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Updated: May 13, 2026

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

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 lung malformations: an ongoing controversy.

R T Peters¹, D M Burge, S S Marven

¹Central Manchester University Hospitals NHS Foundation Trust, UK. rtp199@doctors.org.uk

Annals of the Royal College of Surgeons of England

|March 15, 2013

Summary

Management of congenital lung malformations varies significantly among UK and Ireland surgeons, especially for asymptomatic cases. Further research is needed to establish optimal treatment guidelines for these rare conditions.

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Area of Science:

Pediatric Surgery
Thoracic Surgery
Congenital Abnormalities

Background:

Congenital lung malformations are rare and often diagnosed before birth.
The management of these lesions, particularly asymptomatic ones, is not standardized.
Current surgical practices in the UK and Ireland require investigation.

Purpose of the Study:

To survey current surgical practices regarding congenital lung malformations in the UK and Ireland.
To identify variations in the management of symptomatic and asymptomatic lesions.
To understand operative techniques employed for these conditions.

Main Methods:

A survey was distributed to consultant members of the British Association of Paediatric Surgeons.
The survey focused on antenatal management, treatment of symptomatic/asymptomatic lesions, and surgical approaches.
Data were collected from 20 pediatric surgical centers.

Main Results:

Significant variability exists in managing congenital lung malformations, particularly asymptomatic ones.
Twenty percent of surgeons never resect asymptomatic lesions, while 24% always do.
Lesion size is the most common indication for selective intervention; thoracotomy is prevalent, but thoracoscopy is used by 35% of surgeons.

Conclusions:

There is considerable variation in the surgical management of congenital lung malformations.
National data are essential to understand the natural history of these malformations.
Evidence-based guidelines are needed to inform future management strategies.