Lowering of the Neonatal Lung Ultrasonography Score after nCPAP Positioning in Neonates over 32 Weeks of Gestational Age with Neonatal Respiratory Distress

Respiratory distress (RD) is one of the most common causes of admission to the neonatal intensive care unit. Correct diagnosis and timely intervention are crucial. Lung ultrasonography (LU) is a useful diagnostic tool for the neonatologist in the diagnosis of RD; the neonatal lung ultrasonography sc...

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Bibliographic Details
Published in:Diagnostics (Basel) 2022-08, Vol.12 (8), p.1909
Main Authors: Perri, Alessandro, Fattore, Simona, D'Andrea, Vito, Sbordone, Annamaria, Patti, Maria Letizia, Nobile, Stefano, Tirone, Chiara, Giordano, Lucia, Tana, Milena, Priolo, Francesca, Serrao, Francesca, Riccardi, Riccardo, Prontera, Giorgia, Vento, Giovanni
Format: Article
Language:English
Subjects:
Congenital diseases
Diagnosis
Diseases
Gestational age
Guardians
Infants (Newborn)
Intensive care
Lung diseases
lung ultrasonography
Methods
Newborn babies
Pathology
Pediatric research
Premature babies
preterm infants
Respiratory distress syndrome
Surfactants
Ultrasonic imaging
Ultrasound imaging
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Summary:Respiratory distress (RD) is one of the most common causes of admission to the neonatal intensive care unit. Correct diagnosis and timely intervention are crucial. Lung ultrasonography (LU) is a useful diagnostic tool for the neonatologist in the diagnosis of RD; the neonatal lung ultrasonography score (nLUS) can be used in the diagnostic process, but some authors hypothesise that it is also useful for the management of some neonatal RD. The aim of this study is to analyse the changes in nLUS score before (T0) and after (T1) the start of respiratory support with nasal CPAP in neonates over 32 weeks of age with RD. Thirty-three newborns were enrolled in this retrospective study. LU was performed before and after the start of CPAP. The median nLUS scores at T0 and T1 were 9 (IQR 7−12) and 7 (IQR 4−10), respectively, and showed a significant difference (p < 0.001). The magnitude of reduction in nLUS score, expressed as a percentage, was inversely related to the need for subsequent administration of exogenous surfactant. The study suggests the usefulness of the nLUS score in assessing the response to CPAP in neonates over 32 weeks gestational age.
ISSN:2075-4418
2075-4418
DOI:10.3390/diagnostics12081909