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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
A radiologic update on medical diseases of the newborn chest
1Children's Hospital, Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
Insights
This review covers neonatal chest diseases and their radiographic changes. New therapies like artificial surfactant and advanced ventilation techniques are impacting outcomes for premature infants.
Area of Science:
- Neonatal Medicine
- Pediatric Radiology
- Pulmonology
Background:
- Neonatal chest diseases present unique diagnostic challenges.
- Advances in neonatal care have altered disease presentation and radiographic findings.
- Understanding these changes is crucial for accurate diagnosis and management.
Purpose of the Study:
- To review common neonatal chest diseases.
- To highlight radiographic changes associated with new therapeutic interventions.
- To discuss the impact of modern neonatal care on chest imaging.
Main Methods:
- Review of current medical literature on neonatal chest diseases.
- Analysis of radiographic findings in neonates undergoing novel treatments.
- Discussion of specific conditions including hyaline membrane disease, meconium aspiration, and congenital anomalies.
Main Results:
- Artificial surfactant use has changed hyaline membrane disease imaging.
- Improved survival of extremely premature infants (less than 650 g) presents new radiographic patterns.
- Extracorporeal membrane oxygenation and high-frequency ventilation alter chest radiographs.
Conclusions:
- Radiographic interpretation in neonates requires awareness of evolving therapeutic impacts.
- Newborn chest imaging is dynamic, influenced by technological advancements.
- This review provides a guide to contemporary neonatal chest radiology.
Abstract:
This paper reviews the common spectrum of medical diseases of the neonatal chest. Emphasis is on radiographic changes that have been produced by the introduction of new therapeutic maneuvers, particularly the use of artificial surfactant in treating hyaline membrane disease and the survival of profoundly premature newborns (less than 650 g). A discussion of meconium aspiration syndrome, neonatal pneumonia, transient tachypnea of the newborn, congenital lymphangiectasia, and congenital heart disease is also included. The effects on the neonatal chest radiograph of extracorporeal membrane oxygenation and high-frequency ventilation are also mentioned.
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