Related Experiment Video
Updated: May 22, 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
Lung Ultrasound as a Tool for Analysis of Ventilation in Children With Respiratory Failure
Ana Caroline Dos Santos Calandrini1, Emmerson Carlos Franco De Farias2, Mary Lucy Ferraz Maia2
1Universidade Do Estado Do Pará-UEPA, Belém, Brazil.
Insights
Bedside lung ultrasound effectively monitors children on invasive mechanical ventilation (MV). Findings like reduced pleural sliding and bat signs correlate with MV duration, aiding critical care management.
Area of Science:
- Pediatric Critical Care Medicine
- Diagnostic Imaging
- Pulmonology
Background:
- Respiratory failure in children necessitates invasive mechanical ventilation (MV).
- Monitoring ventilated pediatric patients requires accurate and accessible tools.
- Lung ultrasound (LUS) offers a non-invasive imaging modality for respiratory assessment.
Purpose of the Study:
- To characterize lung ultrasound findings in pediatric patients experiencing respiratory failure.
- To evaluate the utility of LUS in managing children on invasive mechanical ventilation (MV).
Main Methods:
- A longitudinal, observational, quantitative study in a pediatric intensive care unit.
- Inclusion of children aged 6 months to 7 years with respiratory distress syndrome on invasive MV.
- Application of the BLUE protocol for lung ultrasound during hospitalization and weaning.
Main Results:
- Seventeen patients with reduced A lines were analyzed.
- Worsening B lines indicated potential pulmonary complications.
- Statistically significant decreases were observed in pleural sliding (p=0.04) and bat sign (p=0.002) with MV duration.
- Negative correlation between MV time and bat sign was significant.
Conclusions:
- Bedside lung ultrasound is a valuable tool for monitoring children on invasive MV.
- LUS facilitates follow-up of critical pediatric patients.
- This imaging technique aids in the management of respiratory failure in ventilated children.
Objective:
To describe lung ultrasound findings in children with respiratory failure on invasive mechanical ventilation (MV).
Method:
This is a longitudinal, observational, quantitative study conducted in the pediatric intensive care unit. Children with respiratory distress syndrome, aged between 6 months and 7 years, on invasive MV were included in the study. Lung ultrasound was performed using the BLUE protocol in the first 48 h of hospitalization and during ventilatory weaning.
Results:
Seventeen patients who presented a significant reduction in A lines were included in the study. B lines showed worsening, indicating possible pulmonary complications. The decrease in pleural sliding from 14 to 3 (p = 0.04) and in the bat sign from 10 to 5 (p = 0.002) was statistically significant. The stratospheric sign showed a favorable trend (reduction from 3 to 0), but the p value of 0.08 was not significant. There was a moderate negative correlation between MV time and A lines, while a moderate positive correlation was observed between MV time and A lines. Furthermore, a moderate negative correlation between MV time and bat sign was also significant.
Conclusion:
It is indicated that bedside lung ultrasound is a valuable tool for monitoring and management of children on invasive MV, allowing the follow-up of critical pediatric patients during the hospitalization period.
More Related Videos
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
Related Concept Videos
01:20Assessment of Ventilation I: Respiratory Rate
A Ventilation assessment is critical for monitoring a patient's health status. Respiration, one of the most accessible vital signs, provides insights into the function of numerous body systems and can indicate serious health issues, such as brainstem injuries from head trauma.
Critical Guidelines for Assessing Ventilation:
01:15Respiratory Volumes
Tidal Volume (TV) Tidal volume (TV) is the air inhaled or exhaled in a...
01:23Assessment 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...