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Liu J, Cao HY, Wang HW, et al. The role of lung ultrasound in diagnosis of respiratory distress syndrome in newborn infants. Iran J Pediatr. 2014;24(2):147-54
Liu, J., Cao, H. Y., Wang, H. W., & Kong, X. Y. (2014). The role of lung ultrasound in diagnosis of respiratory distress syndrome in newborn infants. Iranian journal of pediatrics, 24(2), 147-54.
Liu, Jing, et al. "The role of lung ultrasound in diagnosis of respiratory distress syndrome in newborn infants." Iranian journal of pediatrics vol. 24,2 (2014): 147-54.
Liu J, Cao HY, Wang HW, Kong XY. The role of lung ultrasound in diagnosis of respiratory distress syndrome in newborn infants. Iran J Pediatr. 2014 Apr;24(2):147-54. PMID: 25535532; PMCID: PMC4268833.
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Iran J Pediatr. 2014 Apr;24(2):147-54.

The role of lung ultrasound in diagnosis of respiratory distress syndrome in newborn infants.

Iranian journal of pediatrics

Jing Liu, Hai-Ying Cao, Hua-Wei Wang, Xiang-Yong Kong

Affiliations

  1. Department of Neonatology & NICU, Bayi Children's Hospital Affiliated to Beijing Military General Hospital.
  2. Department of Ultrasonography, GE Healthcare of USA , Beijing, China.

PMID: 25535532 PMCID: PMC4268833

Abstract

OBJECTIVE: The aim of this study was to evaluate the value of lung ultrasound in the diagnosis of respiratory distress syndrome (RDS) in newborn infants.

METHODS: From March 2012 to May 2013, 100 newborn infants were divided into two groups: RDS group (50 cases) and control group (50 cases). According to the findings of chest x-ray, there were 10 cases of grade II RDS, 15 grade III cases, and 25 grade IV cases in RDS group. Lung ultrasound was performed at bedside by a single expert. The ultrasound indexes observed in this study included pleural line, A-line, B-line, lung consolidation, air bronchograms, bilateral white lung, interstitial syndrome, lung sliding, lung pulse etc.

FINDINGS: In all of the infants with RDS, lung ultrasound consistently showed generalized consolidation with air bronchograms, bilateral white lung or interstitial syndrome, pleural line abnormalities, A-line disappearance, pleural effusion, lung pulse, etc. The simultaneous demonstration of lung consolidation, pleural line abnormalities and bilateral white lung, or lung consolidation, pleural line abnormalities and A-line disappearance co-exists with a sensitivity and specificity of 100% for the diagnosis of neonatal RDS.

CONCLUSION: This study indicates that using an ultrasound to diagnose neonatal RDS is accurate and reliable tool. A lung ultrasound has many advantages over other techniques. Ultrasound is non-ionizing, low-cost, easy to operate, and can be performed at bedside, making this technique ideal for use in NICU.

Keywords: Lung Ultrasound; Newborn; Respiratory Distress Syndrome

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