Rapid Assessment of the Neonate With Sonography (RANS) Scan

Abstract

The use of point‐of‐care sonography in clinical settings such as emergency medicine and intensive care units has increased, but adoption in neonatology has been slow. Unlike the focused assessment with sonography for trauma scan used in adults, a quick bedside scan to rapidly evaluate an acutely deteriorating neonate does not exist. The objective of our article is to introduce a focused bedside ultrasound scan that is easy to learn, rapidly performed, and relatively inexpensive.© 2018 by the American Institute of Ultrasound in Medicine

Neonatal and paediatric point‐of‐care ultrasound review

“…The rapid assessement of neonates with sonography (RANS), introduced by Safarulla et al , 55 provides a quick and organised method to diagnose a decompensating neonate. The RANS scan uses a single microconvex (5–8 MHz) transducer and looks for the presence of four problems: pericardial effusion, pneumothorax and pleural effusion, central venous line malposition, and severe intraventricular haemorrhage (IVH).…”

Modern pulmonary imaging of bronchopulmonary dysplasia

“…Ultrasound-Lung US (LUS) is a routine modality that provides non-invasive, non ionizing, real-time evaluations that can be performed longitudinally at the bedside. This modality can be widely implemented for the assessment and management of critically ill neonates with a multitude of respiratory pathologies (23,24), including transient tachypnea of the newborn (TTN), respiratory distress syndrome (RDS), meconium aspiration syndrome, pneumonia, congenital malformation, and BPD (25)(26)(27)(28).…”