144 results match your criteria: "Meconium Aspiration Imaging"
The value of lung ultrasound in the differential diagnosis of common lung diseases in newborns.
Medicine (Baltimore)
November 2024
Department of Pediatrics, Linping Branch of the Second Affiliated Hospital of Zhejiang University, Hangzhou, China.
Article Synopsis
- A study investigated the effectiveness of lung ultrasound in diagnosing common neonatal lung diseases among 160 newborns admitted with suspected issues between January 2020 and June 2023.
- The results showed that lung ultrasound had high accuracy rates for various conditions, with specific accuracies ranging from 96.8% for pneumonia to 100% for pneumothorax and atelectasis.
- The overall performance of lung ultrasound indicated an 85.00% detection rate, with a sensitivity of 95.77% and a specificity of 77.77%, highlighting its significant role in differentiating neonatal lung diseases.
Lung Ultrasound in Neonates: A Narrative Review Along With Diagnostic Insights and Early Postnatal Applications.
Cureus
September 2024
Pediatrics, Ospedale Microcitemico, Cagliari, ITA.
Article Synopsis
- Ultrasound (US) is becoming a key non-invasive imaging tool for diagnosing lung diseases in newborns, offering high-quality images without harmful radiation.
- The study discusses how thoracic ultrasound helps assess lung conditions, including analyzing pleural structures and checking for issues like pneumothorax and respiratory distress syndrome through specific ultrasound findings.
- It highlights the growing role of lung ultrasound in neonatal care by improving diagnostics, predicting intensive care needs, and reducing the need for X-rays, enhancing overall patient management from birth.
Lung Ultrasound and Ultrasound Score: A Useful Tool in Neonatal Intensive Care Units for the Diagnosis and Therapeutic Management of Newborns With Respiratory Pathology.
Cureus
August 2024
Obstetrics and Gynaecology and Neonatology, Elias Emergency University Hospital, Bucharest, ROU.
Article Synopsis
- * The LUS score guides clinicians in decisions regarding surfactant administration and therapeutic management, requiring skilled interpretation by experienced clinicians.
- * The study investigates the link between LUS scoring and the severity of various respiratory conditions in newborns, assessing its influence on treatment decisions like surfactant use and CPAP support.
Exploring the diagnostic value of ultrasound radiomics for neonatal respiratory distress syndrome.
BMC Pediatr
March 2024
Department of Ultrasound, Second Affiliated Hospital of Fujian Medical University, No. 34 North Zhongshan Road, Licheng District, Quanzhou, Fujian Province, 362000, China.
Article Synopsis
- - The article discusses the importance of early diagnosis of neonatal respiratory distress syndrome (NRDS) and highlights the transition from traditional diagnostic methods like chest X-rays to the use of ultrasound, which offers better potential but requires extensive training and is susceptible to bias due to operator skill.
- - Researchers collected data from 150 cases of neonatal lung diseases, distinguishing 60 NRDS cases from others like pneumonia and meconium aspiration, to explore the effectiveness of ultrasound-based radiomics, which involves analyzing image texture features using machine learning models.
- - The study aimed to create an objective, reliable diagnostic model for NRDS, assessing various machine learning approaches to evaluate their effectiveness against established methods, ultimately comparing the best performing model to traditional diagnostic techniques.
Neonatal point-of-care lung ultrasound: what should be known and done out of the NICU?
Eur J Pediatr
April 2024
Division of Neonatology, Department of Translational Medical Sciences, Università Federico II Di Napoli, Naples, Italy.
Article Synopsis
- * The review highlights both normal lung characteristics and common respiratory issues in neonates, such as TTN and RDS, emphasizing the importance of ultrasound for diagnosis and treatment planning.
- * Lung ultrasound can also streamline care in non-NICU settings by assessing respiratory distress severity and guiding early interventions like surfactant therapy, making it valuable for all pediatricians.
Use of point-of-care ultrasound (POCUS) to monitor neonatal and pediatric extracorporeal life support.
Eur J Pediatr
April 2024
Pediatric Intensive Care Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Article Synopsis
- ECMO is an invasive life support technique that uses a blood pump and artificial lung to oxygenate blood for patients suffering from severe heart or lung failure, first used in 1975 for neonatal respiratory issues.
- Over the years, ECMO usage expanded but faced challenges in neonatal cases due to new therapies, while pediatric cases continued to grow steadily.
- Point-of-care ultrasound (POCUS) plays a crucial role in monitoring ECMO patients throughout treatment, from assessing candidacy to managing complications, highlighting the need for better guidelines in its application during ECMO support.
Carotid Artery Patency and Neurodevelopmental Outcomes After Decannulation in Pediatric Extracorporeal Life Support.
J Surg Res
January 2024
Seattle Children's Hospital, University of Washington, Seattle, Washington.
Article Synopsis
- * Out of 74 patients analyzed, those on extracorporeal life support for more than 5 days were significantly less likely to receive CAR, and many patients exhibited artery issues like stenosis or occlusion during the follow-up period.
- * The findings indicate that both CAR and ligation result in similar neurodevelopmental outcomes, but the lack of standardized follow-up limits the ability to assess long-term function and informs a need for better risk assessment and monitoring after decannulation
Cardiopulmonary Ultrasound Patterns of Transient Acute Respiratory Distress of the Newborn: A Retrospective Pilot Study.
Children (Basel)
February 2023
Department of Critical Care, Maggiore Hospital, 26100 Cremona, Italy.
Article Synopsis
- Acute transient respiratory distress in newborns is termed transient tachypnea of the newborn (TTN) and is often due to delayed lung fluid clearance at birth.
- A pilot study found seven distinct ultrasound patterns related to TTN in term and late preterm infants, with about 50% showing signs of elevated pulmonary vascular resistance.
- The study suggests that using cardiopulmonary ultrasound (CPUS) could enhance diagnosis and management of respiratory distress, especially in cases linked to meconium aspiration syndrome.
Predictive value of doppler cerebroplacental ratio for adverse perinatal outcomes in postdate pregnancies in Northwestern Nigeria.
Niger J Clin Pract
April 2022
Department of Obstetrics and Gynaecology, Bayero University, Kano, Nigeria.
Article Synopsis
- Postdate pregnancy increases the risk of complications for the baby due to issues with blood flow from the placenta, making the cerebroplacental ratio (CPR) an important measurement for predicting outcomes.* -
- A study of 212 low-risk pregnant women over 40 weeks gestation found that 20% experienced adverse outcomes, with CPR being a better predictor compared to other tests like the umbilical artery pulsatility index (UA-PI) and non-stress tests (NST).* -
- The findings indicate that CPR has high sensitivity and accuracy (90% sensitivity, 83% accuracy) in predicting negative perinatal outcomes, suggesting it should be prioritized in postdated pregnancies.*
Lung ultrasound for the assessment of lung recruitment in neonates with massive pneumothorax during extracorporeal membrane oxygenation: a case report.
J Artif Organs
June 2022
Department of Neonatology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, 1617 Riyue Avenue, Qingyang District, Chengdu, 611731, China.
Article Synopsis
- * A neonate with severe respiratory issues due to meconium aspiration syndrome was treated with ECMO while using a "total lung rest" strategy to allow lung healing.
- * The ultrasound effectively monitored the absorption of pneumothorax and guided the process of recruiting collapsed alveoli, ultimately aiding in ECMO withdrawal.
Strategies for the Neonatal Lung Biopsy: Histology to Genetics.
Surg Pathol Clin
December 2020
Department of Pathology and Laboratory Medicine, Phoenix Children's Hospital, 1919 East Thomas Road, Phoenix, AZ 85016, USA. Electronic address:
Article Synopsis
- Neonatal lung biopsy is crucial for making medical decisions when diagnoses are unclear from other methods like clinical assessments, imaging, or genetic tests.
- It is often performed in cases of severe respiratory distress in newborns, unexpected pulmonary hypertension, or suspected genetic disorders.
- The article outlines different pathological patterns in neonatal lungs and how they relate to molecular abnormalities.
The role of abnormal cerebroplacental ratio in predicting adverse fetal outcome in pregnancies with scheduled induction of labor.
Int J Gynaecol Obstet
May 2021
Department of Obstetrics and Gynecology, Medeniyet University Göztepe Training and Research Hospital, Istanbul, Turkey.
Article Synopsis
- The study aimed to assess how abnormal cerebroplacental ratio (CPR) relates to negative outcomes in fetuses during labor inductions.
- Conducted at a hospital in Turkey, it involved 145 pregnant women with scheduled inductions, focusing on measuring CPR via fetal Doppler ultrasound and comparing outcomes based on normal vs. abnormal CPR values.
- Results indicated that women with normal CPR values were more likely to have positive outcomes, with factors like later induction and higher birth weight correlating with healthier fetal conditions.
Successful Establishment of the First Neonatal Respiratory Extracorporeal Membrane Oxygenation (ECMO) Program in the Middle East, in Collaboration With Pediatric Services.
Front Pediatr
September 2020
Weill Cornell Medicine, Doha, Qatar.
Article Synopsis
- Extracorporeal membrane oxygenation (ECMO) is a critical life-support technique for patients with acute respiratory or cardiac failure when other treatments fail, requiring careful planning and specialized training for the medical team.* -
- This text outlines the establishment of a neonatal ECMO program, reviewing processes and evaluating outcomes by comparing the first 11 patients treated with data from the Extracorporeal Life Support Organization (ELSO) registry to ensure effective implementation.* -
- Findings showed that the new ECMO program, treating both neonatal and pediatric patients, achieved clinical outcomes and mechanical complication rates comparable to national standards, indicating the program's successful launch and operation.*
Ultrasound-guided lung lavage for life-threatening bronchial obstruction due to meconium plug.
J Clin Ultrasound
May 2021
Division of Paediatrics and Neonatal Critical Care, Medical Center "A. Béclère", Paris Saclay University Hospitals, APHP, Paris, France.
Article Synopsis
- A case study reveals a serious airway blockage in a newborn due to meconium aspiration, which can lead to high rates of death and health complications.
- Lung ultrasound was effective in identifying the obstruction and becoming part of the treatment strategy.
- This technique facilitated a fast and targeted procedure called bronchoalveolar lavage with diluted surfactant, aiding in the newborn's recovery.
Predictors of chest drainage of pneumothorax in neonates.
Braz J Med Biol Res
August 2020
Department of Radiology, Children's Hospital of Soochow University, Suzhou, China.
Article Synopsis
- - This study analyzed data from 183 neonates with pneumothorax at Children's Hospital of Soochow University between 2015 and 2018, focusing on factors that predict the need for chest drainage.
- - Pneumothorax mainly occurred in the first 24 hours after birth, with significant predictors for needing drainage identified as lung collapse on X-ray, chest retractions, cyanosis, and frothing from the mouth.
- - The findings suggest that assessing these predictive factors can help healthcare providers make better treatment decisions and potentially enhance outcomes for affected neonates.
Point-of-care lung ultrasound in three neonates with COVID-19.
Eur J Pediatr
August 2020
Pediatrics Department, Virgen de la Salud Hospital, Toledo, Spain.
Article Synopsis
- The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has prompted research on its effects, particularly in newborns, where data has been limited.
- This study focused on understanding the lung ultrasound (LU) patterns in three newborns who tested positive for SARS-CoV-2 between March and April 2020, monitoring them closely for a week.
- The findings revealed LU features like B-lines and consolidation in the infants, with no severe complications, suggesting LU could be a valuable tool in managing COVID-19 in neonates.
Thoracic ultrasound accuracy for the investigation of initial neonatal respiratory distress.
Arch Pediatr
November 2019
Service d'imagerie médicale, hôpital Nord, AP-HM, 13015 Marseille, France.
Article Synopsis
- Thoracic ultrasound (TUS) is being explored as a diagnostic tool for neonatal respiratory distress, but chest x-ray (CXR) is still considered the primary examination method.
- A study evaluated TUS's effectiveness compared to CXR in diagnosing various causes of respiratory distress in newborns, analyzing 104 ultrasounds in 52 infants.
- The study found that TUS has high sensitivity and accuracy for major conditions like respiratory distress syndrome and transient tachypnea, making it a useful bedside tool, especially for confirming or ruling out specific diagnoses.
Antepartum and intrapartum risk factors for neonatal hypoxic-ischemic encephalopathy: a systematic review with meta-analysis.
Curr Opin Obstet Gynecol
December 2019
Clinic of Obstetrics and Gynecology, University of Brescia, Brescia, Italy.
Article Synopsis
- The purpose of the review was to examine literature on risk factors associated with neonatal hypoxic-ischemic encephalopathy (HIE) using various databases from 1999 to 2018.
- The analysis included 12 studies that focused on neonates diagnosed with HIE within 28 days of birth, identifying significant risk factors such as fetal growth restriction, nonreassuring cardiotocography, emergency cesarean sections, meconium presence, and chorioamnionitis.
- The study concluded that HIE arises from multiple factors, often making it difficult to determine specific causes or preventive measures.
Neonatal meningitis, endocarditis, and pneumonitis due to Streptococcus gallolyticus subsp. pasteurianus: a case report.
BMC Pediatr
August 2019
Pacific Pediatric Cardiology Medical Group, Inc., Los Angeles, CA, 90033, USA.
Article Synopsis
- Streptococcus pasteurianus is a rare pathogen that has been linked to only a few cases of neonatal infection in the past decade, with symptoms often presenting as meningitis; however, this case report highlights two unusual instances of neonatal infections manifesting in rare forms: endocarditis and pneumonitis.* -
- The first patient experienced respiratory distress and was initially treated for sepsis; after being diagnosed with S. pasteurianus, he was given an extended course of cefepime due to complications of endocarditis, ultimately leading to his improvement.* -
- The second patient also presented with respiratory distress and went into septic shock; similar to the first case, he was treated with antibiotics after blood cultures
Lung ultrasound in early diagnosis of neonatal transient tachypnea and its differentiation from other causes of neonatal respiratory distress.
J Neonatal Perinatal Med
March 2019
Departments of Pediatrics and Neonatology, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Article Synopsis
- Transient tachypnea of the newborn (TTN) is a common cause of respiratory distress in newborns, and lung ultrasonography (LUS) can help distinguish it from other respiratory issues within the first 12-24 hours after birth.
- In a study involving 65 near and full-term neonates, 73.8% were diagnosed with TTN, while other diagnoses included pneumonia (18.5%), meconium aspiration syndrome (4.6%), and respiratory distress syndrome (3.1%).
- The findings indicated that LUS is an effective and non-invasive method for early TTN diagnosis, showing high specificity and a positive correlation between the severity of lung condition and oxygen support
Effect of Nasal Continuous Positive Airway Pressure on Infants With Meconium Aspiration Syndrome: A Randomized Clinical Trial.
JAMA Pediatr
February 2018
Princess Durru Shehvar Children's and General Hospital, Hyderabad, Telangana, India.
Article Synopsis
- Nasal continuous positive airway pressure (NCPAP) is being studied as a treatment for meconium aspiration syndrome (MAS) in newborns, potentially improving oxygen exchange and reducing lung complications.
- The study aimed to compare the effectiveness of NCPAP against standard care in reducing the need for invasive ventilation in neonates with MAS-related respiratory failure.
- Results showed that infants treated with NCPAP had a significantly lower need for mechanical ventilation within the first week of life compared to those receiving standard care, along with a lower requirement for surfactant treatment.
Therapeutic hypothermia in infants with hypoxic-ischemic encephalopathy and reversible persistent pulmonary hypertension: short-term hospital outcomes.
J Matern Fetal Neonatal Med
December 2018
a Division of Neonatology, Department of Pediatrics , College of Medicine, The Catholic University of Korea, Seoul , Republic of Korea.
Article Synopsis
- The study examined outcomes of therapeutic hypothermia (TH) in infants with neonatal hypoxic ischemic encephalopathy (HIE) both with and without persistent pulmonary hypertension (PPHN).
- A total of 116 infants were reviewed, revealing that those with PPHN experienced longer hospital stays and more complications, but brain imaging results showed no significant differences compared to those without PPHN.
- The findings suggest that TH might be beneficial for HIE infants with PPHN and the associated risks could be lower than previously thought.
[Prevalence and risk factors for periventricular leukomalacia in preterm infants. A systematic review].
Rev Neurol
July 2017
Universidad Camilo Jose Cela, Instituto de Investigacion Hospital 12 de Octubre., Madrid, Espana.
Article Synopsis
- There is significant variation in how the prevalence and risk factors of periventricular leukomalacia (PVL) are described in preterm infants.
- A systematic review of 209 studies narrowed down to 107 studies shows that PVL prevalence is detected at 14.7% via ultrasound and 32.8% via magnetic resonance imaging, with higher rates in more premature infants.
- Key risk factors for PVL include gestational age, intrauterine infections, premature membrane rupture, and chorioamnionitis, with gestational age being the most significant factor influencing PVL occurrence.
Neonatal respiratory distress syndrome: Chest X-ray or lung ultrasound? A systematic review.
Ultrasound
May 2017
Leeds Teaching Hospitals NHS Trust, St James's University Hospital, UK.
Article Synopsis
- Neonatal respiratory distress syndrome is a common issue in preterm infants, and the study aimed to evaluate lung ultrasound as a diagnostic tool compared to traditional methods that involve ionizing radiation.
- The review analyzed six studies involving 480 neonates, finding that lung ultrasound had high sensitivity (97%) and specificity (91%), though some false positives and negatives were reported.
- The researchers concluded that lung ultrasound is promising for detecting respiratory distress but noted that it may overlook certain conditions like air-leak syndromes, highlighting the need for further research before it can fully replace chest radiography in clinical settings.
Diagnostic Performance of Point of Care Ultrasonography in Identifying the Etiology of Respiratory Distress in Neonates.
Indian J Pediatr
April 2017
Department of Radiology, MNJ Institute of Oncology and Regional Cancer, Hyderabad, India.
Article Synopsis
- The study aimed to evaluate how effective Point of Care Ultrasonography (PoC-USG) is in diagnosing the causes of respiratory distress (RD) in newborns compared to traditional clinical and radiological methods.
- Researchers analyzed 63 neonates with RD and 31 control neonates, using ultrasound and chest X-rays within 4 hours of admission, to identify conditions like respiratory distress syndrome (RDS), transient tachypnea of newborn (TTNB), and pneumonia.
- The results showed that PoC-USG had a high sensitivity of 98.4% and specificity of 100% for diagnosing RD, indicating it's a reliable tool for identifying different causes of respiratory issues in neonates.