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Lung ultrasonography of pulmonary complications in preterm infants with respiratory distress syndrome
AIM. To evaluate the diagnostic possibilities of lung ultrasonography (LUS) in detecting pulmonary complications in preterm infants with respiratory distress syndrome (RDS). MATERIAL AND METHODS. A prospective study included 120 preterm infants with clinical and radiographic signs of RDS. LUS was pe...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Informa Healthcare
2012
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282236/ https://www.ncbi.nlm.nih.gov/pubmed/22283442 http://dx.doi.org/10.3109/03009734.2011.643510 |
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author | Lovrenski, Jovan |
author_facet | Lovrenski, Jovan |
author_sort | Lovrenski, Jovan |
collection | PubMed |
description | AIM. To evaluate the diagnostic possibilities of lung ultrasonography (LUS) in detecting pulmonary complications in preterm infants with respiratory distress syndrome (RDS). MATERIAL AND METHODS. A prospective study included 120 preterm infants with clinical and radiographic signs of RDS. LUS was performed using both a transthoracic and a transabdominal approach within the first 24 h of life, and, after that, follow-up LUS examinations were performed. In 47 detected pulmonary complications of RDS (hemorrhage, pneumothorax, pneumonia, atelectasis, bronchopulmonary dysplasia), comparisons between LUS and chest X-ray (CXR) were made. Also, 90 subpleural consolidations registered during LUS examinations were analysed. Statistical analysis included MANOVA and discriminant analysis, t-test, confidence interval, and positive predictive value. RESULTS. In 45 of 47 instances the same diagnosis of complication was detected with LUS as with CXR, indicating a high reliability of the method in premature infants with RDS. The only two false negative findings concerned partial pneumothorax. The positive predictive value of LUS was 100%. A statistically significant difference of LUS findings between the anterior and posterior lung areas was observed in both right and left hemithoraces. CONCLUSIONS. LUS enables the detection of pulmonary complications in preterm infants with RDS and has the potential to reduce the number of CXRs. The specific guidelines for its use should be provided in a more extensive study. |
format | Online Article Text |
id | pubmed-3282236 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Informa Healthcare |
record_format | MEDLINE/PubMed |
spelling | pubmed-32822362012-03-01 Lung ultrasonography of pulmonary complications in preterm infants with respiratory distress syndrome Lovrenski, Jovan Ups J Med Sci Original Articles AIM. To evaluate the diagnostic possibilities of lung ultrasonography (LUS) in detecting pulmonary complications in preterm infants with respiratory distress syndrome (RDS). MATERIAL AND METHODS. A prospective study included 120 preterm infants with clinical and radiographic signs of RDS. LUS was performed using both a transthoracic and a transabdominal approach within the first 24 h of life, and, after that, follow-up LUS examinations were performed. In 47 detected pulmonary complications of RDS (hemorrhage, pneumothorax, pneumonia, atelectasis, bronchopulmonary dysplasia), comparisons between LUS and chest X-ray (CXR) were made. Also, 90 subpleural consolidations registered during LUS examinations were analysed. Statistical analysis included MANOVA and discriminant analysis, t-test, confidence interval, and positive predictive value. RESULTS. In 45 of 47 instances the same diagnosis of complication was detected with LUS as with CXR, indicating a high reliability of the method in premature infants with RDS. The only two false negative findings concerned partial pneumothorax. The positive predictive value of LUS was 100%. A statistically significant difference of LUS findings between the anterior and posterior lung areas was observed in both right and left hemithoraces. CONCLUSIONS. LUS enables the detection of pulmonary complications in preterm infants with RDS and has the potential to reduce the number of CXRs. The specific guidelines for its use should be provided in a more extensive study. Informa Healthcare 2012-03 2012-02-15 /pmc/articles/PMC3282236/ /pubmed/22283442 http://dx.doi.org/10.3109/03009734.2011.643510 Text en © Informa Healthcare http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the source is credited. |
spellingShingle | Original Articles Lovrenski, Jovan Lung ultrasonography of pulmonary complications in preterm infants with respiratory distress syndrome |
title | Lung ultrasonography of pulmonary complications in preterm infants with respiratory distress syndrome |
title_full | Lung ultrasonography of pulmonary complications in preterm infants with respiratory distress syndrome |
title_fullStr | Lung ultrasonography of pulmonary complications in preterm infants with respiratory distress syndrome |
title_full_unstemmed | Lung ultrasonography of pulmonary complications in preterm infants with respiratory distress syndrome |
title_short | Lung ultrasonography of pulmonary complications in preterm infants with respiratory distress syndrome |
title_sort | lung ultrasonography of pulmonary complications in preterm infants with respiratory distress syndrome |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282236/ https://www.ncbi.nlm.nih.gov/pubmed/22283442 http://dx.doi.org/10.3109/03009734.2011.643510 |
work_keys_str_mv | AT lovrenskijovan lungultrasonographyofpulmonarycomplicationsinpreterminfantswithrespiratorydistresssyndrome |