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Updated: Jan 29, 2026

Diaphragmatic Ultrasound in Adults: Image Acquisition and Interpretation
Published on: January 31, 2025
Diaphragmatic Ultrasound in Neonates with Transient Tachypnea: Comparison with Healthy Controls and Inter-Operator
Maria Letizia Patti1, Carmela Crapanzano1, Rosa Maria Cerbo1
1Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Diaphragmatic ultrasound revealed impaired function in newborns with transient tachypnea (TTN) compared to healthy infants. Diaphragmatic excursion was lower in TTN cases, suggesting pulmonary disease impacts diaphragm activity.
Area of Science:
- Neonatal Medicine
- Respiratory Physiology
- Diagnostic Imaging
Background:
- The role of diaphragmatic function in transient tachypnea of the newborn (TTN) is not well understood.
- Neonates with TTN often require non-invasive ventilation (NIV).
Purpose of the Study:
- To compare diaphragmatic ultrasound parameters between neonates with TTN requiring NIV and healthy neonates.
- To explore relationships between diaphragmatic parameters, gestational age (GA), and birth weight (BW).
- To assess inter-operator reproducibility of measurements.
Main Methods:
- Prospective observational pilot study including neonates with GA ≥ 34 weeks.
- Diaphragmatic and lung ultrasound performed on day 1 (T0) and day 2 (T1).
- Measurements: diaphragmatic thickness (DTi, DTe), diaphragmatic excursion (DE), Lung Ultrasound Score (LUS).
Main Results:
- Forty neonates enrolled (20 TTN, 20 controls).
- Diaphragmatic excursion (DE) was significantly lower in TTN neonates versus controls (p=0.03).
- DE increased in controls from T0 to T1, but not in TTN cases; DE negatively correlated with LUS (p=0.05).
Conclusions:
- Pulmonary disease in TTN may influence diaphragmatic function.
- Integrating lung and diaphragmatic ultrasound can aid in monitoring TTN progression and follow-up.
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Published on: March 6, 2019
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
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