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Ultraschall Med 2024; 13(04): 311-327
DOI: 10.1055/a-2377-5357
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Praxis der Lungensonografie in der Neonatologie – Teil 2

Simone Schwarz
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Previous part of this series:

Pulmonary Sonography – Neonatal Diagnosis Part 1Ultraschall Med 2023; 44(01): 14-35
DOI: 10.1055/a-1885-5664

Die besondere Relevanz der Lungensonografie bei der Behandlung neonatologischer Patienten ergibt sich aus einer engen Korrelation zwischen dem Ausmaß sonografisch darstellbarer Pathologien und den Parametern einer respiratorischen Insuffizienz. Daraus lässt sich ein direkter Zusammenhang zwischen sonografischem Befund und der Schwere einer Lungenschädigung ableiten. Die Lungensonografie stellt somit eine einzigartige, ubiquitär verfügbare, bettseitige, seriell durchführbare Methode zur Überwachung des pulmonalen Status dar.
Kernaussagen

  • Die besondere Relevanz der Lungensonografie bei der Behandlung neonatologischer Patienten beruht auf der engen Korrelation zwischen dem Ausmaß sonografisch darstellbarer Pathologien und der respiratorischen Insuffizienz mit der Möglichkeit, einen direkten Zusammenhang zur Schwere einer Lungenschädigung abzuleiten.

  • Die Lungensonografie stellt eine einzigartige, ubiquitär verfügbare, bettseitige, seriell durchführbare Methode zur Überwachung des pulmonalen Status dar.

  • Bei Integration in die Stationsroutine als Point-of-Care-Verfahren kann durch den Lungenultraschall nicht nur eine deutliche Reduktion der kumulativen Strahlenexposition, sondern eventuell sogar auch eine Verbesserung der Behandlungsqualität erreicht werden.

  • Bei differenzialdiagnostischen Überlegungen müssen klinische Symptome, Laborbefunde und sonografisches Bild stets zusammen betrachtet werden.

  • Eine möglichst vollständige Erfassung der Lungenoberfläche verbessert vor allem im späteren Verlauf die diagnostische Sicherheit.

Schlüsselwörter

Lungenultraschall bei Neugeborenen - Lungenultraschall bei schwerkranken Neugeborenen - Lungenultraschall in NICU - neonatales Atemnotsyndrom bei Neugeborenen


Publication History

Article published online:
03 December 2024

© 2024. Thieme. All rights reserved.

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  • Literatur

  • 1 Raimondi F, Yousef N, Rodriguez Fanjul J. et al. A Multicenter Lung Ultrasound Study on Transient Tachypnea of the Neonate. Neonatology 2019; 115: 263-268
    CrossrefPubMedSearch in Google Scholar
  • 2 Pang H, Zhang B, Shi J. et al. Diagnostic value of lung ultrasound in evaluating the severity of neonatal respiratory distress syndrome. Eur J Radiol 2019; 116: 186-191
    CrossrefPubMedSearch in Google Scholar
  • 3 Rodríguez-Fanjul J, Balcells C, Aldecoa-Bilbao V. et al. Lung Ultrasound as a Predictor of Mechanical Ventilation in Neonates Older than 32 Weeks. Neonatology 2016; 110: 198-203
    CrossrefPubMedSearch in Google Scholar
  • 4 Liu J, Wang Y, Fu W. et al. Diagnosis of neonatal transient tachypnea and its differentiation from respiratory distress syndrome using lung ultrasound. Medicine 2014; 93: e197
    CrossrefPubMedSearch in Google Scholar
  • 5 Vergine M, Copetti R, Brusa G. et al. Lung ultrasound accuracy in respiratory distress syndrome and transient tachypnea of the newborn. Neonatology 2014; 106: 87-93
    CrossrefPubMedSearch in Google Scholar
  • 6 Liu J, Copetti R, Sorantin E. et al. Protocol and Guidelines for Pointof-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus. J Vis Exp 2019;
    CrossrefPubMedSearch in Google Scholar
  • 7 Copetti R, Cattarossi L, Macagno F. et al. Lung ultrasound in respiratory distress syndrome: a useful tool for early diagnosis. Neonatology 2008; 94: 52-59
    CrossrefPubMedSearch in Google Scholar
  • 8 Copetti R, Cattarossi L. The ‘double lung point’: an ultrasound sign diagnostic of transient tachypnea of the newborn. Neonatology 2007; 91: 203-209
    CrossrefPubMedSearch in Google Scholar
  • 9 Elsayed YN, Hinton M, Graham R. et al. Lung ultrasound predicts histological lung injury in a neonatal model of acute respiratory distress syndrome. Pediatr Pulmonol 2020; 55: 2913-2923
    CrossrefPubMedSearch in Google Scholar
  • 10 Raimondi F, Migliaro F, Corsini I. et al. Lung Ultrasound Score Progress in Neonatal Respiratory Distress Syndrome. Pediatrics 2021; 147: e2020030528
    CrossrefPubMedSearch in Google Scholar
  • 11 Alonso-Ojembarrena A, Lubián-López SP. Lung ultrasound score as early predictor of bronchopulmonary dysplasia in very low birth weight infants. Pediatr Pulmonol 2019; 54: 1404-1409
    CrossrefPubMedSearch in Google Scholar
  • 12 Loi B, Vigo G, Baraldi E. et al. Lung Ultrasound to Monitor Extremely Preterm Infants and Predict Bronchopulmonary Dysplasia. A Multicenter Longitudinal Cohort Study. Am J Respir Crit Care Med 2021; 203: 1398-1409
    CrossrefPubMedSearch in Google Scholar
  • 13 Alonso-Ojembarrena A, Serna-Guerediaga I, Aldecoa-Bilbao V. et al. The Predictive Value of Lung Ultrasound Scores in Developing Bronchopulmonary Dysplasia: A Prospective Multicenter Diagnostic Accuracy Study. Chest 2021; 160: 1006-1016
    CrossrefPubMedSearch in Google Scholar
  • 14 Gao S, Xiao T, Ju R. et al. The application value of lung ultrasound findings in preterm infants with bronchopulmonary dysplasia. Transl Pediatr 2020; 9: 93-100
    CrossrefPubMedSearch in Google Scholar
  • 15 Hoshino Y, Arai J, Miura R. et al. Lung Ultrasound for Predicting the Respiratory Outcome in Patients with Bronchopulmonary Dysplasia. Am J Perinatol 2020;
    Thieme ConnectPubMedSearch in Google Scholar
  • 16 Liu J, Liu F, Liu Y. et al. Lung ultrasonography for the diagnosis of severe neonatal pneumonia. Chest 2014; 146: 383-388
    CrossrefPubMedSearch in Google Scholar
  • 17 Dietrich CF, Buda N, Ciuca IM. et al. Lung ultrasound in children, WFUMB review paper (part 2). Med Ultrason 2021; 23: 443-452
    CrossrefPubMedSearch in Google Scholar
  • 18 Tusor N, De Cunto A, Basma Y. et al. Ventilator-associated pneumonia in neonates: the role of point of care lung ultrasound. Eur J Pediatr 2021; 180: 137-146
    CrossrefPubMedSearch in Google Scholar
  • 19 Jaworska J, Buda N, Ciuca IM. et al. Ultrasound of the pleura in children, WFUMB review paper. Med Ultrason 2021; 23: 339-347
    CrossrefPubMedSearch in Google Scholar
  • 20 Dahmarde H, Parooie F, Salarzaei M. Accuracy of Ultrasound in Diagnosis of Pneumothorax: A Comparison between Neonates and Adults-A Systematic Review and Meta-Analysis. Can Respir J 2019; 5271982
    CrossrefPubMedSearch in Google Scholar
  • 21 Volpicelli G, Boero E, Sverzellati N. et al. Semi-quantification of pneumothorax volume by lung ultrasound. Intensive Care Med 2014; 40: 1460-1467
    CrossrefPubMedSearch in Google Scholar
  • 22 Zhao M, Huang XM, Niu L. et al. Lung Ultrasound Score Predicts the Extravascular Lung Water Content in Low-Birth-Weight Neonates with Patent Ductus Arteriosus. Med Sci Monit 2020; 26: e921671
    CrossrefPubMedSearch in Google Scholar
  • 23 Liu J, Cao HY, Fu W. Lung ultrasonography to diagnose meconium aspiration syndrome of the newborn. J Int Med Res 2016; 44: 1534-1542
    CrossrefPubMedSearch in Google Scholar
  • 24 Tonelotto B, Pereira SM, Tucci MR. et al. Intraoperative pulmonary hyperdistention estimated by transthoracic lung ultrasound: A pilot study. Anaesth Crit Care Pain Med 2020; 39: 825-831
    CrossrefPubMedSearch in Google Scholar
  • 25 Blank DA, Kamlin COF, Rogerson SR. et al. Lung ultrasound immediately after birth to describe normal neonatal transition: an observational study. Arch Dis Child Fetal Neonatal Ed 2018; 103: F157-F162
    CrossrefPubMedSearch in Google Scholar
  • 26 Smith LJ, McKay KO, van Asperen PP. et al. Normal development of the lung and premature birth. Paediatr Respir Rev 2010; 11: 135-142
    CrossrefPubMedSearch in Google Scholar
  • 27 Rubarth LB, Quinn J. Respiratory Development and Respiratory Distress Syndrome. Neonatal Netw 2015; 34: 231-238
    CrossrefPubMedSearch in Google Scholar
  • 28 Szymański P, Kruczek P, Hożejowski R. et al. Modified lung ultrasound score predicts ventilation requirements in neonatal respiratory distress syndrome. BMC Pediatr 2021; 21: 17
    CrossrefPubMedSearch in Google Scholar
  • 29 Machado LU, Fiori HH, Baldisserotto M. et al. Surfactant deficiency in transient tachypnea of the newborn. J Pediatr 2011; 159: 750-754
    CrossrefPubMedSearch in Google Scholar
  • 30 Autilio C, Echaide M, Benachi A. et al. A Noninvasive Surfactant Adsorption Test Predicting the Need for Surfactant Therapy in Preterm Infants Treated with Continuous Positive Airway Pressure. J Pediatr 2017; 182: 66-73.e1
    CrossrefPubMedSearch in Google Scholar
  • 31 Gregorio-Hernández R, Arriaga-Redondo M, Pérez-Pérez A. et al. Lung ultrasound in preterm infants with respiratory distress: experience in a neonatal intensive care unit. Eur J Pediatr 2020; 179: 81-89
    CrossrefPubMedSearch in Google Scholar
  • 32 Rodriguez-Fanjul J, Jordan I, Balaguer M. et al. Early surfactant replacement guided by lung ultrasound in preterm newborns with RDS: the ULTRASURF randomised controlled trial. Eur J Pediatr 2020; 179: 1913-1920
    CrossrefPubMedSearch in Google Scholar
  • 33 Brat R, Yousef N, Klifa R. et al. Lung Ultrasonography Score to Evaluate Oxygenation and Surfactant Need in Neonates Treated With Continuous Positive Airway Pressure. JAMA Pediatr 2015; 169: e151797
    CrossrefPubMedSearch in Google Scholar
  • 34 Raimondi F, Migliaro F, Sodano A. et al. Use of neonatal chest ultrasound to predict noninvasive ventilation failure. Pediatrics 2014; 134: e1089-e1094
    CrossrefPubMedSearch in Google Scholar
  • 35 Raimondi F, Migliaro F, Corsini I. et al. Neonatal Lung Ultrasound and Surfactant Administration: A Pragmatic, Multicenter Study. Chest 2021; 160: 2178-2186
    CrossrefPubMedSearch in Google Scholar
  • 36 De Martino L, Yousef N, Ben-Ammar R. et al. Lung Ultrasound Score Predicts Surfactant Need in Extremely Preterm Neonates. Pediatrics 2018; 142: e20180463
    CrossrefPubMedSearch in Google Scholar
  • 37 Raschetti R, Yousef N, Vigo G. et al. Echography-Guided Surfactant Therapy to Improve Timeliness of Surfactant Replacement: A Quality Improvement Project. J Pediatr 2019; 212: 137-143.e1
    CrossrefPubMedSearch in Google Scholar
  • 38 Acosta CM, Maidana GA, Jacovitti D. et al. Accuracy of transthoracic lung ultrasound for diagnosing anesthesia-induced atelectasis in children. Anesthesiology 2014; 120: 1370-1379
    CrossrefPubMedSearch in Google Scholar
  • 39 Chaari A, Bousselmi K, Assar W. et al. Usefulness of ultrasound in the management of acute respiratory distress syndrome. Int J Crit Illn Inj Sci 2019; 9: 11-15
    CrossrefPubMedSearch in Google Scholar