Abstract
Introduction: Chest X-ray (CXR) is the most prevalent method for evaluating lung expansion in high-frequency oscillatory ventilation (HFOV). The purpose of this study was to compare the accuracy of chest radiography with point-of-care ultrasound (POCUS) in determining lung expansion. Methods: This prospective study included newborns who required HFOV and were monitored in a neonatal intensive care unit. A single neonatologist assessed lung expansion with CXR and POCUS to measure the costal level of the right hemidiaphragm and compared the results. Results: A neonatologist performed 55 measurements in 28 newborns with a gestational age of 32 (23.2–39.4) weeks, followed by HFOV. The rib counts obtained from anterior chest ultrasonography and posterior CXR showed a statistically high concordance (r = 0.913, p < 0.001). Conclusion: Lung ultrasonography is a reliable method for the evaluation of lung expansion based on rib count in patients with HFOV.
Journal Section:
Original Paper
References
1.
Meyers
M
, Rodrigues
N
, Ari
A
. High-frequency oscillatory ventilation: a narrative review
. Can J Respir Ther
. 2019
;55
:40
–6
.2.
Van Kaam
AH
. Bedside parameters to optimize lung volume during high-frequency oscillatory ventilation
. Crit Care Med
. 2013
;41
(1
):365
–6
.3.
De Jaegere
A
, van Veenendaal
MB
, Michiels
A
, van Kaam
AH
. Lung recruitment using oxygenation during open lung high-frequency ventilation in preterm infants
. Am J Respir Crit Care Med
. 2006
;174
(6
):639
–45
.4.
Miedema
M
, de Jongh
FH
, Frerichs
I
, van Veenendaal
MB
, van Kaam
AH
. Changes in lung volume and ventilation during lung recruitment in high-frequency ventilated preterm infants with respiratory distress syndrome
. J Pediatr
. 2011
;159
(2
):199
205.e2
.5.
Dimitriou
G
, Greenough
A
. Measurement of lung volume and optimal oxygenation during high frequency oscillation
. Arch Dis Child
. 1995
;72
:180
–3
.6.
Fumey
MH
, Nickerson
BG
, Birch
M
, McCrea
R
, Kao
LC
. A radiographic method for estimating lung volumes in sick infants
. Pediatr Pulmonol
. 1992
;13
(1
):42
–7
.7.
Kumar
P
, Leonidas
JC
, Ashtari
M
, Napolitano
B
, Steele
AM
. Comparison of lung area by chest radiograph, with estimation of lung volume by helium dilution during prone and supine positioning in mechanically ventilated preterm infants: a pilot study
. Pediatr Pulmonol
. 2005
;40
(3
):219
–22
.8.
Venkataraman
ST
, Kuch
BA
, Sarnaik
AP
. Ventilators and modes
. In: Sarnaik
AP
, Venkataraman
ST
, Kuch
BA
, editors. Mechanical ventilation in neonates and children: a pathophysiology-based management approach
. 2022
Switzerland AG
Springer Nature
. p. 75
104
.9.
Pryor
EJ
, Blank
DA
, Hooper
SB
, Crossley
KJ
, Badurdeen
S
, Pollock
JA
. Quantifying lung aeration in neonatal lambs at birth using lung ultrasound
. Front Pediatr
. 2022
;10
:990923
.10.
Easley
RB
, Lancaster
CT
, Fuld
MK
, Custer
JW
, Hager
DN
, Kaczka
DW
. Total and regional lung volume changes during high-frequency oscillatory ventilation (HFOV) of the normal lung
. Respir Physiol Neurobiol
. 2009
;165
(1
):54
–60
.11.
Keszler
M
, Durand
DJ
. Neonatal high-frequency ventilation. Past, present and future
. Clin Perinatol
. 2001
;28
(3
):579
–607
.12.
Tingay
DG
, Mills
JF
, Morley
CJ
, Pellicano
A
, Dargaville
PA
. The deflation limb of the pressure-volume relationship in infants during high-frequency ventilation
. Am J Respir Crit Care Med
. 2006
;173
(4
):414
–20
.13.
Yoder
SB
. Mechanical ventilation: disease-specific strategies
. In: Goldsmith
JP
, Karotkin
EH
, Keszler
M
, Suresh
GK
, editors. Assisted ventilation of the neonate
Philadelphia
Elseiver
2017
. p. 229
42
.14.
Cattarossi
L
, Copetti
R
, Poskurica
B
. Radiation exposure early in life can be reduced by lung ultrasound
. Chest
. 2011
;139
(3
):730
–1
.15.
Corsini
I
, Parri
N
, Ficial
B
, Dani
C
. Lung ultrasound in the neonatal intensive care unit: review of the literature and future perspectives
. Pediatr Pulmonol
. 2020
;55
(7
):1550
–62
.16.
Chiumello
D
, Mongodi
S
, Algieri
I
, Vergani
GL
, Orlando
A
, Via
G
. Assessment of lung aeration and recruitment by CT scan and ultrasound in acute respiratory distress syndrome patients
. Crit Care Med
. 2018
;46
(11
):1761
–8
.17.
Gattinoni
L
, Pesenti
A
, Avalli
L
, Rossi
F
, Bombino
M
. Pressure-volume curve of total respiratory system in acute respiratory failure. computed tomographic scan study
. Am Rev Respir Dis
. 1987
;136
(3
):730
–6
.18.
Biasucci
DG
, Loi
B
, Centorrino
R
, Raschetti
R
, Piastra
M
, Pisapia
L
. Ultrasound-assessed lung aeration correlates with respiratory system compliance in adults and neonates with acute hypoxemic restrictive respiratory failure: an observational prospective study
. Respir Res
. 2022
;23
(1
):360
.19.
Liu
J
, Copetti
R
, Sorantin
E
, Lovrenski
J
, Rodriguez-Fanjul
J
, Kurepa
D
. Protocol and guidelines for point-of-care lung ultrasound in diagnosing neonatal pulmonary diseases based on international expert consensus
. J Vis Exp
. 2019
145
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