Un score échographique pulmonaire simple peut-il prédire la durée de ventilation des nourrissons atteints de bronchiolite aiguë sévère ?

Taveira, Mélanie; Yousef, Nadya; Miatello, Jordi; Roy, Charlotte; Claude, Caroline; Boutillier, Béatrice; Dubois, Cécile; Pierre, Anne-Florence; Tissières, Pierre; Durand, Philippe

doi:10.1016/j.arcped.2017.11.005

Cited by 26 publications

(12 citation statements)

References 24 publications

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“…POCUS is helpful for descriptive purposes in viral bronchiolitis but cannot provide a differential aetiological diagnosis-strong agreement (quality of evidence C). LUS signs in viral bronchiolitis consist of pleural line irregularities, "sub-pleural" consolidations and areas with interstitial pattern [83][84][85]. Good concordance between operators has been shown in wheezing infants [86].…”

Section: Pocus Is Helpful To Semi-quantitatively Evalu-mentioning

confidence: 99%

International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

et al. 2020

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Background: Point-of-care ultrasound (POCUS) is nowadays an essential tool in critical care. Its role seems more important in neonates and children where other monitoring techniques may be unavailable. POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC) aimed to provide evidence-based clinical guidelines for the use of POCUS in critically ill neonates and children. Methods: Creation of an international Euro-American panel of paediatric and neonatal intensivists expert in POCUS and systematic review of relevant literature. A literature search was performed, and the level of evidence was assessed according to a GRADE method. Recommendations were developed through discussions managed following a Quaker-based consensus technique and evaluating appropriateness using a modified blind RAND/UCLA voting method. AGREE statement was followed to prepare this document. Results: Panellists agreed on 39 out of 41 recommendations for the use of cardiac, lung, vascular, cerebral and abdominal POCUS in critically ill neonates and children. Recommendations were mostly (28 out of 39) based on moderate quality of evidence (B and C). Conclusions: Evidence-based guidelines for the use of POCUS in critically ill neonates and children are now available. They will be useful to optimise the use of POCUS, training programs and further research, which are urgently needed given the weak quality of evidence available.

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Section: Pocus Is Helpful To Semi-quantitatively Evalu-mentioning

confidence: 99%

International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

et al. 2020

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“…Interestingly, a weak correlation exists between subpleural lung consolidation, identified by LUS, and severity score or oxygen requirement in infants with bronchiolitis hospitalized in pediatric wards, suggesting that some LUS artifacts may have prognostic value [8]. In a recent single-center prospective study involving 47 infants with acute viral bronchiolitis admitted to the intensive care unit, we showed that the severity of bronchiolitis did not correlate with LUS-based score, but with the number of affected intercostal spaces [9].…”

Section: Community-acquired and Ventilator-associatedmentioning

confidence: 67%

What’s new in lung ultrasound in the critically ill or injured child

2018

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“…Another recent paper published in 2018 examined the use of LUS in infants admitted in the Paediatric ICU for severe acute bronchiolitis. This prospective observational single-center study was conducted in France by Taveira et al [13] to evaluate the correlation between a quantitative LUS score and the length of Non-Invasive Ventilation (NIV) in 47 children under 6 months of age with severe bronchiolitis. The severity of the LUS-diagnosed lesions was considered for each of the six quadrants the lung was divided in, according to a score in the range of 0-2 points (total range 0-24 points): 0 for a healthy lung or a mild interstitial-syndrome with few B-lines, 1 for a severe interstitial syndrome with compact B-lines and with lung appearance, 2 for the presence of consolidations seen as a hypoechoic area with blurred margins and air bronchograms.…”

Section: Lus and Clinical Progression Of Bronchiolitismentioning

confidence: 99%

“…The results of the study did not confirm the primary aim to predict NIV length (CPAP or high-flow nasal cannula), nor an association with length of hospitalization or the clinical score mWCAS. The only statistically significant correlation was between the number of affected intercostal spaces on the right side (white lung appearance, typical of bronchiolitis) and the length on the oxygen therapy (days), which was considered a secondary endpoint [13].…”

Section: Lus and Clinical Progression Of Bronchiolitismentioning

confidence: 99%

Acute Bronchiolitis: Is There a Role for Lung Ultrasound?

et al. 2019

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Introduction: Viral bronchiolitis is a common cause of lower respiratory tract infection in the first year of life, considered a health burden because of its morbidity and costs. Its diagnosis is based on history and physical examination and the role of radiographic examination is limited to atypical cases. Thus far, Lung Ultrasound (LUS) is not considered in the diagnostic algorithm for bronchiolitis. Methods: PubMed database was searched for trials reporting on lung ultrasound examination and involving infants with a diagnosis of bronchiolitis. Results: Eight studies were suitable. Conclusions: This review analyzed the current evidence about the potential usefulness of LUS in the clinical management of bronchiolitis. Literature supports a peculiar role of LUS in the evaluation of the affected children, considering it as a reliable imaging test that could benefit the clinical management of bronchiolitis.

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Un score échographique pulmonaire simple peut-il prédire la durée de ventilation des nourrissons atteints de bronchiolite aiguë sévère ?

Cited by 26 publications

References 24 publications

International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

International evidence-based guidelines on Point of Care Ultrasound (POCUS) for critically ill neonates and children issued by the POCUS Working Group of the European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

What’s new in lung ultrasound in the critically ill or injured child

Acute Bronchiolitis: Is There a Role for Lung Ultrasound?

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