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Lung ultrasound in newborn

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https://www.readbyqxmd.com/read/27809611/lung-ultrasonography-to-diagnose-pulmonary-hemorrhage-of-the-newborn
#1
Xiao-Ling Ren, Wei Fu, Jing Liu, Ying Liu, Rong-Ming Xia
OBJECTIVES: This study was aimed to investigate the application of lung ultrasound for the diagnosis of Pulmonary hemorrhage of the newborn (PHN). METHODS: From July 2013 to June 2016, 157 neonates were enrolled in the study. They were divided into two groups: a study group of 57 neonates, who were diagnosed with PHN according to their medical history, clinical manifestations and chest X-ray findings, and a control group of 100 neonates with no lung disease.All subjects underwent bedside lung ultrasound in a quiet state in a supine, lateral or prone position, performed by a single expert physician...
November 3, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27756159/bronchoalveolar-lavage-for-the-treatment-of-neonatal-pulmonary-atelectasis-under-lung-ultrasound-monitoring
#2
Jing Liu, Xiao-Ling Ren, Wei Fu, Ying Liu, Rong-Ming Xia
Objective Pulmonary atelectasis (PA) is a common clinical complication among newborns, and it is one of the most common causes of neonatal dyspnea, a condition with no specific effective treatment. This study examined the effectiveness and security of bronchoalveolar lavage (BL) regarding the treatment of neonatal PA under ultrasound monitoring. Methods A total of 57 patients diagnosed with PA via lung ultrasound (LUS) were included in this study. All patients received BL via a tracheal intubation injection of lavage fluid...
October 19, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27721940/thoracic-ultrasound-an-adjunctive-and-valuable-imaging-tool-in-emergency-resource-limited-settings-and-for-a-sustainable-monitoring-of-patients
#3
Francesca M Trovato, Daniela Catalano, Guglielmo M Trovato
Imaging workup of patients referred for elective assessment of chest disease requires an articulated approach: Imaging is asked for achieving timely diagnosis. The concurrent or subsequent use of thoracic ultrasound (TUS) with conventional (chest X-rays-) and more advanced imaging procedures (computed tomography and magnetic resonance imaging) implies advantages, limitations and actual problems. Indeed, despite TUS may provide useful imaging of pleura, lung and heart disease, emergency scenarios are currently the most warranted field of application of TUS: Pleural effusion, pneumothorax, lung consolidation...
September 28, 2016: World Journal of Radiology
https://www.readbyqxmd.com/read/27623867/usefulness-of-lung-ultrasound-in-neonatal-congenital-heart-disease-lusnehdi-lung-ultrasound-to-assess-pulmonary-overflow-in-neonatal-congenital-heart-disease
#4
Javier Rodríguez-Fanjul, Ana Serrano Llop, Monica Balaguer, Carles Bautista-Rodriguez, Julio Moreno Hernando, Iolanda Jordan
This study aimed to explore the pattern of lung ultrasound (LUS) in newborns with congenital heart disease (CHD) and to investigate the accuracy of LUS assessing pulmonary overflow (PO) during the first days of life. Lung ultrasound was performed in 51 newborns during the first days of life, and newborns were classified in two groups depending on the predisposition to develop POas evaluated by the abundance of B-lines. The results were compared to the physical examination (PE), chest X-ray, and echocardiography...
December 2016: Pediatric Cardiology
https://www.readbyqxmd.com/read/27570093/fetal-bladder-outlet-obstruction-embryopathology-in-utero-intervention-and-outcome
#5
Marie-Klaire Farrugia
Fetal bladder outlet obstruction (BOO), most commonly caused by posterior urethral valves (PUV), remains a challenging and multi-faceted condition. Evolving techniques, and refinement in ultrasound, optics and instrumentation, have increased our rate of prenatal diagnosis, and enabled valve ablation not only in smaller newborns, but also in fetuses. Long-term outcome studies have raised our awareness of the silent damage caused by bladder dysfunction and polyuria and encouraged their proactive management. In spite of our best efforts, the proportion of boys with PUV who progress to chronic and end-stage renal disease (ESRD) has not changed in the last 25 years...
August 6, 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27509663/-fetal-therapy-intrauterine-thoraco-amniotic-shunting-in-macrocystic-type-cystic-adenomatoid-malformation-of-the-lung-review-of-the-literature-and-case-report
#6
REVIEW
P Chaveeva, V Stratieva, H Shivachev, S Aktash, M Panova, A Shterev
ABSTRACT OBJECTIVE: To present a case of macrocystic type cystic adenomatoid malformation of the lung (CCAM) treated with thoraco-amniotic shunt and to review the published data to evaluate the efficiency of thoraco-amniotic shunts for drainage of (CCAM). MATERIALS AND METHODS: This wass case reported of a fetus with a large thoracic cyst, major mediastinal shift and polyhidramnion treated with thoraco-amniotic shunting. We identified 8 cases diagnosed with CCAM and only one case met the criteria for fetal surgery...
2016: Akusherstvo i Ginekologii︠a︡
https://www.readbyqxmd.com/read/27445558/lung-ultrasound-diagnostic-accuracy-in-neonatal-pneumothorax
#7
Luigi Cattarossi, Roberto Copetti, Giacomo Brusa, Stefano Pintaldi
Background. Pneumothorax (PTX) still remains a common cause of morbidity in critically ill and ventilated neonates. At the present time, lung ultrasound (LUS) is not included in the diagnostic work-up of PTX in newborns despite of excellent evidence of reliability in adults. The aim of this study was to compare LUS, chest X-ray (CXR), and chest transillumination (CTR) for PTX diagnosis in a group of neonates in which the presence of air in the pleural space was confirmed. Methods. In a 36-month period, 49 neonates with respiratory distress were enrolled in the study...
2016: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/27220313/lung-ultrasound-as-a-predictor-of-mechanical-ventilation-in-neonates-older-than-32-weeks
#8
Javier Rodríguez-Fanjul, Carla Balcells, Victoria Aldecoa-Bilbao, Julio Moreno, Martín Iriondo
BACKGROUND: The prognosis of neonatal respiratory distress may be difficult to estimate at admission. Lung ultrasound is a useful diagnostic tool that is quick, requires little training, and is radiation free. OBJECTIVE: This study aims to analyze whether early lung ultrasound can predict respiratory failure. METHODS: From January to December 2014, lung ultrasound was performed on neonates admitted with breathing difficulties if they were older than 32 weeks and not intubated...
2016: Neonatology
https://www.readbyqxmd.com/read/27151718/the-trap-twin-reversed-arterial-perfusion-sequence-case-presentation
#9
Claudiu Mărginean, Maria Oana Mărginean, Daniel Mureşan, LuminiŢa Zahiu, Emőke Horváth
We present a particular case of TRAP (twin reversed arterial perfusion) syndrome, which has a very rarely association of the simultaneous existence of a rudimentary malformed heart and brain, and also other malformations like abdominal wall abnormality, absent bladder with present kidneys, and absence of the lungs, which appear only in a few cases on the receptor twin from this sequence, malformations incompatible with life. A Caucasian 26-year-old pregnant woman, at the first pregnancy, with a monochorionic-diamniotic pregnancy, 26 weeks of gestation was referred to our hospital, for polyhydramnios...
2016: Romanian Journal of Morphology and Embryology, Revue Roumaine de Morphologie et Embryologie
https://www.readbyqxmd.com/read/27088264/lung-ultrasound-accurately-detects-pneumothorax-in-a-preterm-newborn-lamb-model
#10
Douglas A Blank, Stuart B Hooper, Corinna Binder-Heschl, Martin Kluckow, Andrew W Gill, Domenic A LaRosa, Ishmael M Inocencio, Alison Moxham, Karyn Rodgers, Valerie A Zahra, Peter G Davis, Graeme R Polglase
AIM: Pneumothorax is a common emergency affecting extremely preterm. In adult studies, lung ultrasound has performed better than chest x-ray in the diagnosis of pneumothorax. The purpose of this study was to determine the efficacy of lung ultrasound (LUS) examination to detect pneumothorax using a preterm animal model. METHODS: This was a prospective, observational study using newborn Border-Leicester lambs at gestational age = 126 days (equivalent to gestational age = 26 weeks in humans) receiving mechanical ventilation from birth to 2 h of life...
June 2016: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/26946760/evaluation-of-surfactant-replacement-therapy-effects-a-new-potential-role-of-lung-ultrasound
#11
Jovan Lovrenski, Erich Sorantin, Sanja Stojanović, Aleksandra Doronjski, Aleksandra Lovrenski
INTRODUCTION: Previous studies suggested that effects of the surfactant administration in preterm intants with respiratory distress syndrome cannot be followed by lung ultrasound (L-US). OBJECTIVE: The aim of the paper is to evaluate the surfactant replacement therapy effects using a new, proposed grading system for L-US findings. METHODS: We report the series of 12 preterm infants with clinical and radiographic signs of respiratory distress syndrome, in whom L-US examinations were performed prior to, and within the first 24 hours after surfactant administration...
November 2015: Srpski Arhiv za Celokupno Lekarstvo
https://www.readbyqxmd.com/read/26879968/-lung-ultrasound-in-the-newborn
#12
N Yousef
Lung ultrasound (LU) is becoming a bedside point-of-care technique in critical care and emergency medicine as it is performed and immediately interpreted by the clinician. LU is quick, easy, relatively inexpensive, and provides accurate diagnostic information when compared with conventional lung imaging methods, such as CT scans and chest radiographs, with the additional advantage of being non-irradiating, adapted to bedside use, and easily repeatable with no side effects for the patient. LU is easy to learn, does not require sophisticated ultrasound machines or settings, and shows low intra- and interobserver variability when a standardized approach is used...
March 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/26864576/the-significance-and-the-necessity-of-routinely-performing-lung-ultrasound-in-the-neonatal-intensive-care-units
#13
Jing Liu, Hai-Ying Cao, Xin-Ling Wang, Li-Jun Xiao
Various lung diseases are the most common conditions and the leading cause of hospital admission and death in newborns. Historically, the diagnosis and differential diagnosis of lung diseases primarily relied on conventional chest X-ray and computed tomography (CT) scans, however, chest X-ray and CT scans suffer from obvious limitations, while lung ultrasound has many kinds of advantages for the diagnosis and differential diagnosis of lung diseases. The significance and the necessity of lung ultrasound in the diagnosis of neonatal lung diseases will be introduced in this paper...
December 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26836942/lung-ultrasonography-to-diagnose-transient-tachypnea-of-the-newborn
#14
Jing Liu, Xin-Xin Chen, Xiang-Wen Li, Shui-Wen Chen, Yan Wang, Wei Fu
BACKGROUND: This study explored the sensitivity and specificity of ultrasound for diagnosing transient tachypnea of the newborn (TTN). METHODS: Ultrasound was performed by one export. Patients were placed in a supine, lateral recumbent, or prone position. The probe was placed perpendicular or parallel to the ribs, and each region of the lung was scanned. The scan results were compared with conventional chest radiographic results. RESULTS: A total of 1,358 infants were included in this study...
May 2016: Chest
https://www.readbyqxmd.com/read/26731539/-intradiaphragmatic-bronchopulmonary-sequestration-a-case-report-and-review
#15
Camila González Parra, Marisol Chávez Gatica, Camila Cuevas Vergara, Jorge Morales Sepúlveda, David Schnettler Rodríguez
Bronchopulmonary sequestration is a rare congenital malformation, consisting in a mass of nonfunctioning lung tissue with no connection to the tracheobronchial tree. It can be classified into intra- and extra-lobar. Extra-lobar bronchopulmonary sequestration accounts for 25% of them; of these, only 1% are intra-diaphragmatic. There is little international literature about intra-diaphragmatic bronchopulmonary sequestration and its diagnosis and treatment remain a challenge for the surgeon. Our case is a newborn with antenatal diagnosis of an abdominal mass by ultrasound and magnetic resonance imaging (MRI) showing a left adrenal tumor that appeared to be a neuroblastoma...
2015: Medwave
https://www.readbyqxmd.com/read/26717373/infantile-hepatic-hemangioendothelioma-associated-with-congestive-heart-failure-two-case-reports-with-different-outcomes
#16
Tao Wang, Yibin Wang, Yun Liang, Guoyan Lu
Infantile hepatic hemangioendothelioma (IHH) is rare which can regress spontaneously. Arteriovenous shunts within hemangiomas, however, may result in pulmonary artery hypertension (PAH) and congestive heart failure (CHF).The authors report 2 young infants suffering from multifocal IHH associated with CHF were both treated with glucocorticoid and transcatheter arterial embolization (TAE), but had different outcomes. The PAH decreased immediately and the symptoms of CHF were alleviated after TAE for both of them...
December 2015: Medicine (Baltimore)
https://www.readbyqxmd.com/read/26702268/neonatal-outcomes-after-oral-administration-of-antenatal-corticosteroid-a-case-report
#17
Doua AlSaad, Palli Valapila Abdulrouf, Hussain Parappil, Asma Tarannum, Binny Thomas
The use of antenatal corticosteroids is associated with reduction in morbidity and mortality rates in preterm delivery. A 34 year-old pregnant woman, gravida 2 para1, was planned for elective cesarean section at 36 weeks of gestation as ultrasound study showed intrauterine growth retardation. She has idiopathic thrombocytopenia and anemia, with suspected hypoplastic anemia. Due to mother's low platelet count, antenatal intramuscular corticosteroids injection was avoided. Instead, oral dexamethasone was given for fetal lung maturity...
November 2015: Saudi Pharmaceutical Journal: SPJ: the Official Publication of the Saudi Pharmaceutical Society
https://www.readbyqxmd.com/read/26675338/ultrasound-diagnosis-of-pulmonary-sling-with-proximal-stenosis-of-left-pulmonary-artery-and-patent-arterial-duct
#18
Wojciech Mądry, Maciej A Karolczak
Authors discuss methods of echocardiographic diagnosis of the pulmonary sling with stenosis and hypoplasia of the left pulmonary artery and patent arterial duct with massive left-to-right shunt, based on a case of the newborn with resistant to treatment heart failure, with initial diagnosis of patent ductus arteriosus, referred to surgical treatment. The optimal echocardiographic views permitting establish diagnosis of the pulmonary sling were suggested. The special attention was paid to high parasternal and suprasternal views visualizing vessels of the upper mediastinum as well as characteristic differences between the normal and pathologic picture...
March 2013: Journal of Ultrasonography
https://www.readbyqxmd.com/read/26673573/epirubicin-a-new-entry-in-the-list-of-fetal-cardiotoxic-drugs-intrauterine-death-of-one-fetus-in-a-twin-pregnancy-case-report-and-review-of-literature
#19
REVIEW
Marialuisa Framarino-dei-Malatesta, Giuseppina Perrone, Antonella Giancotti, Flavia Ventriglia, Martina Derme, Isabella Iannini, Valentina Tibaldi, Paola Galoppi, Paolo Sammartino, Gianluca Cascialli, Roberto Brunelli
BACKGROUND: Current knowledge indicate that epirubicin administration in late pregnancy is almost devoid of any fetal cardiotoxicity. We report a twin pregnancy complicated by breast cancer in which epirubicin administration was causatively linked to the death of one twin who was small for gestational age (SGA) and in a condition of oligohydramnios and determined the onset of a transient cardiotoxicity of the surviving fetus/newborn. CASE PRESENTATION: A 38-year-old caucasic woman with a dichorionic twin pregnancy was referred to our center at 20 and 1/7 weeks for a suspected breast cancer, later confirmed by the histopathology report...
2015: BMC Cancer
https://www.readbyqxmd.com/read/26552811/prenatal-diagnosis-of-fraser-syndrome-a-matter-of-life-or-death
#20
Giuseppe De Bernardo, Maurizio Giordano, Antonino Di Toro, Desiree Sordino, Daniele De Brasi
BACKGROUND: Fraser Syndrome is a rare, autosomal recessive syndrome. It's characterized primarily by cryptophthalmos, syndactyly and urogenital malformation. Respiratory malformations are frequently present and not taken into account. To better manage childbirth at the time of delivery it is crucial to get prenatal diagnosis early on in the pregnancy. CASE PRESENTATION: We are reporting a female infant born by natural birth with 46,XX. She was characterized phenotypically by cryptophthalmos, syndactyly, bilateral microtia and ambiguous genitalia...
2015: Italian Journal of Pediatrics
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