Role of Lung Ultrasonography to Evaluate Surfactant Need in Preterm Neonates in Suez Canal District | ||
| Medicine Updates | ||
| Article 7, Volume 13, Issue 13, April 2023, Pages 72-84 PDF (938.43 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/muj.2023.201766.1134 | ||
| Authors | ||
| Mohamed Ahmed Abdelrahman* 1; Sonia Gamal Elsharkawy2; Gamal Taha Soliman2; Ashraf Mohamed Abdelrahman3 | ||
| 1Assistant lecturer, Pediatrics and neonatology, faculty of medicine, port said university, Egypt | ||
| 2Professor, Department of pediatrics and neonatology, Faculty of Medicine port said University; port said, Egypt | ||
| 3Assistant consultant, Department of diagnostic radiology, Mansoura University children hospital; Mansoura, Egypt. | ||
| Abstract | ||
| Abstract: Background Respiratory distress syndrome (RDS) continues to represent a crucial problem for preterm neonates despite the new advancement in its management. Currently, management of RDS is mainly through using early continuous positive airway pressure (CPAP) together with early selective administration of surfactant. Lung ultrasound (LUS), as a simple and non-invasive diagnostic technique, can be used as a reliable diagnostic tool for diagnosis of neonatal respiratory distress syndrome with good sensitivity and specificity. Aim Assess the applicability of lung ultrasonography for early prediction of the surfactant need in preterm neonates ≤ 34 weeks. patients /Methods We studied 60 neonates ≤ 34 weeks treated with early CPAP; LUS was done in the first 2 hours of life. 16 neonates received surfactant therapy according to European guidelines 2019 update. We assess the reliability of LUS score for prediction of surfactant treatment. Results The result of our study shows that in the group received surfactant the median LUS score was 10, While in the group that didn’t need surfactant therapy, the median LUS score was 4. About reliability of LUS score for prediction of surfactant treatment. Our results showed that LUS score at a cutoff value of ≥ 6 has a sensitivity of 93.8 % and a specificity of 84.1 %. while Chest X-ray score at a cut-off value of ≥ 5 has a sensitivity of 81.3 % and specificity of 77.3 %. Conclusion LUS score is a useful tool in early prediction of need for surfactant administration in preterm neonates on CPAP. | ||
| Keywords | ||
| Lung ultrasonography; respiratory distress syndrome; surfactant | ||
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