Comparison of chest radiograph and lung ultrasound in children with acute respiratory failure

DeSanti, Ryan L.; Gill, Kara G.; Swanson, Jonathan O.; Kory, Pierre D.; Schmidt, Jessica; Cowan, Eileen A.; Lasarev, Michael R.; Al-Subu, Awni M.

doi:10.1007/s40477-023-00827-y

J Ultrasound

2023

DOI: 10.1007/s40477-023-00827-y

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Comparison of chest radiograph and lung ultrasound in children with acute respiratory failure

Ryan L. DeSanti,

Kara G. Gill,

Jonathan O. Swanson

et al.

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2024

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Cited by 3 publications

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Impact of routine bedside lung ultrasound implementation on chest x-ray requests for mechanically ventilated children: a before-after uncontrolled quality improvement project

Thabet,

Zayani,

Daya

et al. 2024

Eur J Pediatr

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Impact of routine bedside lung ultrasound implementation on chest x-ray requests for mechanically ventilated children: a before-after uncontrolled quality improvement project

Thabet,

Zayani,

Daya

et al. 2024

Eur J Pediatr

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Point-of-care ultrasonography in pediatric intensive care units

Fuhrman,

Shaik

2024

J Transl Crit Care Med

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Bedside ultrasonography, or point-of-care ultrasonography (POCUS), is increasingly becoming widely adopted in pediatric intensive care units (ICU) for procedural interventions and diagnostics. Although vascular access remains one of the primary applications of POCUS in the pediatric ICU, its use for assessing fluid status and responsiveness is growing. POCUS helps identify reversible causes of cardiac arrest, such as pericardial effusion and pneumothorax, although its impact on outcomes is still under investigation. Here, we will review the applications of POCUS in the pediatric ICU, including the general pediatric and cardiac ICUs. We will discuss the up-to-date evidence guiding its use and adoption for critically ill children.

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Acute Respiratory Failure in Children: A Clinical Update on Diagnosis

Panetti,

Bucci,

Di Ludovico

et al. 2024

Children

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Acute respiratory failure (ARF) is a sudden failure of the respiratory system to ensure adequate gas exchanges. Numerous clinical conditions may cause ARF, including pneumonia, obstructive lung diseases (e.g., asthma), restrictive diseases such as neuromuscular diseases (e.g., spinal muscular atrophy and muscular dystrophy), and albeit rarely, interstitial lung diseases. Children, especially infants, may be more vulnerable to ARF than adults due to anatomical and physiological features of the respiratory system. Assessing respiratory impairment in the pediatric population is particularly challenging as children frequently present difficulties in reporting symptoms and due to compliance and cooperation in diagnostic tests. The evaluation of clinical and anamnestic aspects represents the cornerstone of ARF diagnosis: first level exams (e.g., arterial blood gas analysis) confirm and evaluate the severity of the ARF and second level exams help to uncover the underlying cause. Prompt management is critical, with supplemental oxygen, mechanical ventilation, and the treatment of the underlying problem. The aim of this review is to provide a comprehensive summary of the current state of the art in diagnosing pediatric ARF, with a focus on pathophysiology, novel imaging applications, and new perspectives, such as biomarkers and artificial intelligence.

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Comparison of chest radiograph and lung ultrasound in children with acute respiratory failure

Cited by 3 publications

References 52 publications

Impact of routine bedside lung ultrasound implementation on chest x-ray requests for mechanically ventilated children: a before-after uncontrolled quality improvement project

Impact of routine bedside lung ultrasound implementation on chest x-ray requests for mechanically ventilated children: a before-after uncontrolled quality improvement project

Point-of-care ultrasonography in pediatric intensive care units

Acute Respiratory Failure in Children: A Clinical Update on Diagnosis

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