<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_JoU.2022.0001_s_006"><h3>Aim</h3><p>To evaluate the accuracy of lung ultrasound in diagnosing and differentiating transient tachypnea of the newborn and respiratory distress syndrome in preterm neonates.</p></sec><sec id="j_JoU.2022.0001_s_007"><h3>Material and methods</h3><p>This was a single-center study. From January 2020 to June 2021. A total of 100 preterm neonates, admitted to the neonatal intensive care unit with symptoms of respiratory distress within six hours of birth, including 50 diagnosed with transient tachypnea of the newborn and 50 with respiratory distress syndrome on the basis of clinical examination, laboratory testing, chest X-rays, were recruited in the study. Lung ultrasound was performed in each neonate by a senior radiologist who was blinded to the clinical diagnosis. Lung ultrasound findings in both conditions were analyzed and compared.</p></sec><sec id="j_JoU.2022.0001_s_008"><h3>Results</h3><p>Pulmonary edema manifesting as alveolar-interstitial syndrome, double lung point sign and less commonly as white out lungs in the absence of consolidation has 100% sensitivity and specificity in diagnosing transient tachypnea of the newborn. A combination of three signs of consolidation with air or fluid bronchograms, white out lungs and absent spared areas has 100% sensitivity and specificity for diagnosing respiratory distress syndrome. Double lung point sign was seen only in infants suffering from transient tachypnea of the newborn and consolidation with air or fluid bronchograms only in cases of respiratory distress syndrome.</p></sec><sec id="j_JoU.2022.0001_s_009"><h3>Conclusion</h3><p>Lung ultrasound can accurately diagnose and reliably differentiate transient tachypnea of the newborn and respiratory distress syndrome in preterm neonates. It has advantages that cannot be replicated by chest radiography. Lung ultrasound may be used as an initial screening tool.</p></sec></abstract>

AimTo evaluate the accuracy of lung ultrasound in diagnosing and differentiating transient tachypnea of the newborn and respiratory distress syndrome in preterm neonates.Material and methodsThis was a single-center study. From January 2020 to June 2021. A total of 100 preterm neonates, admitted to the neonatal intensive care unit with symptoms of respiratory distress within six hours of birth, including 50 diagnosed with transient tachypnea of the newborn and 50 with respiratory distress syndrome on the basis of clinical examination, laboratory testing, chest X-rays, were recruited in the study. Lung ultrasound was performed in each neonate by a senior radiologist who was blinded to the clinical diagnosis. Lung ultrasound findings in both conditions were analyzed and compared.ResultsPulmonary edema manifesting as alveolar-interstitial syndrome, double lung point sign and less commonly as white out lungs in the absence of consolidation has 100% sensitivity and specificity in diagnosing transient tachypnea of the newborn. A combination of three signs of consolidation with air or fluid bronchograms, white out lungs and absent spared areas has 100% sensitivity and specificity for diagnosing respiratory distress syndrome. Double lung point sign was seen only in infants suffering from transient tachypnea of the newborn and consolidation with air or fluid bronchograms only in cases of respiratory distress syndrome.ConclusionLung ultrasound can accurately diagnose and reliably differentiate transient tachypnea of the newborn and respiratory distress syndrome in preterm neonates. It has advantages that cannot be replicated by chest radiography. Lung ultrasound may be used as an initial screening tool.

Role of lung ultrasound in diagnosing and differentiating transient tachypnea of the newborn and respiratory distress syndrome in preterm neonates

Journal of Ultrasonography

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

AimTo evaluate the accuracy of lung ultrasound in diagnosing and differentiating transient tachypnea of the newborn and respiratory distress syndrome in...

Role of lung ultrasound in diagnosing and differentiating transient tachypnea of the newborn and respiratory distress syndrome in preterm neonates

Article Category: Research paper

Published Online: Feb 08, 2022

Page range: 1 - 5

Received: Nov 20, 2021

Accepted: Dec 16, 2021

DOI: https://doi.org/10.15557/JoU.2022.0001

Keywords
respiratory distress syndrome (RDS), transient tachypnea of the newborn (TTN), lung ultrasonography (LUS), neonatal intensive care unit (NICU)

© 2022 Srinivasan S, Neeti Aggarwal, Sushma Makhaik, Anupam Jhobta, Sumala Kapila, Rohit Bhoil, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Role of lung ultrasound in diagnosing and differentiating transient tachypnea of the newborn and respiratory distress syndrome in preterm neonates

Article Category: Research paper

Published Online: Feb 08, 2022

Page range: 1 - 5

Received: Nov 20, 2021

Accepted: Dec 16, 2021

DOI: https://doi.org/10.15557/JoU.2022.0001

Keywordsrespiratory distress syndrome (RDS), transient tachypnea of the newborn (TTN), lung ultrasonography (LUS), neonatal intensive care unit (NICU)

© 2022 Srinivasan S, Neeti Aggarwal, Sushma Makhaik, Anupam Jhobta, Sumala Kapila, Rohit Bhoil, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
respiratory distress syndrome (RDS), transient tachypnea of the newborn (TTN), lung ultrasonography (LUS), neonatal intensive care unit (NICU)