Point-of-Care Ultrasound versus Chest X-Ray for Determining Lung Expansion Based on Rib Count in High-Frequency Oscillatory Ventilation.

IF 2.6 3区医学 Q1 PEDIATRICS

Neonatology Pub Date : 2023-01-01 Epub Date: 2023-08-25 DOI:10.1159/000533318

Ozlem Sahin, Derya Colak, Sevinc Tasar, Funda Yavanoglu Atay, Omer Guran, Ilke Mungan Akin

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引用次数: 0

Abstract

Introduction: Chest X-ray (CXR) is the most prevalent method for evaluating lung expansion in high-frequency oscillatory ventilation (HFOV). The purpose of this study was to compare the accuracy of chest radiography with point-of-care ultrasound (POCUS) in determining lung expansion.

Methods: This prospective study included newborns who required HFOV and were monitored in a neonatal intensive care unit. A single neonatologist assessed lung expansion with CXR and POCUS to measure the costal level of the right hemidiaphragm and compared the results.

Results: A neonatologist performed 55 measurements in 28 newborns with a gestational age of 32 (23.2-39.4) weeks, followed by HFOV. The rib counts obtained from anterior chest ultrasonography and posterior CXR showed a statistically high concordance (r = 0.913, p < 0.001).

Conclusion: Lung ultrasonography is a reliable method for the evaluation of lung expansion based on rib count in patients with HFOV.

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在高频振荡通气中，基于肋数的即时超声与胸部x线测定肺扩张的比较。

简介:胸片(CXR)是评估高频振荡通气(HFOV)中肺扩张的最常用方法。本研究的目的是比较胸部x线摄影和即时超声(POCUS)在确定肺扩张方面的准确性。方法:这项前瞻性研究纳入了需要HFOV的新生儿，并在新生儿重症监护病房进行监测。一名新生儿医师用CXR和POCUS评估肺扩张，测量右半膈的肋部水平，并比较结果。结果:一名新生儿科医生对28名胎龄为32(23.2-39.4)周的新生儿进行了55项测量，随后进行了HFOV测量。胸部前路超声检查与后路CXR检查的肋骨计数具有较高的一致性(r = 0.913, p <0.001)。结论:肺超声检查是评价HFOV患者肺扩张的可靠方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neonatology 医学-小儿科

CiteScore

0.60

自引率

4.00%

发文量

审稿时长

6-12 weeks

期刊介绍： This highly respected and frequently cited journal is a prime source of information in the area of fetal and neonatal research. Original papers present research on all aspects of neonatology, fetal medicine and developmental biology. These papers encompass both basic science and clinical research including randomized trials, observational studies and epidemiology. Basic science research covers molecular biology, molecular genetics, physiology, biochemistry and pharmacology in fetal and neonatal life. In addition to the classic features the journal accepts papers for the sections Research Briefings and Sources of Neonatal Medicine (historical pieces). Papers reporting results of animal studies should be based upon hypotheses that relate to developmental processes or disorders in the human fetus or neonate.