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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
Congenital airway lesions and lung disease
1Queensland Children's Respiratory Centre, Royal Children Hospital, Herston, 4029, Brisbane, Queensland, Australia. brent_masters@health.qld.gov.au
Insights
Pediatricians may encounter uncommon structural airway and lung disorders. Accurate diagnosis and management principles are vital for positive patient outcomes, despite limited evidence-based guidelines.
Area of Science:
- Pediatric Pulmonology
- Pediatric Respiratory Medicine
Background:
- Structural disorders of the upper and lower airways and lung parenchyma are infrequent in pediatric practice.
- Pediatricians frequently encounter these conditions and manage patients long-term.
Purpose of the Study:
- To highlight the importance of pediatrician awareness regarding pediatric airway and lung disorders.
- To emphasize the need for established principles of care in managing these uncommon conditions.
Main Methods:
- Review of existing principles for diagnosis and management of pediatric airway and lung disorders.
- Discussion on the application of these principles in the absence of extensive evidence-based guidelines.
Main Results:
- Accurate diagnosis and severity classification are crucial for effective management.
- Judicious use of investigations, medications, and surgical interventions impacts patient outcomes.
- Established principles of good care are essential for managing these uncommon pediatric conditions.
Conclusions:
- Pediatricians must be knowledgeable about structural airway and lung disorders.
- Applying principles of accurate diagnosis, severity assessment, and appropriate treatment is key to achieving good outcomes in pediatric patients with these conditions.
Abstract:
Structural upper and lower airway disorders and parenchymal disorders are uncommon in pediatric practice, but many pediatricians will encounter them and be responsible for the ongoing care of these patients. Pediatricians need to be cognizant of these diagnoses because, even though management of these disorders generally lacks an evidence base, existing principles of good care surrounding accurate diagnosis, classifications of severity, judicious use of investigations, medication, and surgical approaches are essential to good outcomes.
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