Use of Lung Ultrasound in Detection of Complications of Respiratory Distress Syndrome

Sawires, Happy; Ghany, Eman A. Abdel; Hussein, Nouran Fahmy; Seif, Hadeel

doi:10.1016/j.ultrasmedbio.2015.04.024

Cited by 30 publications

(21 citation statements)

References 24 publications

(28 reference statements)

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“…Consistent with others' experience of the utility of LUS in averting life‐threatening conditions in NICU units, our results confirm the value of LUS in the diagnosis of respiratory failure in newborns prior to transport …”

Section: Discussionsupporting

confidence: 91%

“…Consistent with others' experience of the utility of LUS in averting life-threatening conditions in NICU units, our results confirm the value of LUS in the diagnosis of respiratory failure in newborns prior to transport. 32,33,39,40 Neonates have a broad range of potential causes of respiratory failure. We consider that LUS, especially if used in conjunction with focused cardiac ultrasound, could significantly improve the standard of neonatal care during the stabilization of the patient for transport, in addition to allowing monitoring of the effects of medical interventions.…”

Section: Discussionmentioning

confidence: 99%

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Lung ultrasound in the diagnosis of neonatal respiratory failure prior to patient transport

Jagła

Grudzień

Starzec

et al. 2019

J of Clinical Ultrasound

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Purpose Lung ultrasound (LUS) at the point‐of‐care is a new method that is increasingly used in neonatology. The aim of this study was to determine the utility of the addition of LUS prior to the interhospital transport of neonates with respiratory failure. Methods LUS was performed on 50 newborns with respiratory failure prior to transport to a tertiary neonatal intensive care unit. We analyzed the performance of LUS for diagnosing the cause of respiratory failure, the concordance between LUS, chest X‐ray (CXR) and final clinical diagnosis, and the impact of LUS on clinical decision making before transport. Results LUS sensitivity for the diagnosis of respiratory distress syndrome was 91.3% (95%CI: 70.5‐98.5%), and specificity was 92.6% (95%CI: 74.2‐98.7%), whereas sensitivity and specificity of CXR were 69.6% (95%CI: 47.0‐85.9%) and 81.5% (95%CI: 61.2‐92.9%), respectively. For the recognition of pneumothorax (PTX) LUS had a sensitivity of 83.3% (95%CI: 36.5‐99.1%) and a specificity of 100% (95%CI: 89.9‐100%). For CXR, sensitivity was 16.7% (95%CI: 0.01‐63.5%) and specificity was 97.7% (95%CI: 86.4‐99.9%). The agreement between LUS and CXR in diagnosing the cause of respiratory failure was substantial (κ of 0.57 [95%CI: 0.40‐0.74]) and the agreement between LUS and the final clinical diagnosis was very good (κ of 0.86 [95%CI: 0.74‐0.98]). In 42% of the patients, a LUS examination prior to transport indicated the need for endotracheal tube repositioning or PTX decompression. Conclusion LUS may be a reliable imaging technique for differentiating the causes of respiratory failure before neonatal transport. Use of LUS may optimize the care of infants during transport.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Lung ultrasound in the diagnosis of neonatal respiratory failure prior to patient transport

Jagła

Grudzień

Starzec

et al. 2019

J of Clinical Ultrasound

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“…LUS is an accurate and reliable method for diagnosing neonatal pulmonary atelectasis (NPA) [15]. LUS is found to be superior to CXR in the detection of complications of RDS, particularly consolidation, atelectasis, and microabscesses [16]. …”

Section: Discussionmentioning

confidence: 99%

Lung Ultrasound in Early Diagnosis of Neonatal Ventilator Associated Pneumonia before Any Radiographic or Laboratory Changes

Ibrahim

Omran

Ibrahim

et al. 2016

Case Reports in Pediatrics

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Neonatal pneumonia is reported to be the primary cause of neonatal respiratory failure and one of the common causes of neonatal hospitalization and death in developing countries. Chest X-ray was considered the gold standard for diagnosis of neonatal pneumonia. Lung ultrasonography has been described as a valuable noninvasive tool for the diagnosis of many neonatal pulmonary diseases. We report a case of ventilation associated neonatal pneumonia with very early diagnosis using lung ultrasound before any significant radiographic changes in chest X-ray or laboratory findings suggestive of infection.

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“…Copetti (2008) 38 Liu (2014) 40 Sawires (2015) 39 Lung ultrasound features compared with chest X-ray grade…”

Section: Capnographymentioning

confidence: 99%

“…Later studies identified increasing cases of consolidation and white lung on lung ultrasound with increasing chest X-ray severity. 39,40 Lung ultrasound patterns can be scored according to severity. In premature neonates, these scores are correlated with multiple indices of oxygenation.…”

mentioning

confidence: 99%

Tools to assess lung aeration in neonates with respiratory distress syndrome

et al. 2019

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Aim Respiratory distress syndrome is a common condition among preterm neonates, and assessing lung aeration assists in diagnosing the disease and helping to guide and monitor treatment. We aimed to identify and analyse the tools available to assess lung aeration in neonates with respiratory distress syndrome. Methods A systematic review and narrative synthesis of studies published between January 1, 2004, and August 26, 2019, were performed using the OVID Medline, PubMed, Embase and Scopus databases. Results A total of 53 relevant papers were retrieved for the narrative synthesis. The main tools used to assess lung aeration were respiratory function monitoring, capnography, chest X‐rays, lung ultrasound, electrical impedance tomography and respiratory inductive plethysmography. This paper discusses the evidence to support the use of these tools, including their advantages and disadvantages, and explores the future of lung aeration assessments within neonatal intensive care units. Conclusion There are currently several promising tools available to assess lung aeration in neonates with respiratory distress syndrome, but they all have their limitations. These tools need to be refined to facilitate convenient and accurate assessments of lung aeration in neonates with respiratory distress syndrome.

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Use of Lung Ultrasound in Detection of Complications of Respiratory Distress Syndrome

Cited by 30 publications

References 24 publications

Lung ultrasound in the diagnosis of neonatal respiratory failure prior to patient transport

Lung ultrasound in the diagnosis of neonatal respiratory failure prior to patient transport

Lung Ultrasound in Early Diagnosis of Neonatal Ventilator Associated Pneumonia before Any Radiographic or Laboratory Changes

Tools to assess lung aeration in neonates with respiratory distress syndrome

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