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313889

The Role of Point of Care Lung Ultrasound in Diagnosis of Different Neonatal Lung Diseases in NICU: A Prospective Study

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Last updated: 03 Jan 2025

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Abstract

Background: Due to its radiation-free feature, comfort, high accuracy, and cheap cost, lung ultrasonography (LUS) has been used in clinical practice to diagnose and discriminate infant lung disorders; nevertheless, its usage in neonatal care is still restricted. Objective: To assess the role of point of care LUS in diagnosis of different neonatal lung diseases compared to chest X-ray (CXR). Patients and Methods: This is a prospective study on 115 neonates (preterm and full-term) with newborn lung disorders of various etiologies; those with substantial congenital abnormalities, such as chest deformities, complicated congenital heart diseases, and central respiratory failure were excluded. On admission, CXR and LUS were performed for diagnosis. They were then repeated after 3 days and after 7 days, or sooner or later, if necessary, based on the clinical status. Results: LUS diagnosis sensitivity (Sn) and specificity (Sp) for respiratory distress syndrome (RDS), transient tachypnea of the newborn (TTN), pneumonia, meconium aspiration syndrome (MAS), pneumothorax (PTX), pulmonary atelectasis and pulmonary edema were 95.7/98.5%, 100/100% 97.1/98.8, 100/100%, 94.1%/98.9%, 100/100%, 100/100%, respectively. With a 95% CI of 0.91 to 1, the overall agreement between LUS and CXR was 98.3%. The diagnosis of NLDS  was mostly in accord with LUS and CXR. Conclusion: LUS may be used as a substitute for other methods of diagnosing newborn lung illnesses since it is an imaging modality that is accurate, dependable, rapid, simple to use, real-time, and radiation-free.  

DOI

10.21608/ejhm.2023.313889

Keywords

lung ultrasound, Neonatal lung diseases, Chest X-ray

Volume

92

Article Issue

1

Related Issue

42192

Issue Date

2023-07-01

Receive Date

2023-08-20

Publish Date

2023-07-01

Page Start

6,169

Page End

6,197

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_313889.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=313889

Order

110

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

The Role of Point of Care Lung Ultrasound in Diagnosis of Different Neonatal Lung Diseases in NICU: A Prospective Study

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Type

Article

Created At

24 Dec 2024