Publications by authors named "Aichhorn L"
Background: Lung ultrasound scoring is a validated tool for assessing lung pathology. However, existing scoring systems typically overlook the size of consolidations, limiting their accuracy in certain clinical scenarios.
Case Presentation: We describe the first application of adding the maximum consolidation depth in centimeters (cm) to the conventional score.
Objective: To determine the effect of different types of probes for lung ultrasound in neonates.
Design: Prospective, blinded, randomized, comparative study between 2020 and 2022.
Setting: Single-center study at a third level neonatal unit.
Article Synopsis
- This study investigated the impact of scheduled lung recruitment maneuvers (LRMs) versus only when needed on extremely preterm infants undergoing high-frequency oscillatory ventilation (HFOV).* -
- In a randomized controlled trial with 30 infants (15 in each group), results showed no significant difference in the cumulative oxygen saturation index (OSI) or frequency of LRMs between both groups over a week.* -
- The findings suggest that performing LRMs regularly doesn't enhance lung volume compared to clinically indicated maneuvers, with most benefit seen when oxygen levels (FiO2) are high.*
Lung ultrasound makes use of artifacts generated by the ratio of air and fluid in the lung. Recently, an enormous increase of research regarding lung ultrasound emerged, especially in intensive care units. The use of lung ultrasound on the neonatal intensive care unit enables the clinician to gain knowledge about the respiratory condition of the patients, make quick decisions, and reduces exposure to ionizing radiation.
View Article and Find Full Text PDFMonitoring of carbon dioxide in ventilated neonates: a prospective observational study.
Arch Dis Child Fetal Neonatal Ed
May 2022
Objective: To assess the reliability, accuracy and precision of distal end-tidal capnography (detCO) in neonates compared with transcutaneous (tcCO) carbon dioxide measurements.
Design: Observational, prospective clinical study.
Setting: Neonatal intensive care unit at Medical University of Vienna.
Objectives: To evaluate if "mirrored ribs"-a mirroring of chest structures-is a sign for pneumothorax in lung ultrasound in neonates.
Design: Retrospective study.
Setting: Medical University Vienna/General Hospital, Vienna, Austria.
Article Synopsis
- - The study investigates the differences between invasive blood pressure (IBP) and non-invasive blood pressure (NBP) readings in extremely preterm infants during their first month of life, focusing on how closely the two methods correlate.
- - An analysis of 335 pairs of readings revealed strong correlations but also significant biases: NBP readings tended to overestimate systolic pressure and underestimate diastolic pressure in specific gestational age groups.
- - The findings suggest that discrepancies between IBP and NBP exist early in life and vary based on blood pressure ranges, highlighting the importance of using both methods together to avoid potential treatment issues.