Lung ultrasound as a tool to guide the administration of surfactant in premature neonates

被引：8
作者：
Rodriguez-Fanjul, J. [1 ]
Balcells Esponera, C. [1 ]
Moreno Hernando, J. [1 ]
Sarquella-Brugada, G. [2 ]
机构：
[1] Univ Barcelona, Hosp Clin St Joan Deu, BCNatal, ICGON,Serv Neonatol, Esplugas de Llobregat, Spain
[2] Univ Barcelona, Hosp Clin St Joan Deu, Serv Cardiol Pediat, Esplugas de Llobregat, Spain
来源：
ANALES DE PEDIATRIA | 2016年 / 84卷 / 05期
关键词：
Premature newborns; Lung ultrasound; Surfactant; RESPIRATORY-DISTRESS-SYNDROME; ENDOTRACHEAL-TUBE PLACEMENT; RANDOMIZED-TRIAL; INSERTION DEPTH; INTUBATION; ULTRASONOGRAPHY; ACCURACY; NEWBORN; POINT;
D O I：
10.1016/j.anpedi.2015.09.003
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Objectives: The aim of this study is to assess the usefulness of lung ultrasound (LUS) to estimate the endotracheal tube (ETT) depth position during the Intubation-Surfactant-Extubation (INSURE) procedure. Material and methods: The ETT insertion depth was estimated using the weight (insertion depth (cm) = weight (kg) + 5.5). After intubation two independent neonatologists using bilateral auscultation or LUS checked the ETT depth. Results: Twelve newborns with respiratory distress syndrome were included. In two cases LUS helped to correctly replace the ETT. All the patients progressed well, with normal x-ray and LUS before discharge. Conclusions: LUS appears to be a safe and non-invasive technique and is useful in clinical situations were x-ray is not routinely performed, as it is fast and radiation free. (C) 2015 AsociaciOn Espanola de Pediatria. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码：249 / 253
页数：5
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