Lung ultrasound as a tool to guide the administration of surfactant in premature neonates
Por:
Rodríguez-Fanjul J, Balcells Esponera C, Moreno-Hernando J and Sarquella-Brugada G
Publicada:
1 may 2016
Ahead of Print:
20 oct 2015
Categoría:
Pediatrics, perinatology and child health
Resumen:
Objectives: The aim of this study is to assess the usefulness of lung ultrasound (LUS) to estimate the endotracheal tube (ETT) depth position during the Intubation-Surfactant-Extubation (INSURE) procedure.
Material and methods: The ETT insertion depth was estimated using the weight (insertion depth (cm) = weight (kg) + 5.5). After intubation two independent neonatologists using bilateral auscultation or LUS checked the ETT depth.
Results: Twelve newborns with respiratory distress syndrome were included. In two cases LUS helped to correctly replace the ETT. All the patients progressed well, with normal x-ray and LUS before discharge.
Conclusions: LUS appears to be a safe and non-invasive technique and is useful in clinical situations were x-ray is not routinely performed, as it is fast and radiation free. (C) 2015 AsociaciOn Espanola de Pediatria. Published by Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Rodríguez-Fanjul J:
Servicio de Neonatología, ICGON, BCNatal, Hospital Clínic-Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, España.
Balcells Esponera C:
Servicio de Neonatología, ICGON, BCNatal, Hospital Clínic-Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, España
Moreno-Hernando J:
Servicio de Neonatología, ICGON, BCNatal, Hospital Clínic-Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, España
Sarquella-Brugada G:
Servicio de Cardiología Pediátrica. Hospital Clínic-Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, España
Open Access
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