Related Experiment Video
Updated: Aug 6, 2026
Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Advancing neonatal care through standardized lung ultrasound implementation
Svetlana Dauengauer-Kirliene1, Grazvydas Jakumas2, Luis Leon Gunter2
1Faculty of Medicine, Clinic of children's diseases, Institute of Clinical Medicine, Vilnius University, Vilnius, Lithuania. svetlana.dauengauer-kirliene@mf.vu.lt.
Aim:
To evaluate the impact of standardized lung ultrasound (LUS) implementation in neonatal intensive care.
Methods:
A retrospective cohort study of 172 neonates born at 23-32 weeks of gestation between 2021 and 2024. Two epochs were compared: before and after LUS implementation. Primary outcomes included X-ray exposure, respiratory support, and surfactant use; secondary outcomes included intraventricular hemorrhage, bronchopulmonary dysplasia, retinopathy of prematurity and sepsis.
Results:
LUS implementation reduced chest radiography by 52% and multiple exposures by 17% (p-value < 0.001). The need for mechanical ventilation rates decreased by 25% (p-value < 0.001), with no change in non-invasive support or surfactant use. LUS score independently predicted early surfactant administration (AUC 0.84, 95% CI 0.73-0.95), increasing odds by 40% per point. No increase in adverse outcomes was observed.
Conclusions:
Standardized LUS significantly reduced chest radiography exposure and the need for mechanical ventilation, and facilitated early surfactant therapy.
More Related Videos
05:50International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
Published on: March 12, 2020
11:27A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
Published on: April 7, 2023
