Chest
Original Research: Pulmonary ProceduresLung Ultrasonography to Diagnose Transient Tachypnea of the Newborn
Section snippets
Study Subjects
The institutional review board of the Beijing Military General Hospital approved the study protocol (No. 2011-LC-Ped-01). This was a retrospective series study that included a total of 1,358 newborn infants hospitalized in the neonatal intensive care unit of the Bayi Children’s Hospital, affiliated with Beijing Military General Hospital, from January to December 2014 who underwent lung ultrasonography. All of the lung ultrasonography examinations were performed by one doctor, the clinical data
General Characteristics of the Study Population
At the time of hospital admission, according to the patients’ medical histories, clinical presentations, arterial blood gas analyses, chest radiographic examinations, and lung ultrasound findings, there were 412 patients without lung diseases (gestational age, 27+2 to 40+3 weeks; 228 male patients, 184 female patients; 255 delivered by vaginal delivery and 157 delivered by cesarean section; birth weight, 1,280-4,220 g) and 946 patients with various lung diseases (gestational age, 25+4 to
Discussion
Breathing difficulty is a common early neonatal critical illness that requires timely and appropriate treatment. Several common neonatal lung diseases can cause severe neonatal breathing difficulty, including TTN, RDS, pneumonia, pneumothorax, MAS, pulmonary hemorrhage, and congenital diaphragmatic hernia, among others. Among these conditions, TTN is the most common cause of neonatal dyspnea and accounts for approximately 33% to 50% of cases of neonatal breathing difficulty.10 Early, rapid, and
Acknowledgments
Author contributions: J. L. contributed to the study conception, ultrasound examination, data analysis, and writing and approval of the manuscript. X.-X. C., X.-W. L., and Y. W. contributed to clinical data analysis, manuscript preparation, and approval of the final manuscript. S.-W. C. and W. F. contributed to data collection, manuscript revision, and approval of the final manuscript.
Financial/nonfinancial disclosures: None declared.
Role of sponsors: The sponsor had no role in the design of
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Cited by (95)
Translating Guidelines into Practical Practice: Point-of-Care Ultrasound for Pediatric Critical Care Clinicians
2023, Critical Care ClinicsCitation Excerpt :This is supported by reports that LUS is superior to chest radiography in detecting lung abnormalities, with LUS features of bronchiolitis correlating well with clinical severity, facilitating timely identification of patients who may require escalating respiratory support.94–98 The remaining 6 recommendations were assigned “agreement” and include the utility of LUS in the following: (1) distinguishing between neonatal respiratory distress syndrome and transient tachypnea of the neonate99–108; (2) detecting pneumonia in neonates and children109–112; (3) recognizing meconium aspiration syndrome113,114; (4) evaluating lung edema in neonates and children115,116; (5) detecting anesthesia-induced atelectasis in neonates and children117; and (6) semiquantitatively evaluating lung aeration and guiding management of respiratory interventions in acute respiratory distress syndrome (ARDS) in neonates and children.118,119 These guidelines are undeniably a welcome step in the evolution of POCUS in the ICU, providing evidence-based recommendations for LUS in critically ill neonates and children.
Diagnostic accuracy of lung ultrasound for transient tachypnea: a meta-analysis
2022, Jornal de PediatriaCitation Excerpt :Transient tachypnea of the newborn (TTN) is a self-limited respiratory disease caused by delayed fluid clearance from the fetal lungs.1 It is the most common cause of dyspnea in newborns, with an incidence of 4-5.7% in full-term newborns and 10% in premature infants.2 Although symptoms of TTN are generally transient and usually improve within 24 to 48 h, the dyspnea it causes can be severe.
Ultrasound findings and specific intrinsic blood volume expansion therapy for neonatal capillary leak syndrome: report from a multicenter prospective self-control study
2024, European Journal of Medical Research
FUNDING/SUPPORT: This work was supported by the Clinical Research Special Fund of Wu Jieping Medical Foundation [320.6750.15072].