Radiological Findings in Wet-Lung Disease

Wesenberg, Richard L.; Graven, Stanley N.; McCabe, Edward B.

doi:10.1148/98.1.69

Cited by 56 publications

(13 citation statements)

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“…Nineteen newborn infants with classical, clinical, and radiological evidence of TTN were studied.1 2 The criteria for diagnosis were raised respiratory rate (>60 breaths a minute) and radiographic findings as described above.2 In these infants oxygen require-ments were low and no baby needed more than 40% oxygen to maintain normal arterial oxygen tensions (Table). Ten infants were term and 9 were preterm.…”

Section: Methodsmentioning

confidence: 99%

“…Chest radiographs show mild cardiomegaly, increased vascular markings, fluid in the horizontal fissure, and over-inflation of the lungs. 2 In most instances the clinical condition is benign with infants requiring <40% oxygen for 2 or 3 days.1-3 More recently however, some infants with TTN have been reported with severe symptoms and profound hypoxaemia resulting in the need for cardiac catherisation4 and mechanical ventilation.5 We have studied echocardiographically 25 infants with TTN in order to measure myocardial contractility and pulmonary vascular resistance. These studies suggest that there may be two distinct types of TTN which we have termed classical or benign, and severe.…”

mentioning

confidence: 99%

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Transient tachypnoea of the newborn: two distinct clinical entities?

Halliday¹,

McClure²,

Reid³

1981

Archives of Disease in Childhood

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

Transient tachypnoea of the newborn: two distinct clinical entities?

Halliday¹,

McClure²,

Reid³

1981

Archives of Disease in Childhood

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“…Patchy infiltrates and reticulonodular opacities have also been described [9] . These abnormalities resolve within 72 h. At present lung ultrasound is not routinely included in the diagnostic work-up of neonatal respiratory disease.…”

Section: Introductionmentioning

confidence: 99%

The ‘Double Lung Point’: An Ultrasound Sign Diagnostic of Transient Tachypnea of the Newborn

Copetti¹,

2006

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Background: Transient tachypnea of the newborn (TTN) is a mild form of neonatal respiratory distress which early in its course needs to be differentiated from other severe respiratory disorders. At present the diagnosis is based on radiological findings and clinical course. Lung sonography in TTN has not yet been assessed. Objectives: The aim of the study was to define the ultrasonographic appearance of TTN and evaluate its clinical relevance. Methods: Lung sonography was performed in 32 newborn infants with radiological and clinical signs of TTN within the first hour after birth and the findings were compared with those of 60 normal infants, 29 with respiratory distress syndrome, 6 with pneumonia, 5 with pulmonary hemorrhage and 5 with atelectasis. Results: In the infants with TTN, lung sonography showed a difference in lung echogenicity between the upper and lower lung areas. There were very compact comet-tail artifacts in the inferior fields while these were rare in the superior fields. We designated this finding the ‘double lung point’ and it was not observed in healthy infants, infants with respiratory distress syndrome, actelectasis, pneumothorax, pneumonia, or pulmonary hemorrhage. Sensitivity and specificity of the double lung point was 100% for the diagnosis of TTN. Conclusion: We found lung sonography reliable for the early diagnosis of TTN. We suggest that it should become the first approach for imaging of neonatal respiratory distress although further prospective studies with good blinding need to be performed.

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“…However, as Wesenberg [1 ] has stated, "there is a paucity of literature describing the radiographic findings in such infants." Three pulmonary conditions in infants of diabetic mothers well documented in the literature are hyaline membrane disease [2,3], transient tachypnea of the newborn [2,4,5], and cardiomegaly with congestive heart failure [1]. Clinicians also encounter infants of diabetic mothers with pulmonary abnormalities that do not fit clearly into one of those three categories.…”

Section: Infants Of Diabetic Mothersmentioning

confidence: 99%