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Updated: Jul 10, 2026

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

[Sinobronchial syndrome and obstructive nonspecific pulmonary diseases in children]

M A Stancić

    Srpski Arhiv Za Celokupno Lekarstvo
    |November 1, 1991
    PubMed

    Insights

    Treating upper respiratory tract infections alongside obstructive pulmonary affections in children leads to complete recovery. This approach is crucial for conditions unresponsive to standard bronchodilator therapy.

    Area of Science:

    • Pediatric Pulmonology
    • Oto-rhino-laryngology (ORL)
    • Allergy and Immunology

    Context:

    • Obstructive nonspecific pulmonary affections in children often present with upper respiratory tract symptoms.
    • These conditions frequently exhibit resistance to conventional bronchodilator treatments like sympathomimetics and xanthintheophylline.
    • Co-existing allergic infections complicate the clinical picture and treatment response.

    Purpose:

    • To investigate the etiopathogenesis, prevention, and therapy of obstructive nonspecific pulmonary affections in children.
    • To evaluate the role of oto-rhino-laryngological (ORL) examinations in diagnosing associated upper respiratory tract conditions.
    • To determine the efficacy of integrated antimicrobial and ORL treatment for refractory pulmonary symptoms.

    Summary:

    • A study involving 166 children (6 months to 14 years) with obstructive pulmonary affections and upper respiratory tract symptoms unresponsive to bronchodilators was conducted.
    • Comprehensive ORL diagnostics, including bacteriological examinations and paranasal sinus imaging, were performed.
    • Integrated antimicrobial therapy guided by antibiograms and specific ORL treatments (Proetz method, aspiration, gargling) resulted in complete recovery.

    Impact:

    • Highlights the necessity of identifying and treating concurrent upper respiratory tract diseases for effective management of pediatric obstructive pulmonary affections.
    • Demonstrates that a combined therapeutic strategy, addressing both pulmonary and ORL conditions, can resolve previously intractable respiratory issues.
    • Provides evidence for a more holistic approach in pediatric respiratory care, improving treatment outcomes for complex cases.

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