Lung ultrasound in preterm infants with respiratory distress: experience in a neonatal intensive care unit

被引：0
作者：
Rebeca Gregorio-Hernández
María Arriaga-Redondo
Alba Pérez-Pérez
Cristina Ramos-Navarro
Manuel Sánchez-Luna
机构：
[1] Virgen de la Salud Hospital,Neonatology Department
[2] Gregorio Marañón University Hospital,Neonatology Department
来源：
European Journal of Pediatrics | 2020年 / 179卷
关键词：
Lung ultrasound; Sonography; Preterm infants; Respiratory distress; Surfactant treatment;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Lung ultrasound (LUS) has been described as a useful tool in early prognosis of several respiratory diseases of the newborn, especially preterm infant newborns (PTNB) with respiratory distress syndrome (RDS), but still, it is not a standard of care in many neonatal units. We have conducted a descriptive, prospective study in a tertiary neonatal unit during 1 year. PTNB less than 35 weeks with respiratory distress at birth on non-invasive ventilation were recruited. A LUS was performed in the first 12 h of life and scored from 6 to 18 points (6 areas, 1 to 3 points each). They were followed until discharge. Main outcomes: need for surfactant treatment. Sixty-four preterm infants, median gestational age 29 weeks. Median LUS score in surfactant group was significantly higher than in no surfactant group (p < 0.0001). LUS ROC curve for surfactant treatment shows AUC 0.97 (IC 95% 0.92–1). LUS Odds ratio for surfactant treatment 3.17 (IC 95% 1.36–7.35).
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页码：81 / 89
页数：8
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共 162 条
[21]  
Capasso L(2016)Lung ultrasound as a predictor of mechanical ventilation in neonates older than 32 weeks Neonatology 110 198-643
[22]  
Liu J(2014)Use of neonatal chest ultrasound to predict noninvasive ventilation failure Pediatrics 134 e1089-563
[23]  
Liu J(2019)European consensus guidelines on the Management of Respiratory Distress Syndrome - 2019 update Neonatology 115 432-1409
[24]  
Wang Y(2014)International perspectives: point-of-care chest ultrasound in the neonatal intensive care unit: an Italian perspective Neoreviews 15 e2-undefined
[25]  
Fu W(2013)Lung ultrasound: its role in neonatology and pediatrics Early Human Development 89 S17-undefined
[26]  
Yang C-S(2019)Echography-Guided Surfactant Therapy to Improve Timeliness of Surfactant Replacement: A Quality Improvement Project The Journal of Pediatrics 212 137-143.e1-undefined
[27]  
Huang J-J(2018)Lung ultrasonography score versus chest X-ray score to predict surfactant administration in newborns with respiratory distress syndrome Pediatric Pulmonology 53 1231-undefined
[28]  
Liu J(2007)Early detection of acute lung injury uncoupled to hypoxemia in pigs using ultrasound lung comets Crit Care Med 35 2769-undefined
[29]  
De Martino L(2017)A Noninvasive Surfactant Adsorption Test Predicting the Need for Surfactant Therapy in Preterm Infants Treated with Continuous Positive Airway Pressure The Journal of Pediatrics 182 66-73.e1-undefined
[30]  
Yousef N(2019)Oxygen saturation/FIO2 ratio at 36 weeks’ PMA in 1005 preterm infants: effect of gestational age and early respiratory disease patterns Pediatr Pulmonol 54 637-undefined
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