Pediatric lung ultrasound: its role in the perioperative period

Song, In Kyung

doi:10.17085/apm.2018.13.1.18

Cited by 3 publications

(1 citation statement)

References 25 publications

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“…For the secondary objective: Studying the data regarding the lung ultrasonography features in community-acquired pneumonia. (6)(7)(8)(9) Practical applications (at least 25 lung ultrasonography):…”

Section: For the Main Objectivementioning

confidence: 99%

Lung Ultrasonography – A Paraclinical Investigation Promoter in Community-Acquired Pneumonia Diagnosis in Children

Grădinariu

Neamţu

Neamtu

2019

Acta Medica Transilvanica

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Lung ultrasonography is an excellent alternative to chest radiography, with better sensitivity, specificity, positive and negative predictive values and, finally, with better accuracy. The lung ultrasonography is proven to be useful in trying to reduce the request of chest radiography. In the opinion of most specialists, lung ultrasonography is recommended to be a valuable tool for the diagnosis of community-acquired pneumonia in children. Considering the fact that clinical examination remains essential because it suspects the diagnosis, the evolution does not require radiologic follow-up, also the pathologic findings at the clinical examination may change over the course of a day, the possibility of the clinician to maintain the objectivity is essential. For this goal to be possible, it would be ideal that the clinician himself performs the ultrasonography (in real-time).

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Section: For the Main Objectivementioning

confidence: 99%

Lung Ultrasonography – A Paraclinical Investigation Promoter in Community-Acquired Pneumonia Diagnosis in Children

Grădinariu

Neamţu

Neamtu

2019

Acta Medica Transilvanica

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Komplikationen und Notfälle im Aufwachraum

Hausknecht¹,

Berwanger²,

Conrad³

et al. 2021

Anaesthesist

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Effect of spontaneous breathing on atelectasis during induction of general anaesthesia in infants

Jang

et al. 2020

European Journal of Anaesthesiology

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BACKGROUND Atelectasis occurs commonly during induction of general anaesthesia in children, particularly infants. OBJECTIVES We hypothesised that maintaining spontaneous ventilation can reduce atelectasis formation during anaesthetic induction in infants. We compared spontaneous ventilation and manual positive-pressure ventilation in terms of atelectasis formation in infants. DESIGN Randomised controlled study. SETTING Single tertiary hospital in Seoul, Republic of Korea, from November 2018 to December 2019. PATIENTS We enrolled 60 children younger than 1 year of age undergoing general anaesthesia, of whom 56 completed the study. Exclusion criteria were history of hypoxaemia during previous general anaesthesia, development of a respiratory tract infection within 1 month, current intubation or tracheostomy cannulation, need for rapid sequence intubation, preterm birth, age within 60 weeks of the postconceptional age and the presence of contraindications for rocuronium or sodium thiopental. INTERVENTION Patients were allocated randomly to either the ‘spontaneous’ group or ‘controlled’ group. During preoxygenation, spontaneous ventilation was maintained in the ‘spontaneous’ group while conventional bag-mask ventilation was provided in the ‘controlled’ group. After 5 min of preoxygenation, a lung ultrasound examination was performed to compare atelectasis formation in the two groups. RESULTS Atelectasis after preoxygenation was seen in seven (26.9%) of 26 patients in the ‘spontaneous’ group and 22 (73.3%) of 30 patients in the ‘controlled’ group (P = 0.001). The relative risk of atelectasis in the ‘spontaneous’ group was 0.39 (95% CI 0.211 to 0.723). Regarding ultrasound pictures of consolidation, the total score and sum of scores in the dependent regions were significantly lower in the ‘spontaneous’ group than in the ‘controlled’ group (P = 0.007 and 0.001, respectively). CONCLUSION Maintaining spontaneous ventilation during induction of general anaesthesia has a preventive effect against atelectasis in infants younger than 1 year of age, particularly in the dependent portions of the lungs. TRIAL REGISTRATION Clinicaltrials.gov (identifier: NCT03739697).

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Pediatric lung ultrasound: its role in the perioperative period

Cited by 3 publications

References 25 publications

Lung Ultrasonography – A Paraclinical Investigation Promoter in Community-Acquired Pneumonia Diagnosis in Children

Lung Ultrasonography – A Paraclinical Investigation Promoter in Community-Acquired Pneumonia Diagnosis in Children

Komplikationen und Notfälle im Aufwachraum

Effect of spontaneous breathing on atelectasis during induction of general anaesthesia in infants

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