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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Neonatal and pediatric respiratory diagnostics
1Department of Pediatrics, University of North Carolina at Chapel Hill, 27599-7220, USA. stephanie_davis@med.unc.edu
Insights
New diagnostic tools improve respiratory function assessment in infants and preschoolers. These advances aid in evaluating lung physiology and airway disease in young children, though multicenter trials are needed.
Area of Science:
- Pediatric Pulmonology
- Respiratory Medicine
- Diagnostic Technology
Background:
- Assessing lung function in young children is challenging due to limited cooperation and understanding.
- Recent technological advancements offer new possibilities for pediatric respiratory diagnostics.
- Evaluating respiratory health in infants and preschoolers remains a significant clinical hurdle.
Purpose of the Study:
- To review recent advances in diagnostic tools for assessing respiratory function in infants and preschoolers.
- To summarize the technical aspects, benefits, drawbacks, and clinical uses of these novel methods.
- To highlight the potential of new technologies in pediatric respiratory medicine.
Main Methods:
- Discussion of infant lung function testing advancements.
- Review of preschool spirometry techniques.
- Analysis of forced oscillation methods and interrupter respiratory resistance technique.
- Evaluation of exhaled nitric oxide and carbon monoxide measurements in children.
Main Results:
- Recent technological progress enables more accurate assessment of lung physiology and airway disease in young children.
- Various methods like infant lung function testing, preschool spirometry, forced oscillation, and exhaled biomarkers are detailed.
- The technical features, pros, cons, and clinical relevance of these tools are summarized.
Conclusions:
- Despite significant advances, these new diagnostic tools require validation through multicenter trials in young children.
- Standardization is crucial for future multicenter studies to establish the clinical utility of these outcome measures.
- These advancements hold promise for improving the diagnosis and management of respiratory conditions in pediatric populations.
Abstract:
Evaluating respiratory function in children, especially infants and preschoolers, is difficult because of lack of patient cooperation with and understanding of lung function testing. Because of recent advances in diagnostic tools, investigators are now able to assess normal lung physiology, the presence or absence of airway disease, and therapeutic interventions in this young age group. Recent advances in infant lung function testing, preschool spirometry, forced oscillation methods, and the interrupter respiratory resistance technique are discussed. Exhaled nitric oxide and carbon monoxide measurements in children are also reviewed. The technical aspects, advantages, disadvantages, and clinical applications of these tools are summarized. These remarkable advances have yet to be applied in multicenter trials with young children. Adhering to standards will be critical for future multicenter trials to assess the clinical utility of these potential outcome measures.
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