Nobile Stefano, Sette Lucia, Esposito Claudia, Riitano Francesca, Di Sipio Morgia Chiara, Sbordone Annamaria, Vento Giovanni, Perri Alessandro
Neonatal Unit, Department of Mother, Child and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, Largo F. Vito 1, 00168 Rome, Italy.
Department of Woman, Child, General and Specialistic Surgery, University of Campania "Luigi Vanvitelli", 80138 Naples, Italy.
J Clin Med. 2024 May 25;13(11):3107. doi: 10.3390/jcm13113107.
Respiratory problems are frequent in newborns, and are mainly studied with chest X-rays, whereas CT scans are usually needed for the evaluation of rare malformations and diseases. Lung ultrasound (LUS] has been proposed as an alternative method of diagnosing a variety of respiratory conditions. In recent years, there has been a rapid increase in LUS studies, thanks to the ability of LUS to rapidly exclude complications and significantly reduce radiation exposure in this fragile population. We aimed to summarize the current knowledge about LUS. A literature search was conducted on the Medline and Cochrane databases using appropriate terms. The inclusion criteria were: English language and human species. Exclusion criteria were: non-English language, animal species, case reports, case series, non-systematic reviews, and editorials. The search returned 360 results. No Cochrane reviews were found. Titles and abstracts were screened, and 37 were finally considered. Studies concerning the use of lung ultrasound for the following conditions were presented: neonatal respiratory distress syndrome, transient tachypnea of the newborn, pneumothorax, pulmonary hemorrhage, pneumonia, bronchopulmonary dysplasia, and prediction of extubation success. We discussed the utility of LUS for the diagnosis and treatment of neonatal diseases according to the most recent literature.
新生儿呼吸系统问题很常见，主要通过胸部X光进行研究，而对于罕见畸形和疾病的评估通常需要CT扫描。肺超声（LUS）已被提议作为诊断多种呼吸状况的替代方法。近年来，LUS研究迅速增加，这得益于LUS能够快速排除并发症并显著减少对这个脆弱群体的辐射暴露。我们旨在总结关于LUS的当前知识。使用适当的术语在Medline和Cochrane数据库上进行了文献检索。纳入标准为：英文文献和人类研究。排除标准为：非英文文献、动物研究、病例报告、病例系列、非系统性综述和社论。检索返回360条结果。未找到Cochrane综述。对标题和摘要进行了筛选，最终纳入37项研究。这些研究展示了肺超声在以下病症中的应用：新生儿呼吸窘迫综合征、新生儿短暂性呼吸急促、气胸、肺出血、肺炎、支气管肺发育不良以及拔管成功的预测。我们根据最新文献讨论了LUS在新生儿疾病诊断和治疗中的效用。
