Lung UltraSound Targeted Recruitment (LUSTR): A Novel Protocol to Optimize Open Lung Ventilation in Critically Ill Neonates.

intensive care mechanical ventilation neonatal point-of-care diagnostics respiratory distress syndrome respiratory insufficiency ventilator-induced lung injury

Journal

Children (Basel, Switzerland)
ISSN: 2227-9067
Titre abrégé: Children (Basel)
Pays: Switzerland
ID NLM: 101648936

Informations de publication

Date de publication:
12 Jul 2022
Historique:
received: 11 06 2022
revised: 06 07 2022
accepted: 09 07 2022
entrez: 27 7 2022
pubmed: 28 7 2022
medline: 28 7 2022
Statut: epublish

Résumé

This study investigated the effectiveness of an original Lung UltraSound Targeted Recruitment (LUSTR) protocol to improve the success of lung recruitment maneuvers (LRMs), which are performed as a rescue approach in critically ill neonates. All the LUSTR maneuvers, performed on infants with an oxygen saturation/fraction of inspired oxygen (S/F) ratio below 200, were included in this case-control study (LUSTR-group). The LUSTR-group was matched by the initial S/F ratio and underlying respiratory disease with a control group of lung recruitments performed following the standard oxygenation-guided procedure (Ox-group). The primary outcome was the improvement of the S/F ratio (Delta S/F) throughout the LRM. Secondary outcomes included the rate of air leaks. Each group was comprised of fourteen LRMs. As compared to the standard approach, the LUSTR protocol was associated with a higher success of the procedure in terms of Delta S/F (110 ± 47.3 vs. 64.1 ± 54.6,

Identifiants

pubmed: 35884018
pii: children9071035
doi: 10.3390/children9071035
pmc: PMC9317513
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Roberto Chioma (R)

Dipartimento Universitario Scienze della Vita e Sanità Pubblica, Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Lorenzo Amabili (L)

Bernoulli Institute for Mathematics, Computer Science and Artificial Intelligence, University of Groningen, 9712 CP Groningen, The Netherlands.

Elena Ciarmoli (E)

Department of Pediatrics, ASST Vimercate, Vimercate Hospital, 20871 Vimercate, Italy.

Roberto Copetti (R)

Emergency Department, Latisana General Hospital, 33053 Udine, Italy.

Pier Giorgio Villani (PG)

Department of Critical Care, Maggiore Hospital, 26100 Cremona, Italy.

Miria Natile (M)

Neonatal Intensive Care Unit, Azienda Sanitaria Romagna, Infermi Hospital Rimini, 47923 Rimini, Italy.

Giovanni Vento (G)

Dipartimento Universitario Scienze della Vita e Sanità Pubblica, Unità Operativa Complessa di Neonatologia, Fondazione Policlinico Universitario A Gemelli Istituto di Ricovero e Cura a Carattere Scientifico, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.

Enrico Storti (E)

Department of Critical Care, Maggiore Hospital, 26100 Cremona, Italy.

Maria Pierro (M)

Neonatal and Paediatric Intensive Care Unit, M. Bufalini Hospital, AUSL Romagna, 47521 Cesena, Italy.

Classifications MeSH