Related Experiment Video
Updated: Oct 16, 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
Usefulness of Lung Ultrasound in Paediatric Respiratory Diseases
Francesco Sansone1, Marina Attanasi1, Paola Di Filippo1
1Paediatric Allergy and Pulmonology Unit, Department of Paediatrics, University of Chieti-Pescara, 66100 Chieti, Italy.
Insights
Lung ultrasound (LUS) offers a rapid, non-radiating diagnostic tool for pediatric respiratory infections, including pneumonia and COVID-19. This method aids in quick clinical decisions and patient management without harmful radiation exposure.
Area of Science:
- Pediatric Pulmonology
- Medical Imaging
- Point-of-Care Diagnostics
Background:
- Respiratory infections are leading causes of child morbidity and mortality.
- Current diagnostic methods rely on non-specific clinical signs.
- There is a need for non-radiating diagnostic tools for pediatric respiratory diseases.
Purpose of the Study:
- To review the current literature on lung ultrasound (LUS) for pediatric respiratory infections.
- To highlight the advantages and limitations of LUS in children.
- To discuss LUS applications in pediatric respiratory disease, including COVID-19.
Main Methods:
- Narrative review of recent scientific literature.
- Focus on LUS performance, advantages, and limitations in pediatric patients.
- Discussion of specific pediatric indications and COVID-19 applications.
Main Results:
- Lung ultrasound (LUS) is a valuable, non-ionizing radiation imaging technique for pediatric respiratory assessment.
- LUS provides rapid (5-10 min) diagnostic information, aiding timely clinical decisions.
- LUS has shown utility in diagnosing pneumonia, particularly during the COVID-19 pandemic.
Conclusions:
- Lung ultrasound is a safe and effective tool for diagnosing pediatric respiratory conditions.
- LUS offers advantages over traditional imaging like chest X-ray and CT scans.
- Future perspectives for LUS in pediatric respiratory disease management are promising.
Abstract:
Respiratory infection diseases are among the major causes of morbidity and mortality in children. Diagnosis is focused on clinical presentation, yet signs and symptoms are not specific and there is a need for new non-radiating diagnostic tools. Among these, lung ultrasound (LUS) has recently been included in point-of-care protocols showing interesting results. In comparison to other imaging techniques, such as chest X-ray and computed tomography, ultrasonography does not use ionizing radiations. Therefore, it is particularly suitable for clinical follow-up of paediatric patients. LUS requires only 5-10 min and allows physicians to make quick decisions about the patient's management. Nowadays, LUS has become an early diagnostic tool to detect pneumonia during the COVID-19 pandemic. In this narrative review, we show the most recent scientific literature about advantages and limits of LUS performance in children. Furthermore, we discuss the major paediatric indications separately, with a paragraph fully dedicated to COVID-19. Finally, we mention potential future perspectives about LUS application in paediatric respiratory diseases.
Related Concept Videos
Respiratory System Abnormal Finding I: Inspection and Percussion
Inspection Findings
During an inspection, several findings may suggest the presence of respiratory distress or disease. Pursed-lip breathing, where exhalation is slowed by...
Assessment of Respiration
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Respiratory System Abnormal Finding II: Palpation and Auscultation
Palpation Findings
During a respiratory assessment, palpation can reveal several vital abnormalities:
Ultrasound II: Endoscopic Ultrasound and FibroScan
Endoscopic Ultrasound (EUS):
Physical Assessment of the Respiratory Tract IV: Auscultation
Breath Sounds
Breath sounds are categorized into vesicular, bronchovesicular, and bronchial.
Ultrasonography
During an ultrasonography procedure, a handheld device called...

