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Life
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Applications of Ultrasound in Neonatal Intensive Care Unit
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Applications of Ultrasound in Neonatal Intensive Care Unit

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Radiobiology and Nuclear Medicine".

Deadline for manuscript submissions: closed (29 April 2024) | Viewed by 1512

Special Issue Editors

Dr. Vito D’Andrea

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Guest Editor
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
Interests: neonatal functional echocardiography; ultrasound-guided central venous catheter placement
Dr. Alessandro Perri

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Guest Editor
Department of Life Sciences and Public Health, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, 00168 Rome, Italy
Interests: lung ultrasonography; echoencephalography
Special Issues, Collections and Topics in MDPI journals
Dr. Giorgia Prontera

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Guest Editor
Department of Woman and Child Health and Public Health, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
Interests: neonatal functional echocardiography; ultrasound-guided central venous; catheter placement

Special Issue Information

Dear Colleagues, 

In recent years, the use of ultrasound techniques in neonatal intensive care has become widespread. In particular, ultrasound now constitutes an important support for the neonatologist in the diagnosis and management of the pathological patient. This is true in several areas: in respiratory pathology with chest and diaphragmatic function ultrasonography; in the hemodynamic management of the critic neonate with echocardiography; and in neurological risk assessment with echoencephalography. Additionally, ultrasound is used in precision medicine, with the described spread of ultrasound-guided procedures (thoracentesis, pericardiocentesis, paracentesis, rachicentesis, ultrasound-guided central venous catheter placement, endotracheal tube position control, and nasogastric tube).

The trend toward developing personalized and precision medicine makes the use of ultrasound techniques into a very interesting research topic. With this in mind, we believe that a Special Issue aimed at collecting the latest news in this regard would be very interesting for neonatologists.

Dr. Vito D’Andrea
Dr. Alessandro Perri
Dr. Giorgia Prontera
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Life is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Published Papers (2 papers)

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16 pages, 2209 KiB  
Article
Delivery Room Lung Ultrasound—Feasibility, Normal Patterns, and Predictive Value for Respiratory Support in Term and Near-Term Neonates: A Monocentric Study
by Adrian Ioan Toma, Vlad Dima, Alina Fieraru, Alexandra Arghirescu, Larisa Nicoleta Andrășoaie, Răzvan Chirap, Anelise Alina Coandă, Teodora Bujdei, Andreea Nicoleta Marinescu and Al Jashi Isam
Life 2024, 14(6), 732; https://doi.org/10.3390/life14060732 - 6 Jun 2024
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Abstract
Aim: our study aimed to characterize the lung ultrasound (LUS) patterns noted immediately after delivery in term and near-term neonates, and to investigate whether the LUS scores or patterns observed at that point could anticipate the need for respiratory support in the sample [...] Read more.
Aim: our study aimed to characterize the lung ultrasound (LUS) patterns noted immediately after delivery in term and near-term neonates, and to investigate whether the LUS scores or patterns observed at that point could anticipate the need for respiratory support in the sample of patients studied. Materials and methods: We performed two ultrasound examinations: one in the delivery room and the second at one hour of age. The anterior and lateral regions of both lungs were examined. We assessed the correlation between the LUS scores or patterns and the gestational age, umbilical arterial blood gases, the need for respiratory support (CPAP or mechanical ventilation), the presence of respiratory distress, and the need for the administration of oxygen. Results: LUS scores were significantly higher in the delivery room examination (8.05 ± 1.95) than at 1 h of age (6.4 ± 1.75) (p < 0.001). There were also statistically significant differences between the LUS patterns observed in different lung regions between the delivery room exam and the exam performed at 1 h of age (p values between 0.001 and 0.017). There were also differences noted regarding the LUS patterns between different lung regions at the exam in the delivery room (the right anterior region LUS patterns were significantly worse than the right lateral LUS patterns (p < 0.004), left anterior LUS patterns (p < 0.001), and left lateral LUS patterns (p < 0.001)). A statistically significant correlation was found between LUS scores and the gestational age of the patients (r = 0.568, p < 0.001—delivery room; r = 4.0443, p < 0.001—one hour of age). There were statistically significant associations between LUS scores, patterns at delivery (p < 0.001) and 1 h of age (p < 0.001), and the need for respiratory support (CPAP or mechanical ventilation). Conclusions: LUS in the delivery room offers important information regarding lung fluid elimination and aeration of the lungs, and early LUS features are significantly associated with the risk of respiratory distress and the need for respiratory support. Full article
(This article belongs to the Special Issue Applications of Ultrasound in Neonatal Intensive Care Unit)
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23 pages, 1216 KiB  
Systematic Review
Applications of Point-of-Care-Ultrasound in Neonatology: A Systematic Review of the Literature
by Florian Recker, Florian Kipfmueller, Agnes Wittek, Brigitte Strizek and Lone Winter
Life 2024, 14(6), 658; https://doi.org/10.3390/life14060658 - 22 May 2024
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Abstract
Point-of-care ultrasound (POCUS) integration into neonatology offers transformative potential for diagnostics and treatment, enhancing immediacy and precision of clinical decision-making in this vulnerable patient population. This systematic review aims to synthesize evidence on POCUS applications, benefits, challenges, and educational strategies in neonatology. Literature [...] Read more.
Point-of-care ultrasound (POCUS) integration into neonatology offers transformative potential for diagnostics and treatment, enhancing immediacy and precision of clinical decision-making in this vulnerable patient population. This systematic review aims to synthesize evidence on POCUS applications, benefits, challenges, and educational strategies in neonatology. Literature search was conducted using SPIDER scheme keywords and MeSH terms related to POCUS and neonatology. Studies focusing on POCUS applications, its impact on clinical outcomes, and educational interventions for skill acquisition were included and analyzed using standardized tools, followed by a narrative synthesis of the findings. The search yielded 68 relevant publications, encompassing original research, reviews, and guidelines. POCUS applications varied across cardiovascular, pulmonary, neurological, and abdominal assessments. Key benefits included a reduced need for invasive procedures and rapid bedside diagnosis. Challenges included steep learning curves for clinicians and the need for standardized training and guidelines. Educational strategies highlighted the effectiveness of simulation-based training in enhancing ultrasound proficiency among neonatal care providers. POCUS represents a significant advancement in neonatal medicine, offering benefits for patient care. Addressing identified challenges through comprehensive training programs and developing standardized guidelines is crucial for optimized use. Future research should focus on evaluating educational outcomes and long-term impacts of POCUS integration into neonatal care. Full article
(This article belongs to the Special Issue Applications of Ultrasound in Neonatal Intensive Care Unit)
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