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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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Autor principal: Lovrenski, Jovan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Informa Healthcare 2012
Materias:
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.
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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
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