Evaluation of lung ultrasound in the diagnosis of respiratory distress in neonates

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dc.contributor.authorShivanien_US
dc.contributor.authorSingh, Jatinderen_US
dc.contributor.authorSharma, Bhuwanen_US
dc.contributor.authorSeth, Sunilen_US
dc.contributor.authorChowdhary, Gurdeven_US
dc.contributor.authorMadan, Surjeeten_US
dc.contributor.authorDuggal, Manishaen_US
dc.contributor.authorRai, Harmanen_US
dc.contributor.authorCheema, Harwinder Kauren_US
dc.date.accessioned2024-09-24T07:15:54Z
dc.date.available2024-09-24T07:15:54Z
dc.date.issued2023-11
dc.description.abstractBackground: Respiratory distress (RD) is a leading cause of morbidity and mortality among neonates in neonatal intensive care units (NICUs). Traditionally, clinical criteria combined with chest X-ray have been considered the gold standard for diagnosing respiratory distress. This study aims to assess the efficiency of lung ultrasound in diagnosing respiratory distress, with a focus on preventing neonates from unnecessary radiation exposure.Methods: A multicentric prospective study was performed where neonates with gestational age 28-40 weeks were included based on presence of clinical signs of respiratory distress. Neonates with congenital anomalies or those who received surfactant therapy were excluded. Within 6 hrs of birth, these neonates underwent X ray chest and ultrasound. Final interpretation of chest x-ray was done by the blinded radiologist. A trained neonatologist used transthoracic view in ultrasound for the initial interpretation.Results: A total of 80 neonates were enrolled in the study, among whom 49 were diagnosed with respiratory distress syndrome, 22 with transient tachypnoea of the newborn, 4 with pneumonia, and 5 classified as normal. Lung ultrasound exhibited a sensitivity of 95.9% and a specificity of 90.3% for the diagnosis of respiratory distress, with a positive predictive value of 94% and a negative predictive value of 93.3%.Conclusions: Lung ultrasound proves to be a highly efficient diagnostic tool for respiratory distress in neonates, offering the added advantage of avoiding harmful radiation exposure associated with chest X-rays. Early detection of respiratory distress can facilitate timely management and significantly improve neonatal outcomes. Further adoption and validation of point of care lung ultrasound in clinical practice hold the potential to enhance neonatal care.en_US
dc.identifier.affiliationsDepartment of Surgery, Punjab Institute of Medical Sciences, Jalandhar, Punjab, Indiaen_US
dc.identifier.affiliationsDepartment of Paediatrics, Punjab Institute of Medical Sciences, Jalandhar, Punjab, Indiaen_US
dc.identifier.affiliationsDepartment of Community Medicine, Punjab Institute of Medical Sciences, Jalandhar, Punjab, Indiaen_US
dc.identifier.affiliationsDepartment of Radiology, Punjab Institute of Medical Sciences, Jalandhar, Punjab, Indiaen_US
dc.identifier.affiliationsDepartment of Paediatrics, Ankur Hospital, Jalandhar, Punjab, Indiaen_US
dc.identifier.affiliationsDepartment of Paediatrics, PMG Hospital, Jalandhar, Punjab, Indiaen_US
dc.identifier.affiliationsDepartment of Paediatrics, Punjab Institute of Medical Sciences, Jalandhar, Punjab, Indiaen_US
dc.identifier.affiliationsDepartment of Anaesthesia, Punjab Institute of Medical Sciences, Jalandhar, Punjab, Indiaen_US
dc.identifier.affiliationsDepartment of OBG, Punjab Institute of Medical Sciences, Jalandhar, Punjab, Indiaen_US
dc.identifier.citationShivani, Singh Jatinder, Sharma Bhuwan, Seth Sunil, Chowdhary Gurdev, Madan Surjeet, Duggal Manisha, Rai Harman, Cheema Harwinder Kaur . Evaluation of lung ultrasound in the diagnosis of respiratory distress in neonates . International Journal of Contemporary Pediatrics. 2023 Nov; 10(11): 1664-1668en_US
dc.identifier.issn2349-3283
dc.identifier.issn2349-3291
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/228424
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber11en_US
dc.relation.volume10en_US
dc.source.urihttps://doi.org/10.18203/2349-3291.ijcp20233235en_US
dc.subjectChest X-rayen_US
dc.subjectDiagnosisen_US
dc.subjectLung ultrasounden_US
dc.subjectNeonatal respiratory distressen_US
dc.titleEvaluation of lung ultrasound in the diagnosis of respiratory distress in neonatesen_US
dc.typeJournal Articleen_US
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