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Updated: Nov 14, 2025

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 Respiratory Distress
Laurie Hogden1,2, Kayla Munger3,4, Susan Duffek5,6
1Division of Neonatology, University of South Dakota Sanford School of Medicine, Sioux Falls, South Dakota.
Insights
Respiratory distress in newborns is common. This review guides diagnosis and management of pulmonary causes in late preterm to late term infants, aiding clinical decisions.
Area of Science:
- Neonatal Medicine
- Pulmonology
- Pediatrics
Background:
- Respiratory distress is a frequent challenge in newborn infants.
- Accurate diagnosis and timely management are crucial for optimal outcomes.
- Pulmonary etiologies are a significant contributor to neonatal respiratory distress.
Observation:
- This review focuses on infants from late preterm (34-366/7 weeks) to late term (41-416/7 weeks) gestation.
- It addresses the diagnostic and management strategies for pulmonary causes of respiratory distress.
- The review differentiates between infants requiring higher care and those manageable at the delivery hospital.
Findings:
- Pulmonary issues are a primary cause of respiratory distress in late preterm to late term newborns.
- Effective diagnostic approaches are essential for identifying specific etiologies.
- Appropriate management strategies can be tailored based on the infant's condition and gestational age.
Implications:
- Provides clinicians with a framework for diagnosing and managing pulmonary respiratory distress in a specific neonatal population.
- Aids in decision-making regarding the level of care required for affected infants.
- Contributes to improved care and outcomes for newborns experiencing respiratory challenges.
Abstract:
Respiratory distress is a commonly encountered problem in newborn infants. Recognizing an infant with respiratory distress is not difficult, but determining the etiology and initiating proper management can be challenging. This review will focus on pulmonary causes of respiratory distress in the late preterm (34-366/7 weeks gestation) through late term (41-416/7 weeks gestation) infant with guidance for diagnosis and proper management of these infants. Many newborns with respiratory distress will require transfer to a higher level of care, but a select group may be safely managed at the delivery hospital.
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