Role of Lung Ultrasound in Diagnosis of Neonatal Respiratory Distress | ||
| Zagazig University Medical Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 02 May 2025 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.375574.3906 | ||
| Authors | ||
| sammer alsayed ahmed* 1; wafaa alsaeed2; Ehab Elbanna3; Sameh Saber Hegab4; sahbaa fehr hafez5 | ||
| 1department of pediatrics ,faculty of medicine, zagazig university | ||
| 2pediatric department ,faculty of medicine,zagazig university | ||
| 3department of pediatrics, faculty of medicine , zagazig university | ||
| 4Radiology department, Faculty of Medicine, Zagazig University, Zagazig, Egypt | ||
| 5department of pediatrics ,faculty of medicine, zagazig university | ||
| Abstract | ||
| Background: Respiratory distress is a commonly observed disorder in newborn. Recognizing respiratory distress is not difficult, but investigating the etiology and starting the proper management can be challenging. Chest x ray and CT were the main diagnostic tools but they suffer from obvious limitations. Ultrasound has become an important method for examination and monitoring of lung pathology, has many advantages over X-ray and CT scan. We aim to study the lung ultrasound findings in neonatal respiratory disorders and find its advantage as regard feasibility and sensitivity. Methods: Cross section study include108 neonates admitted to Zagazig University Nicu due to respiratory distress .Degree of respiratory distress assessed by Siverman- Andersen scoring. infants examined by Chest x ray and chest ultrasound. Results :There is statistically significant relation between degree of respiratory distress and some lung ultrasound finding . pneumonia was the most common cause of respiratory disstress at our Nicu .as regard ultrasound findings in prediction of pneumonia Our result showed absent multiple B line can predict pneumonia with sensitivity 79.7%, specificity 61.4%, Improvement in chest ultrasound findings can predict need to wean with sensitivity 89.2%, specificity 85.4% and accuracy 88% . Conclusion :LUS is a reliable, accurate, safe modality for repeated monitoring of pulmonary disorders in neonates. with a good sensitivity and specificity in diagnosing and following up common respiratory diseases at least as accurate as chest x-ray. Concomitant use of clinical findings, laboratory investigations with LUS might reduce the need for repeated CXR and markedly reduce the ionizing radiation . | ||
| Keywords | ||
| Neonates; Respiratory distress; Lung ultrasound; x ray | ||
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