• An Pediatr (Barc) · May 2016

    [Lung ultrasound as a tool to guide the administration of surfactant in premature neonates].

    • J Rodríguez-Fanjul, C Balcells Esponera, J Moreno Hernando, and G Sarquella-Brugada.
    • Servicio de Neonatología, ICGON, BCNatal, Hospital Clínic-Sant Joan de Déu, Universitat de Barcelona, Esplugues de Llobregat, España. Electronic address: jrodriguezf@hsjdbcn.org.
    • An Pediatr (Barc). 2016 May 1; 84 (5): 249-53.

    ObjectivesThe aim of this study is to assess the usefulness of lung ultrasound (LUS) to estimate the endotracheal tube (ETT) depth position during the Intubation-Surfactant-Extubation (INSURE) procedure.Material And MethodsThe ETT insertion depth was estimated using the weight (insertion depth (cm)=weight (kg)+5.5). After intubation two independent neonatologists using bilateral auscultation or LUS checked the ETT depth.ResultsTwelve newborns with respiratory distress syndrome were included. In two cases LUS helped to correctly replace the ETT. All the patients progressed well, with normal x-ray and LUS before discharge.ConclusionsLUS appears to be a safe and non-invasive technique and is useful in clinical situations were x-ray is not routinely performed, as it is fast and radiation free.Copyright © 2015 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

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