Utilidad de la ecografía pulmonar en el recién nacido prematuro con dificultad respiratoria

Résumé

Point of care ultrasonography has been used for the last three decades integrated in the study of the critically ill adult patient. It is defined as the use of ultrasonography bedside by the clinician who incorporates its information to the physical exam and the medical history helping to patient management. In particular, lung ultrasound (LU) has demonstrated it usefulness in adult patients with respiratory distress related to different cardiac, lung or traumatic diseases. Despite its multiple strengths (no ionizing radiation, cheap, repeatable, performed quickly at bedside) and the rapidly growing literature supporting its usefulness in neonatal patients, it is still not a standard of care in many neonatal units and few neonatologists are trained in its use. Objectives: The aim of the study was to analize the predictive power of neonatologist´performed LU regarding the need of surfactant administration and/or invasive mechanical ventilation in a group of preterm infants less than 35 weeks gestational age (GA) on non invasive respiratory support because of respiratory distress after delivery...