Implementation of a standardized lung ultrasound protocol for respiratory distress in a neonatal intensive care unit: an observational study

To assess the feasibility of implementing a simple point-of-care lung ultrasound (LU) evaluation and reporting protocol in a neonatal intensive care unit (NICU) and its effect on patient management. Retrospective observational study of LU examinations performed in a level III NICU. Each examination...

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Bibliographic Details
Published in:Journal of perinatology 2024-02, Vol.44 (9), p.1264-1268
Main Authors: Firszt, Oliver, Grabowska, Agata, Saran, Anna, Kluczewska, Ewa
Format: Article
Language:English
Subjects:
Design standards
Evaluation
Feasibility studies
Feces
Intensive care
Lungs
Neonatal care
Neonates
Newborn babies
Observational studies
Pneumonia
Pneumothorax
Point of care testing
Radiography
Respiratory distress syndrome
Respiratory failure
Sepsis
Surfactants
Ultrasonic imaging
Ultrasound
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Summary:To assess the feasibility of implementing a simple point-of-care lung ultrasound (LU) evaluation and reporting protocol in a neonatal intensive care unit (NICU) and its effect on patient management. Retrospective observational study of LU examinations performed in a level III NICU. Each examination was performed according to a standardized protocol. An independent radiologist-assessed chest X-ray (CXR) was used to compare the LU diagnosis. The impact on patient management was also evaluated. A total of 206 LU studies in 158 neonates were reviewed. There was significant agreement between LU and CXR diagnoses (84.95%, 95% CI 80.07-89.83%). LU affected patient management in 87.8% of the cases (95% CI 83.33-92.28%). Implementation of a simplified, sign-based protocol for LU in the NICU is feasible. LU is not inferior to CXR studies and supports patient management as an imaging modality.
ISSN:0743-8346
1476-5543
1476-5543
DOI:10.1038/s41372-024-01900-y