Utility of lung ultrasound and respiratory severity score for detection of respiratory distress syndrome in the delivery room

Hedstrom, Anna B.; Faino, Anna; Batra, Maneesh

doi:10.1111/apa.15737

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…Therefore, bedside lung ultrasound can be used as a portable, easy-to-operate, safe, non-invasive and repeatable examination method. Some foreign scholars have found that the sensitivity of lung ultrasound in the diagnosis of neonatal atelectasis is 100%, which is significantly higher than 70% of X-ray examination, confirming the diagnostic value of lung ultrasound in neonatal lung diseases [ 18 ]. The results of this study showed that the lung ultrasound score had high clinical value in the differential diagnosis of NRDS neonates and common lung diseases, as well as the severity of NRDS.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic value of bedside lung ultrasound and 12-zone score in the 65 cases of neonatal respiratory distress syndrome and its severity

Huang,

Chen,

Liu

et al. 2024

BioMed Eng OnLine

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Objective To explore the predictive value of bedside lung ultrasound score in the severity of neonatal respiratory distress syndrome (NRDS) and mechanical ventilation and extubation. Methods The clinical data of 65 neonates with NRDS and invasive mechanical ventilation diagnosed in the neonatal intensive care unit of our hospital from July 2021 to July 2022 were retrospectively analyzed. 65 neonates were included in the NRDS group, and 40 neonates with other common lung diseases were selected as the other lung disease groups. All neonates underwent lung ultrasound and X-ray examination. The correlation between lung ultrasound scores and arterial blood gas indexes was analyzed by Pearson. The efficacy of successful evacuation of mechanical ventilation was evaluated by lung ultrasound analysis by ROC curve analysis. Results The positive rates of lung consolidation and white lung in NRDS group were higher than the other lung disease groups (P < 0.05). The positive rates of bronchial inflation sign and double lung points were lower than these in the other lung disease groups (P < 0.05). The ultrasound scores of both lungs, left lung, right lung, bilateral lung and double basal lung in the NRDS group were significantly higher than those in the other lung disease groups (P < 0.05). There was a significant positive correlation between lung ultrasound score and X-ray grade (r = 0.841, P < 0.001). The area under the curve (AUC) of lung ultrasound score for the differential diagnosis of NRDS and common lung diseases was 0.907. The AUC of lung ultrasound score in the differential diagnosis of mild and moderate, and moderate and severe NRDS were 0.914 and 0.933, respectively, which had high clinical value. The lung ultrasound score was positively correlated with the level of PaCO2 (r = 0.254, P = 0.041), and negatively correlated with the levels of SpO2 and PaO2 (r = − 0.459, − 0.362, P = 0.001, 0.003). The AUC of successful mechanical ventilation withdrawal predicted by the pulmonary ultrasound score before extubation was 0.954 (95% CI 0.907–1.000). The predictive value of successful extubation was 10 points of the pulmonary ultrasound score, with a sensitivity of 93.33% and a specificity of 88.00%. Conclusion The bedside lung ultrasound score can intuitively reflect the respiratory status of neonates, which provides clinicians with an important basis for disease evaluation.

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Section: Discussionmentioning

confidence: 99%

Diagnostic value of bedside lung ultrasound and 12-zone score in the 65 cases of neonatal respiratory distress syndrome and its severity

Huang,

Chen,

Liu

et al. 2024

BioMed Eng OnLine

View full text Add to dashboard Cite

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“…Based on these data, we consider that LUS could be used as an aid to establish the need for respiratory support in the delivery room. Indeed, even if there have been discussions about the superiority of a clinical score in the delivery room to establish the need for positive pressure and surfactant administration [ 43 ]—considered better than LUS because LUS needs a new device to be operated in the delivery room, needs a trained person, and needs more time spent in evaluation—LUS is a more objective parameter, is consistent, comes with a good predictive value as demonstrated by other studies both in the delivery room [ 24 , 31 ] and during the first hours of life [ 6 , 33 , 34 , 44 ], could result in earlier respiratory support and surfactant administration [ 44 ], and could improve the prognosis of the neonates. Maintaining a good respiratory status in premature neonates could also result in improved general homeostasis and the avoidance of important neurologic complications [ 45 ].…”

Section: Discussionmentioning

confidence: 99%

Delivery Room Lung Ultrasound—Feasibility, Normal Patterns, and Predictive Value for Respiratory Support in Term and Near-Term Neonates: A Monocentric Study

Toma,

Dima,

Fieraru

et al. 2024

Life

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Aim: our study aimed to characterize the lung ultrasound (LUS) patterns noted immediately after delivery in term and near-term neonates, and to investigate whether the LUS scores or patterns observed at that point could anticipate the need for respiratory support in the sample of patients studied. Materials and methods: We performed two ultrasound examinations: one in the delivery room and the second at one hour of age. The anterior and lateral regions of both lungs were examined. We assessed the correlation between the LUS scores or patterns and the gestational age, umbilical arterial blood gases, the need for respiratory support (CPAP or mechanical ventilation), the presence of respiratory distress, and the need for the administration of oxygen. Results: LUS scores were significantly higher in the delivery room examination (8.05 ± 1.95) than at 1 h of age (6.4 ± 1.75) (p < 0.001). There were also statistically significant differences between the LUS patterns observed in different lung regions between the delivery room exam and the exam performed at 1 h of age (p values between 0.001 and 0.017). There were also differences noted regarding the LUS patterns between different lung regions at the exam in the delivery room (the right anterior region LUS patterns were significantly worse than the right lateral LUS patterns (p < 0.004), left anterior LUS patterns (p < 0.001), and left lateral LUS patterns (p < 0.001)). A statistically significant correlation was found between LUS scores and the gestational age of the patients (r = 0.568, p < 0.001—delivery room; r = 4.0443, p < 0.001—one hour of age). There were statistically significant associations between LUS scores, patterns at delivery (p < 0.001) and 1 h of age (p < 0.001), and the need for respiratory support (CPAP or mechanical ventilation). Conclusions: LUS in the delivery room offers important information regarding lung fluid elimination and aeration of the lungs, and early LUS features are significantly associated with the risk of respiratory distress and the need for respiratory support.

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Utility of lung ultrasound and respiratory severity score for detection of respiratory distress syndrome in the delivery room

Abstract: Utility of lung ultrasound and respiratory severity score for detection of respiratory distress syndrome in the delivery room.

Cited by 2 publications

References 3 publications

Diagnostic value of bedside lung ultrasound and 12-zone score in the 65 cases of neonatal respiratory distress syndrome and its severity

Diagnostic value of bedside lung ultrasound and 12-zone score in the 65 cases of neonatal respiratory distress syndrome and its severity

Delivery Room Lung Ultrasound—Feasibility, Normal Patterns, and Predictive Value for Respiratory Support in Term and Near-Term Neonates: A Monocentric Study

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