision-making. It can be used in differentiating respiratory distress syndrome from transient tachypnea on the newborns, in the detection of pneumothorax, and in diagnosing pneumonia, pulmonary hemorrhage, and pleural effusion. Evidence supports the use of LUS scores to decide on the need for early rescue surfactant therapy with high sensitivity and specificity. Lung ultrasound scores obtained during the first 2 weeks after birth can help predict the likelihood of chronic lung disease/bronchopulmonary dysplasia. Once validated, it could be valuable for guiding early intervention and evaluation of new treatments. Conclusion: Neonatal lung ultrasound is emerging as a vital monitoring tool in critically ill infants with lung disease. It will be valuable in the early diagnosis, management, and prognosis of these patients.

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