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The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery

OBJECTIVE: In this study, the efficacy of thoracic ultrasonography during echocardiography was evaluated in newborns. METHODS: Sixty newborns who had undergone pediatric cardiac surgery were successively evaluated between March 1, 2015, and September 1, 2015. Patients were evaluated for effusion, pu...

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Autores principales: Ozturk, Erkut, Tanidir, Ibrahim Cansaran, Yildiz, Okan, Ergul, Yakup, Guzeltas, Alper
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613728/
https://www.ncbi.nlm.nih.gov/pubmed/28977200
http://dx.doi.org/10.21470/1678-9741-2017-0017
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author Ozturk, Erkut
Tanidir, Ibrahim Cansaran
Yildiz, Okan
Ergul, Yakup
Guzeltas, Alper
author_facet Ozturk, Erkut
Tanidir, Ibrahim Cansaran
Yildiz, Okan
Ergul, Yakup
Guzeltas, Alper
author_sort Ozturk, Erkut
collection PubMed
description OBJECTIVE: In this study, the efficacy of thoracic ultrasonography during echocardiography was evaluated in newborns. METHODS: Sixty newborns who had undergone pediatric cardiac surgery were successively evaluated between March 1, 2015, and September 1, 2015. Patients were evaluated for effusion, pulmonary atelectasis, and pneumothorax by ultrasonography, and results were compared with X-ray findings. RESULTS: Sixty percent (n=42) of the cases were male, the median age was 14 days (2-30 days), and the median body weight was 3.3 kg (2.8-4.5 kg). The median RACHS-1 score was 4 (2-6). Atelectasis was demonstrated in 66% (n=40) of the cases. Five of them were determined solely by X-ray, 10 of them only by ultrasonography, and 25 of them by both ultrasonography and X-ray. Pneumothorax was determined in 20% (n=12) of the cases. Excluding one case determined by both methods, all of the 11 cases were diagnosed by X-ray. Pleural effusion was diagnosed in 26% (n=16) of the cases. Four of the cases were demonstrated solely by ultrasonography, three of them solely by X-ray, and nine of the cases by both methods. Pericardial effusion was demonstrated in 10% (n=6) of the cases. Except for one of the cases determined by both methods, five of the cases were diagnosed by ultrasonography. There was a moderate correlation when all pathologies evaluated together (k=0.51). CONCLUSION: Thoracic ultrasonography might be a beneficial non-invasive method to evaluate postoperative respiratory problems in newborns who had congenital cardiac surgery.
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spelling pubmed-56137282017-09-29 The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery Ozturk, Erkut Tanidir, Ibrahim Cansaran Yildiz, Okan Ergul, Yakup Guzeltas, Alper Braz J Cardiovasc Surg Original Article OBJECTIVE: In this study, the efficacy of thoracic ultrasonography during echocardiography was evaluated in newborns. METHODS: Sixty newborns who had undergone pediatric cardiac surgery were successively evaluated between March 1, 2015, and September 1, 2015. Patients were evaluated for effusion, pulmonary atelectasis, and pneumothorax by ultrasonography, and results were compared with X-ray findings. RESULTS: Sixty percent (n=42) of the cases were male, the median age was 14 days (2-30 days), and the median body weight was 3.3 kg (2.8-4.5 kg). The median RACHS-1 score was 4 (2-6). Atelectasis was demonstrated in 66% (n=40) of the cases. Five of them were determined solely by X-ray, 10 of them only by ultrasonography, and 25 of them by both ultrasonography and X-ray. Pneumothorax was determined in 20% (n=12) of the cases. Excluding one case determined by both methods, all of the 11 cases were diagnosed by X-ray. Pleural effusion was diagnosed in 26% (n=16) of the cases. Four of the cases were demonstrated solely by ultrasonography, three of them solely by X-ray, and nine of the cases by both methods. Pericardial effusion was demonstrated in 10% (n=6) of the cases. Except for one of the cases determined by both methods, five of the cases were diagnosed by ultrasonography. There was a moderate correlation when all pathologies evaluated together (k=0.51). CONCLUSION: Thoracic ultrasonography might be a beneficial non-invasive method to evaluate postoperative respiratory problems in newborns who had congenital cardiac surgery. Sociedade Brasileira de Cirurgia Cardiovascular 2017 /pmc/articles/PMC5613728/ /pubmed/28977200 http://dx.doi.org/10.21470/1678-9741-2017-0017 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ozturk, Erkut
Tanidir, Ibrahim Cansaran
Yildiz, Okan
Ergul, Yakup
Guzeltas, Alper
The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery
title The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery
title_full The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery
title_fullStr The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery
title_full_unstemmed The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery
title_short The Efficacy of Thoracic Ultrasonography in Postoperative Newborn Patients after Cardiac Surgery
title_sort efficacy of thoracic ultrasonography in postoperative newborn patients after cardiac surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5613728/
https://www.ncbi.nlm.nih.gov/pubmed/28977200
http://dx.doi.org/10.21470/1678-9741-2017-0017
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