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Lovrenski, J; Sorantin, E; Stojanović, S; Doronjski, A; Lovrenski, A.
Evaluation of Surfactant Replacement Therapy Effects--A New Potential Role of Lung Ultrasound.
Srp Arh Celok Lek. 2016; 143(11-12): 669-675.
Doi: 10.2298/SARH1512669L
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- Co-Autor*innen der Med Uni Graz
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Sorantin Erich
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- Abstract:
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Previous studies suggested that effects of the surfactant administration in preterm intants with respiratory distress syndrome cannot be followed by lung ultrasound (L-US).
The aim of the paper is to evaluate the surfactant replacement therapy effects using a new, proposed grading system for L-US findings.
We report the series of 12 preterm infants with clinical and radiographic signs of respiratory distress syndrome, in whom L-US examinations were performed prior to, and within the first 24 hours after surfactant administration. To evaluate the surfactant replacement therapy effects, we proposed a new grading system (1 to 6) for L-US findings at each examined lung area, based on the presence of normal finding, the amount of B-lines and subpleural consolidations.
All preterm infants had an improvement of L-US findings from one to four grades observed within the first 24 hours after surfactant administration, which has not been previously reported. The improvement of L-US findings was most commonly observed in anterior lung areas.
L-US might enable an early detection of the surfactant replacement therapy effects. Further prospective studies are necessary to define the role of L-US in this field.
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Female -
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Humans -
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Infant, Newborn -
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Infant, Premature -
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Male -
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Prospective Studies -
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Pulmonary Surfactants - therapeutic use
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Respiratory Distress Syndrome, Newborn - diagnostic imaging
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Respiratory Distress Syndrome, Newborn - therapy
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Treatment Outcome -
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Ultrasonography -
- Find related publications in this database (Keywords)
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respiratory distress syndrome
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premature
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ultrasound
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lung
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surfactant