Publications by authors named "Monica de Las Heras Martin"
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.
Article Synopsis
- The lung ultrasound score (LUS) can help predict moderate-severe bronchopulmonary dysplasia (msBPD) in preterm infants, and this study aimed to understand how LUS changes over time based on gestational age.
- A multicenter study analyzed 339 preterm infants, categorizing them into two gestational age groups (23-27 weeks and 28-32 weeks) and tracking their LUS evolution up to 36 weeks postmenstrual age.
- Results showed that infants in the earlier group had a steady increase in LUS initially, followed by a decrease, while the later group experienced a continuous decrease, with significant differences noted based on the need for surfactant and diagnosis of msBPD.
Background: Different lung ultrasound (LUS) scanning protocols have been used, and the results in terms of diagnostic accuracy are heterogeneous.
Research Questions: What is the diagnostic accuracy of the LUS score to predict moderate to severe bronchopulmonary dysplasia (msBPD)? Does scanning of posterior lung fields improve the diagnostic accuracy?
Study Design And Methods: This was a multicenter prospective, observational study in six centers. Two LUS aeration scores, one involving only anterolateral lung fields and the other adding the posterior fields were obtained at birth, on the third day of life (DOL), on the seventh DOL, on the 14th DOL, and on the 21st DOL.