Usefulness of Lung Ultrasound in Neonatal Congenital Heart Disease (LUSNEHDI): Lung Ultrasound to Assess Pulmonary Overflow in Neonatal Congenital Heart Disease

Rodríguez-Fanjul, Javier; Llop, Ana Serrano; Balaguer, Mònica; Bautista‐Rodriguez, Carles; Hernando, J. Moreno; Jordán, Iolanda

doi:10.1007/s00246-016-1461-0

Cited by 19 publications

(16 citation statements)

References 32 publications

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“…However, LUS has the advantage of being more sensitive than CXR in pleural effusion, pneumothorax, and consolidation in previous study . Furthermore, one study showed that CHD newborns with suspected PO had a significant increase of B lines in LUS, before PO was detected by CXR, by echocardiography or by clinical examination …”

Section: Discussionmentioning

confidence: 96%

“…PO was defined as previously described . The B‐lines were defined as a hyperechoic and well‐defined comet tail artifact arising from the pleural line, moving with lung sliding.…”

Section: Methodsmentioning

confidence: 99%

“…A hemithorax was considered positive if at least one zone was positive, and negative if all zones were negative. According to the median of B lines, the severity scored by LUS in children was as follows: (i) Normal: A‐lines. (ii) Mild: Fewer than three B‐lines in two rip spaces with spared areas.…”

Section: Methodsmentioning

confidence: 99%

“…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 . 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 …”

Section: Introductionmentioning

confidence: 99%

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

Hou

Lǚ

et al. 2018

Pediatric Pulmonology

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Background Pulmonary overflow (PO) is one of the most common complications in congenital heart disease (CHD) children with an incidence of 48‐60% approximately. This study explored the feasibility of using lung ultrasound (LUS) to assess pulmonary overcirculation in CHD children and compare the diagnostic performance of LUS and chest radiography (CXR) for the detection of pulmonary overcirculation. Method The upper anterior area, lower anterior area, upper lateral area, and lower posterior area, in each hemithorax were scanned in 59 children in the supine position. A‐lines, B‐lines in each scanned region were recorded, and the worst LUS abnormality in the video clip was considered to characterize the examined region. Sensitivity, specificity, positive and negative predictive values, and diagnostic accuracy of LUS and CXR were compared using computed tomography (CT) as a standard criterion. Results PO was diagnosed in 53% (31/59), 63% (37/59), and 51% (30/59) children with CT, CXR, and LUS, respectively. The sensitivity, specificity, and diagnostic accuracy of PO were 96%, 94%, and 95% for LUS and 74%, 50%, and 63% for CXR. The percentage of mild, moderate, and severe PO diagnosed via LUS were 31% (18/59), 19% (11/59), and 2% (1/59), respectively. Furthermore, the PO incidence diagnosed by LUS in CHD children less than 1 year old were significantly higher than those beyond 1 year old. Conclusion LUS is a noninvasive and useful tool for the detection and assessment of PO in CHD children at the operating room, and is better than CXR in sensitivity and specificity, comparable to CT.

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Section: Discussionmentioning

confidence: 96%

“…PO was defined as previously described . The B‐lines were defined as a hyperechoic and well‐defined comet tail artifact arising from the pleural line, moving with lung sliding.…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Hou

Lǚ

et al. 2018

Pediatric Pulmonology

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“…Different studies showed that at least 58% of septic paediatric patients may present clinically relevant cardiac dysfunction . Furthermore, LUS associated with echocardiogram is of great utility in cardiac postoperative care . Among the combined set of findings, consolidation can suggest alveolar filling, while pleural effusion can be observed in 90% of patients presenting with decompensated heart failure.…”

Section: Abnormal Findings and Clinical Syndromesmentioning

confidence: 99%

Point‐of‐care lung ultrasound in paediatric critical and emergency care

Dominguez

Gaspar

Preto

et al. 2018

J Paediatrics Child Health

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Ultrasound techniques have been developed since the past century and are becoming more useful in different areas of medical knowledge. More recently, lung ultrasound gained importance throughout artefacts analysis to help clinical evaluation at bedside and became subject of interest in the paediatric intensive care and emergency department settings for both procedural and diagnostic purposes. The normal pattern of lung ultrasound is defined by the presence of lung sliding associated with A-lines whereas B-lines may be representative of pathologic findings. This review focuses on some of the most common pulmonary conditions, their respective sonographic features and clinical implications in the emergency department and paediatric intensive care unit.

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Lung ultrasound assessment of pulmonary edema in neonates with chronic lung disease before and after diuretic therapy

Kasniya

Weinberger

Cerise

et al. 2022

Pediatric Pulmonology

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Introduction: Bronchopulmonary dysplasia (BPD) is characterized by lung injury with varying degrees of disrupted alveolarization, vascular remodeling, inflammatory cell proliferation, and pulmonary edema. Diuretics are often used to ameliorate the symptoms or progression of BPD. Our primary objective was to use lung ultrasound (LUS) to determine if diuretics decrease pulmonary edema in infants with BPD. The secondary objective was to assess changes in respiratory support during the first week after initiation of diuretics.Methods: Premature infants requiring noninvasive respiratory support and starting diuretic therapy for evolving BPD were compared with a similar group of infants not receiving diuretics (control). For the diuretic group, LUS exams were performed before and on Days 1, 3, and 6 after initiation of treatment. For the control group, LUS was performed at equivalent time points. A composite pulmonary edema severity (PES) score of 0-5 was calculated based on the total number of B-lines in six scanned areas. Respiratory support parameters (FiO 2 , nasal cannula flow, or CPAP) were also recorded.Results: Infants in the diuretic (n = 28) and control (n = 23) groups were recruited at median corrected gestational ages of 34.2 (33.3-35.9) and 34.0 (33.4-36.3) weeks, respectively (p = 0.82). PES scores, FiO 2 , and respiratory flow support decreased significantly from Days 0 to 6 (p < 0.0001, p = 0.001, and p = 0.01, respectively) in the diuretic group, but not in the control group. Conclusion:Diuretic use is associated with decreased pulmonary edema and improved oxygenation in infants with BPD during the first week of treatment.

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Usefulness of Lung Ultrasound in Neonatal Congenital Heart Disease (LUSNEHDI): Lung Ultrasound to Assess Pulmonary Overflow in Neonatal Congenital Heart Disease

Cited by 19 publications

References 32 publications

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

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

Point‐of‐care lung ultrasound in paediatric critical and emergency care

Lung ultrasound assessment of pulmonary edema in neonates with chronic lung disease before and after diuretic therapy

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