The role of lung ultrasound in preterm neonates with respiratory distress in neonatal intensive care unit

Authors

  • Sidhant Swarup
  • Rakesh Panigrahi
  • Suryakanta Swain
  • Hemant Agrawal

DOI:

https://doi.org/10.32677/ijch.v8i8.2981

Keywords:

Preterm neonates, Respiratory distress, Lung ultrasound, Surfactant treatment

Abstract

Introduction: Up to 29% of late preterm babies suffer from respiratory distress due to which they need to be admitted to neonatal intensive care unit (NICU). Point-of-care ultrasound is a useful tool in critical neonate care, providing valuable information without any risk of ionizing radiation to the newborn. Materials and Method: This mono-centric, descriptive, and prospective study was conducted in NICU. Preterm newborns of less than 36 weeks with respiratory distress at birth on non-invasive ventilation were recruited. A lung ultrasound was performed at first 12 h of life and followed till their discharge. Main outcomes need for surfactant treatment. Results: Sixty preterm infants (median gestational age: 29 weeks) were recruited. Newborn in the surfactant group requiring ultrasound and intervention was significantly higher than in no surfactant group (p<0.0001). In 15 newborns who received surfactant, the first dose was administered at a median age of 4.5 h. In 13 of these 15 newborns, the lung ultrasound scan was subsequently repeated an average of 2 h (Standard deviation or SD: 2) On average, the second dose of surfactant was administered at 24 h of life (SD: 9). Conclusion: Early lung ultrasound in preterm infants with respiratory distress appears to be a useful tool with no adverse effects for the patient. It allows a better assessment of respiratory distress by detecting patients with a greater risk of requiring surfactant or mechanical ventilation, even before oxygenation criteria.

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Published

2021-08-24

Issue

Section

Original Articles

How to Cite

The role of lung ultrasound in preterm neonates with respiratory distress in neonatal intensive care unit. (2021). Indian Journal of Child Health, 8(8), 284-288. https://doi.org/10.32677/ijch.v8i8.2981

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