Publications by authors named "Jon Montero Gato"
Pulmonary artery peak Doppler velocity as an estimator of systemic blood flow and predictor of intraventricular haemorrhage in preterm infants: a multicentre prognostic accuracy study.
Arch Dis Child Fetal Neonatal Ed
December 2024
Objectives: (1) To assess how main pulmonary artery peak Doppler velocity (MPAVpeak) correlates with right ventricular output (RVO) and superior vena cava flow (SVCf), (2) to assess the reproducibility of MPAVpeak and (3) to test the prognostic accuracy of MPAVpeak to predict high-grade intraventricular haemorrhage (IVH) or death at seventh day of life.
Design: Prospective cohort study.
Setting: Nine third-level neonatal units in Spain.
Association between early echocardiography screening of low systemic blood flow and intraventricular hemorrhage in preterm infants: a multicenter cohort study.
J Perinatol
October 2024
Article Synopsis
- The study aimed to see if early echocardiography screening in preterm infants with low systemic blood flow can lower the risk of intraventricular hemorrhage (IVH) and death.
- Conducted across nine neonatal units, infants under 33 weeks gestation were split into two groups: one receiving early screening and the other not.
- Results showed that early screening significantly decreased the chances of developing severe IVH or dying in the first week of life.
Introduction: Pneumothorax in neonates can be life-threatening. In neonates without respiratory distress, spontaneous pneumothorax can also develop under certain conditions.
Objectives: To determine the incidence of ultrasonographic signs of pneumothorax in asymptomatic neonates using lung ultrasound as the diagnostic tool.
Introduction: The lung ultrasound score (LUS) has been suggested to predict moderate-severe bronchopulmonary dysplasia (msBPD) in preterm infants. We aimed to assess LUS evolution after birth in preterm infants and the effect of gestational age.
Methods: This multicentre prospective observational study was performed with newborns born before 33 weeks of gestation.
Objective: Lung ultrasound is a useful tool for diagnosis and follow-up of diseases in critically ill neonates. Its use is increasingly widespread thanks to its advantages over other imaging tests and the rapidly growing body of evidence to support it, and "point-of-care ultrasound" (POCUS) has become a key component in neonatal guidelines. The objective of this special article is to present the foundations and the established diagnostic and therapeutic applications of lung ultrasonography as well as introducing new applications.
View Article and Find Full Text PDFArticle Synopsis
- A nationwide survey was conducted to understand the perceptions and implementation of ultrasound-guided vascular access (USG-VA) among neonatologists in Spain, revealing that 81% see it as essential in clinical practice.
- Although many recognize its importance, 35.5% have never applied it on real patients, and most perform fewer than 5 procedures annually.
- The lack of proper training is considered the main barrier to its use, with 87% of neonatologists advocating for formal training in USG-VA for future doctors.
Introduction: Point-of-care lung ultrasound is increasingly used to diagnose pneumothorax efficiently and safely in neonates.
Objectives: This study aimed to evaluate the usefulness of the central and anterior transverse thoracic plane in the ultrasound diagnosis of pneumothorax, analyze the diagnostic value of the "mirrored ribs" sign, and evaluate the predictive value of the lung point location for the need of pleural drainage.
Methods: Retrospective cohort study of all newborns admitted to the neonatal intensive care unit of the Basurto University Hospital (Bilbao, Spain) due to respiratory distress and with ultrasound, with or without pneumothorax, between January 2014 and December 2020.