Lung ultrasound

Ultrason pulmonaire

Neonatal Lung US

Lung US JAN 2021.pdf

Presentation prepared by Dr Punnanee Wutthigate during her Neonatal Hemodynamics Clinical Research Fellowship at McGill University.

Lung US score

Scoring system from: "Brat, R., Yousef, N., Klifa, R., Reynaud, S., Aguilera, S. S., & De Luca, D. (2015). Lung ultrasonography score to evaluate oxygenation and surfactant need in neonates treated with continuous positive airway pressure. JAMA pediatrics, 169(8), e151797-e151797."

Scoring system from: "Brat, R., Yousef, N., Klifa, R., Reynaud, S., Aguilera, S. S., & De Luca, D. (2015). Lung ultrasonography score to evaluate oxygenation and surfactant need in neonates treated with continuous positive airway pressure. JAMA pediatrics, 169(8), e151797-e151797."

Score 0

Score 1

Score2

Score 3

Lung ultrasound demonstrating the lung-liver interface and diaphragm (liver on the right hand side of the image)

Another example of a Score 3 (consolidation)

Another example of a Score 3 (consolidation)

Pneumothorax

Lung ultrasound demonstrating a pneumothorax on the left side

Lung ultrasound demonstrating a pneumothorax on the left side

M-Mode applied on the LUS with pneumothorax on the left side demonstrating a barcode (stratosphere) sign

Lung ultrasound demonstrating severe B-lines (coalescent B-lines) without consolidation - Score 2.

M-Mode applied on the LUS on the contralateral (right) lung demonstrating absence of a pneumothorax. We can see the motion artefacts from the high frequency oscillation on the M-Mode. This image corresponds to the "sand on the beach" sign (absence of a pneumothorax)

Orientation of the linear probe on the chest of the newborn

Position of the linear probe or Butterfly-IQ+ probe for the lung ultrasound. Cursor of the probe towards the head of the baby (cranial orientation). RUL (Right upper lobe), LUL (left upper lobe), RLL (right lower lobe), LLL (left lower lobe), RLatL (right lateral lobe), LLatL (left lateral lobe).

Selection of video modules available on Youtube

Other resources

Other great resources regarding neonatal lung ultrasound can be found on this NICUPocus webpage.

Created by Gabriel Altit - Neonatologist / Créé par Gabriel Altit (néonatalogiste) - © NeoCardioLab - 2020-2021 - Contact us / Contactez-nous