Assessment of extravascular lung water by ultrasound after congenital cardiac surgery

Kaskinen, Anu; Martelius, Laura; Kirjavainen, Turkka; Rautiainen, Paula; Andersson, Sture; Pitkänen, Olli

doi:10.1002/ppul.23531

Cited by 32 publications

(32 citation statements)

References 38 publications

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“…Neonates with congenital heart defects predisposing to pulmonary overflow have a higher B-line count than babies without overflow 78 and the B-line score also correlates with the duration of ventilation. 79 Similar applications could be proposed to evaluate pulmonary overflow in the case of haemodynamically significant patent ductus arteriosus or to guide fluid management albeit specific studies are currently lacking.…”

Section: Broncho-pulmonary Dysplasiamentioning

confidence: 99%

Point-of-care lung ultrasound in neonatology: classification into descriptive and functional applications

et al. 2018

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Lung ultrasound (LUS) is the latest amongst imaging techniques: it is a radiation-free, inexpensive, point-of-care tool that the clinician can use at the bedside. This review summarises the rapidly growing scientific evidence on LUS in neonatology, dividing it into descriptive and functional applications. We report the description of the main ultrasound features of neonatal respiratory disorders and functional applications of LUS aiming to help a clinical decision (such as surfactant administration, chest drainage etc). Amongst the functional applications, we propose SAFE (Sonographic Algorithm for liFe threatening Emergencies) as a standardised protocol for emergency functional LUS in critical neonates. SAFE has been funded by a specific grant issued by the European Society for Paediatric Research. Future potential development of LUS in neonatology might be linked to its quantitative evaluation: we also discuss available data and research directions using computer-aided diagnostic techniques. Finally, tools and opportunities to teach LUS and expand the research network are briefly presented.

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Section: Broncho-pulmonary Dysplasiamentioning

confidence: 99%

Point-of-care lung ultrasound in neonatology: classification into descriptive and functional applications

et al. 2018

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“…(Ann Thorac Surg 2020;109:178-84) Ó 2020 by The Society of Thoracic Surgeons L ung ultrasound (LUS) is a noninvasive, easy, and fast technique for the evaluation of pulmonary disease in children, especially in the acute setting. [1][2][3][4][5][6][7][8] Pulmonary complications are common with pediatric cardiac surgery and have been evaluated primarily with chest roentgenograms. [4][5][6][7] Recent studies have evaluated the utility of LUS in children undergoing congenital heart surgery.…”

mentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8] Pulmonary complications are common with pediatric cardiac surgery and have been evaluated primarily with chest roentgenograms. [4][5][6][7] Recent studies have evaluated the utility of LUS in children undergoing congenital heart surgery. [4][5][6][7] These studies have shown diagnostic accuracy of LUS for pulmonary complications after surgery including pleural effusion, atelectasis, pneumothorax, and pneumonia.…”

mentioning

confidence: 99%

“…[4][5][6][7] Recent studies have evaluated the utility of LUS in children undergoing congenital heart surgery. [4][5][6][7] These studies have shown diagnostic accuracy of LUS for pulmonary complications after surgery including pleural effusion, atelectasis, pneumothorax, and pneumonia. Moreover, LUS has demonstrated benefit in differentiating effusion, atelectasis, and severe lung congestion.…”

mentioning

confidence: 99%

“…Moreover, LUS has demonstrated benefit in differentiating effusion, atelectasis, and severe lung congestion. [4][5][6][7] Therefore, the systematic use of LUS in pediatric cardiac surgery has been encouraged as a complementary diagnostic tool. It also has the advantage of reducing radiation exposure from repeated roentgenogram examinations.…”

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confidence: 99%

See 2 more Smart Citations

Prognostic Value of a New Lung Ultrasound Score to Predict Intensive Care Unit Stay in Pediatric Cardiac Surgery

Cantinotti

Giordano

Scalese

et al. 2020

The Annals of Thoracic Surgery

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Extravascular lung water assessment by lung ultrasound in infants following pediatric cardiac surgery

Hubara,

Reynaud,

Gionfriddo

et al. 2024

J of Clinical Ultrasound

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BackgroundLung edema is a significant factor in prolonged mechanical ventilation and extubation failure after cardiac surgery. This study assessed the predictive capability of point‐of‐care Lung Ultrasound (LUS) for the duration of mechanical ventilation and extubation failure in infants following cardiac procedures.MethodsWe conducted a prospective observational trial on infants under 1 year, excluding those with pre‐existing conditions or requiring extracorporeal membrane oxygenation. LUS was performed upon intensive care unit (ICU) admission and prior to extubation attempts. B‐line density was scored by two independent observers. The primary outcomes included the duration of mechanical ventilation and extubation failure, the latter defined as the need for reintubation or non‐invasive ventilation within 48 h post‐extubation.ResultsThe study included 42 infants, with findings indicating no correlation between initial LUS scores and extubation timing. Extubation failure occurred in 21% of the patients, with higher LUS scores observed in these cases (p = 0.046). However, interobserver variability was high, impacting the reliability of LUS scores to predict extubation readiness.ConclusionsLUS was ineffective in determining the length of postoperative ventilation and extubation readiness, highlighting the need for further research and enhanced training in LUS interpretation.

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Assessment of extravascular lung water by ultrasound after congenital cardiac surgery

Cited by 32 publications

References 38 publications

Point-of-care lung ultrasound in neonatology: classification into descriptive and functional applications

Point-of-care lung ultrasound in neonatology: classification into descriptive and functional applications

Prognostic Value of a New Lung Ultrasound Score to Predict Intensive Care Unit Stay in Pediatric Cardiac Surgery

Extravascular lung water assessment by lung ultrasound in infants following pediatric cardiac surgery

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