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Use of neonatal lung ultrasound in European neonatal units: a survey by the European Society of Paediatric Research
A. Alonso-Ojembarrena, H. Ehrhardt, M. Cetinkaya, A. Lavizzari, T. Szczapa, V. Sartorius, G. Rocha, R. Sindelar, M. Wald, C. Heiring, H. Soukka, O. Danhaive, CC. Roehr, M. Cucerea, A. Calkovska, G. Dimitriou, B. Barzilay, C. Klingenberg, S....
Language English Country England, Great Britain
Document type Journal Article
NLK
ProQuest Central
from 1997-01-01 to 6 months ago
Health & Medicine (ProQuest)
from 1997-01-01 to 6 months ago
- MeSH
- Intensive Care Units, Neonatal * MeSH
- Practice Patterns, Physicians' statistics & numerical data MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Lung * diagnostic imaging MeSH
- Surveys and Questionnaires MeSH
- Respiratory Distress Syndrome, Newborn diagnostic imaging therapy MeSH
- Ultrasonography * methods MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Europe MeSH
OBJECTIVE: Regarding the use of lung ultrasound (LU) in neonatal intensive care units (NICUs) across Europe, to assess how widely it is used, for what indications and how its implementation might be improved. DESIGN AND INTERVENTION: International online survey. RESULTS: Replies were received from 560 NICUs in 24 countries between January and May 2023. LU uptake varied considerably (20%-98% of NICUs) between countries. In 428 units (76%), LU was used for clinical indications, while 34 units (6%) only used it for research purposes. One-third of units had <2 years of experience, and only 71 units (13%) had >5 years of experience. LU was mainly performed by neonatologists. LU was most frequently used to diagnose respiratory diseases (68%), to evaluate an infant experiencing acute clinical deterioration (53%) and to guide surfactant treatment (39%). The main pathologies diagnosed by LU were pleural effusion, pneumothorax, transient tachypnoea of the newborn and respiratory distress syndrome. The main barriers for implementation were lack of experience with technical aspects and/or image interpretation. Most units indicated that specific courses and an international guideline on neonatal LU could promote uptake of this technique. CONCLUSIONS: Although LU has been adopted in neonatal care in most European countries, the uptake is highly variable. The main indications are diagnosis of lung disease, evaluation of acute clinical deterioration and guidance of surfactant. Implementation may be improved by developing courses and publishing an international guideline.
Amsterdam Reproduction and Development Amsterdam The Netherlands
Department of Neonatology Centro Hospitalar Universitário de São João Porto Portugal
Department of Neonatology Copenhagen University Hospital Rigshospitalet Copenhagen Denmark
Department of Neonatology Emma Children's Hospital Amsterdam UMC Amsterdam The Netherlands
Department of Neonatology Lithuanian University of Health Sciences Kaunas Lithuania
Department of Neonatology University Children's Hospital Basel Switzerland
Department of Paediatrics and Adolescence Medicine University Hospital of North Norway Tromso Norway
Department of Paediatrics University of Patras Patras Greece
Department of Pediatrics University of California San Francisco San Francisco California USA
Department of Physiology Jessenius Faculty of Medicine Comenius University Bratislava Slovakia
Department of Women's and Children's Health Uppsala Universitet Uppsala Sweden
Division of Neonatology Saint Luc University Hospital UCLouvain Brussels Belgium
Divivion of Paediatric and Neonatal Critical Care Hôpital Antoine Béclère Clamart France
Health Sciences University Başaksehir Cam and Sakura City Hospital Istanbul Turkey
Neonatal Intensive Care Unit Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milan Italy
Neonatal Intensive Care Unit Hospital Universitario Puerta del Mar Cadiz Spain
Neonatal Unit National Maternity Hospital Dublin Ireland
Neonatology Division Mayanei Hayeshua Medical Center Bnei Brak Tel Aviv Israel
Newborn Services Southmead Hospital North Bristol Trust Bristol UK
References provided by Crossref.org
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