Point of care diaphragm ultrasound in infants with bronchiolitis: A prospective study

Buonsenso, Danilo; Supino, Maria Chiara; Giglioni, Emanuele; Battaglia, Massimo; Mesturino, Alessia; Scateni, Simona; Scialanga, Barbara; Reale, Antonino; Musolino, Anna Maria

doi:10.1002/ppul.23993

Cited by 51 publications

(78 citation statements)

References 68 publications

(164 reference statements)

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“…Several studies demonstrated diagnostic accuracy with sensitivities ranging from 40% to 100% and specificities ranging from 44% to 100%. [16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] Despite these variations in sensitivities and specificities, recent studies 31 and metanalyses 24 have shown very promising results on lung US accuracy.…”

Section: Discussionmentioning

confidence: 99%

The Use of Lung Ultrasound to Monitor the Antibiotic Response of Community‐Acquired Pneumonia in Children: A Preliminary Hypothesis

Buonsenso

Brancato

Valentini

et al. 2019

J of Ultrasound Medicine

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Community‐acquired pneumonia (CAP) is associated with high morbidity and mortality among children worldwide. Over the last 10 years, lung ultrasound (US) has been widely studied as an alternative diagnostic tool for adult and pediatric CAP with excellent results. In this case series, we describe clinical and laboratory results as well as detailed lung US findings in 6 children with CAP, showing the potential use of lung US in monitoring the response to antibiotic therapy.

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Section: Discussionmentioning

confidence: 99%

The Use of Lung Ultrasound to Monitor the Antibiotic Response of Community‐Acquired Pneumonia in Children: A Preliminary Hypothesis

Buonsenso

Brancato

Valentini

et al. 2019

J of Ultrasound Medicine

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“…The amplitude of excursion of the hemidiaphragm is measured on the vertical line drawn from the baseline to the point of the maximum height of the inspiration 26 . This vertical distance represents right/diaphragmatic excursion 22 . Different ultrasound examinations were done and we recorded the average of three respiratory cycles.…”

Section: Methodsmentioning

confidence: 99%

Ultrasound assessment of diaphragmatic function in type 1 spinal muscular atrophy

Buonsenso

Bertini²,

Palermo³

et al. 2020

Pediatric Pulmonology

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Objective To investigate ultrasound features of diaphragm motion and function in type 1 spinal muscular atrophy (SMA‐1) patients. Design Prospective study. Patients The study cohort included SMA‐1 children younger than 18‐year‐old. Control subjects included type 2 and type 3 SMA and other neuromuscular disorders younger than 18‐year‐old. Methodology Diaphragm ultrasound evaluating diaphragmatic excursion, speed of diaphragmatic contraction, duration of the respiratory cycle, inspiratory/expiratory relationship, end‐inspiratory and ‐expiratory thickness, thickening fraction, and pattern of contractility. The interrater reliability for each variable was established by calculation of Cohen's k coefficient. Results Twenty‐three SMA‐1 patients and 12 controls were evaluated. Diaphragm ultrasound values were within normal ranges in all study cohort patients and no difference was found with controls. There was a gradient of diaphragm function with SMA 1.9 subgroup having the best and SMA 1.1 having the worst parameters, particularly in end‐inspiratory thickness and diaphragmatic excursion (P = .031 and P = .041, respectively). Seventy‐four percent of SMA‐1 patients had a dysmotility pattern of diaphragm contraction, mostly represented in SMA 1.9 subgroup (P = .001). This pattern was observed in 92.8% of children on noninvasive ventilation (NIV) for less than 16 hours/d of and in 20% patients with invasive ventilation or NIV for more than 16 hours/d (P = .027). The dysmotility pattern was never observed in the control group. The levels of interobserver agreement were high for “diaphragm irregularities,” “inspiratory/expiratory relationship,” and “diaphragm thickness,” and good for the other variables. Conclusions Ultrasound can be used to evaluate diaphragm function and contractility in SMA‐1 children, providing additional information to the clinical examination and functional respiratory tests, describing a characteristic contractility pattern in these patients. Longitudinal studies are needed to understand the impact of diaphragm dysmotility and other parameters on long‐term outcome in SMA‐1 patients.

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“…Ultrasonography examinations were performed following the previously described methodology. [12][13][14][15] Longitudinal and transverse sections were collected on the anterior, lateral, and posterior chest wall. Images and clips were stored and archived.…”

Section: Performance Of Lusmentioning

confidence: 99%

Lung ultrasound features of children with complicated and noncomplicated community acquired pneumonia: A prospective study

Musolino

Tomà

Supino

et al. 2019

Pediatric Pulmonology

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Objective The purpose of this study was to describe lung ultrasound (LUS) findings at baseline and 48 hours after the beginning of treatment and evaluate how they correlate with outcome Design We prospectively analyzed patients from 1 month to 17 years of age with community acquired pneumonia (CAP) evaluated at a tertiary level pediatric hospital. At baseline and 48 hours after the beginning of treatment, history, clinical examination, laboratory testing, chest X‐ray, and LUS were performed. Results One hundred one children were enrolled in the study (13 with complicated CAP). At baseline those who developed complications presented a larger size of the subpleural pulmonary parenchymal lesions (P = .001) often associated with a complex pleural effusion (63.6%, P = .013). Those with an uncomplicated CAP presented an air, arboriform, superficial and dynamic bronchogram, as opposed to complicated CAP which had an air and liquid bronchogram, deep, fixed (P = .001). At the 48‐hour control in the noncomplicated CAP group, bronchogram was more frequently superficial and dynamic (P = .050). Pleural effusion disappeared in half cases (P = .050). In all patients, neutrophilic leucocytosis with increased C‐reactive protein was detected and decreased at control (P = .001). The linear regression analyses showed the switch from a deep to a superficial bronchogram as the only explanatory variable (r = 0.97, R2 = 0.94, P = .001, t = 10.73). Conclusions Our study describe early LUS features of CAP that might be able to predict the development of complicated CAP.

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Point of care diaphragm ultrasound in infants with bronchiolitis: A prospective study

Cited by 51 publications

References 68 publications

The Use of Lung Ultrasound to Monitor the Antibiotic Response of Community‐Acquired Pneumonia in Children: A Preliminary Hypothesis

The Use of Lung Ultrasound to Monitor the Antibiotic Response of Community‐Acquired Pneumonia in Children: A Preliminary Hypothesis

Ultrasound assessment of diaphragmatic function in type 1 spinal muscular atrophy

Lung ultrasound features of children with complicated and noncomplicated community acquired pneumonia: A prospective study

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