Diagnostic Utility of Bedside Lung Ultrasonography in Neonates with Respiratory Distress

Background: Lung Ultrasound (LUS) has recently become an important method for diagnostic examination and monitoring of lung disease. Many diseases, such as respiratory distress syndrome (RDS), transient tachypnea the newborn (TTNB), pneumonia were diagnosed by chest X-ray, but can now easily be with LUS. LUS many advantages over X-ray including accuracy, reliability, low cost, radiation free, simple investigation, do multiple times, results are obtained immediately.
 Objective: The aim this study was to evaluate role in neonates (RD) within 4 hours life calculate sensitivity, specificity, negative positive predictive value RDS TTNB, using external reader blinded clinical condition.
 Design Methods: Neonates born at a gestation from 28 weeks 40 hospital developing RD on first enrolled. diagnosis based clinico-radiological features ascertained treating neonatologist considered gold standard. Just before LUS, objectively scored Modified Silverman Andersen score. performed bed side life. Images captured stored interpreted Radiologist who neonate’s condition. according observational index included pleural A lines, B Air bronchogram consolidation. Based findings, differentiation between RDS, MAS Pneumonia made.
 Results: 100 studied. 22 infants had final 64 TTNB. showed Sn 100% Sp 89.7%, PPV 73.3% NPV % 82.8% 76.6% TTNB.
 Conclusion: is reliable diagnose TTNB newborns high sn sp.