Lung ultrasound profile after cardiopulmonary bypass in paediatric cardiac surgery: first experience in a simple cohort†

Abstract

In a small cohort of children undergoing CPB, the LUS profile on POD1 was associated with CPB time, aortic cross-clamp time and mechanical ventilation duration.

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

“…In a retrospective study of 20 children less than 20 kg with an Aristotle score less than 9, Vitale and colleagues 14 showed correlation of lung congestion in the first postoperative day with CPB time and ET. In a recent series 7 on 55 children (age, 3 days to 7.4 years) studied 1 to 6 hours after surgery, the percentage of B lines predicted the length of mechanical ventilation and ICU LOS.…”

“…Although the diagnostic accuracy of LUS in the diagnosis of pulmonary complications in the pediatric setting 4,7 -including cardiac surgery-is well established, data on the prognostic power of LUS are limited. 7,14 Furthermore, comparison with other established outcome markers have never been tested. Notably, the new LUS score reported here was compared to traditional risk predictors as well as established biomarkers with proven utility in this setting.…”

Feasibility of lung ultrasound to assess pulmonary overflow in congenital heart disease children

“…Furthermore, it can continuously and dynamically monitor the changes in lung condition and guide a clinical intervention . Although LUS examination has been widely reported in adult and pediatric non‐heart surgical patients, only a few studies discuss its benefits in children with CHD, such as diagnosis of the postoperative pulmonary complications . The use of LUS as a diagnostic tool for PO before surgery is not routinely used and relatively limited in CHD children .…”

“…13 Although LUS examination has been widely reported in adult and pediatric non-heart surgical patients, only a few studies discuss its benefits in children with CHD, such as diagnosis of the postoperative pulmonary complications. 14,15 The use of LUS as a diagnostic tool for PO before surgery is not routinely used and relatively limited in CHD children. 16 Therefore, this study aimed to evaluate the feasibility of using LUS to assess PO in children with CHD and compare its diagnostic efficacy with CXR, using CT as a standard criterion.…”

Multimodal diaphragmatic monitoring in pediatric cardiac surgery

“…It requires spontaneous ventilation and involves radiation exposure. Ultrasound is an easy to learn, bedside evolving technique, it has no radiation risk, and allows visualization of both structural and functional diaphragmatic components …”