The neonatal chest X-ray

Arthur, Rosemary

doi:10.1053/prrv.2001.0169

Cited by 35 publications

(23 citation statements)

References 10 publications

(17 reference statements)

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“…a neonatologist expert in lung disease, also blind to the patient's perinatal history and clinical condition, made one of the following X-ray-suggested diagnoses [15,16,17]:…”

Section: Methodsmentioning

confidence: 99%

Lung Ultrasound as a Predictor of Mechanical Ventilation in Neonates Older than 32 Weeks

et al. 2016

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Background: The prognosis of neonatal respiratory distress may be difficult to estimate at admission. Lung ultrasound is a useful diagnostic tool that is quick, requires little training, and is radiation free. Objective: This study aims to analyze whether early lung ultrasound can predict respiratory failure. Methods: From January to December 2014, lung ultrasound was performed on neonates admitted with breathing difficulties if they were older than 32 weeks and not intubated. A neonatologist, not aware of the patient's clinical condition, analyzed the stored ultrasound images. The findings were classified into the following 2 groups according to the potential risk of a bad respiratory outcome: low risk (normal or transient tachypnea of the newborn) or high risk (respiratory distress syndrome, meconium aspiration syndrome, pneumothorax, or pneumonia). A second investigator made the same classification after reading the chest X-rays. Respiratory failure was defined as a need for mechanical ventilation during the first day of life. Results: In total, 105 neonates were recruited (64.8% in the low-risk sonography group and 35.2% in the high-risk sonography group). Of those, 20% needed intubation, and this was more frequent in the high-risk group (relative risk = 17.5; 95% CI 4.3-70.9, p < 0.01). As predictors of respiratory failure, lung ultrasound and chest X-ray showed a high index of agreement (κ coefficient = 0.91; 95% CI 0.83-1, p < 0.01) and good accuracy (ultrasound: 95% sensitivity, 82.5% specificity, and a negative predictive value of 98.5%). Conclusions: Early lung ultrasound is a useful tool to determine which neonates admitted with respiratory distress will require mechanical ventilation. It may help the clinician to carrying out appropriate transfers.

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“…a neonatologist expert in lung disease, also blind to the patient's perinatal history and clinical condition, made one of the following X-ray-suggested diagnoses [15,16,17]:…”

Section: Methodsmentioning

confidence: 99%

Lung Ultrasound as a Predictor of Mechanical Ventilation in Neonates Older than 32 Weeks

et al. 2016

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“…Images were classified as grade 1 (fine homogeneous ground glass shadowing), grade 2 (addition of widespread air bronchograms), grade 3 (development of confluent alveolar shadowing), and grade 4 (complete white-out of the lung fields with obscuring of the cardiac border in the most severe cases). 16 To ensure proper blinding, lung ultrasound scans and chest radiographs were coded when acquired in the NICU and classified as previously described by an experienced pediatric radiologist who was blind to the infants' clinical condition. Blind evaluation of coded lung scans was also performed by an experienced neonatologist to assess interobserver variability.…”

Section: Methodsmentioning

confidence: 99%

Use of Neonatal Chest Ultrasound to Predict Noninvasive Ventilation Failure

et al. 2014

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“…Ebeveynler tarafından çocuğun kolları yukarı kaldırılırken parmaklarla çocu-ğun kafası da orta hatta tutulmalıdır. Çekim sırasında kasetin üst sınırı servikal 7. vertebra düzeyinde olmalı ve ışın torakal 4. vertebraya santralize edilmelidir [5].Yeterli inspirasyondaki ideal bir akciğer grafisinde, hemidiyaframın orta kesimi 6. kosta ön veya [8][9]. kosta arka kesimleri hizasında olmalıdır.…”

Section: Teknikunclassified

“…Ayrıca kostokondral bileş-kede kosta normal olarak hafifçe genişler. Ancak bu durum raşitik boncuk ("rosary") olarak değerlendirilmemelidir [9].…”

Section: Normal Bulgular Ve Varyasyonlarunclassified