We read with great interest the excellent and comprehensive review [1]
on point-of-care neonatal ultrasound. Due to the breadth of the topic
and the high speed of its evolution, the authors might have overlooked a
couple of issues concerning lung ultrasound, a rapidly expanding topic
[2], which readers deserve to know:
The authors rightfully underline that tension
pneumothorax is indeed one of the most rewarding applications of lung
ultrasound in adult emergency medicine. Unlike reported by them [1],
recent neonatal data are indeed available both as a case report [3] and
as a published, prospective study [4].
The diagnostic accuracy for transient tachypnea of
the double lung point has been recently questioned in the large series
by Liu, et al. [5], where sensitivity was only 49.5%. To solve
this clinically relevant question, another prospective study is
currently underway by the same international consortium of scientists
called NeoLUS (Neonatal Lung UltraSound) who published the pneumothorax
data .
References
1. Rath C, Suryawanshi P. Point of care neonatal
ultrasound - Head, lung, gut and line localization. Indian Pediatr.
2016:53:889-99.
2. Raimondi F, Cattarossi L, Copetti R. Point-of-care
chest ultrasound in the neonatal intensive care unit: An Italian
perspective. Neoreviews. 2014;15:e2-6.
3 Migliaro F, Sodano A, Capasso L, Raimondi F. Lung
ultrasound-guided emergency pneumothorax needle aspiration in a very
preterm infant. BMJ Case Rep. 2014; doi:10.1136/bcr-2014-206803.
4 Raimondi F, Rodriguez Fanjul J, Aversa S, Chirico
G, Yousef N, De Luca D, et al. Lung Ultrasound in the Crashing
Infant (LUCI) Protocol Study Group. Lung ultrasound for diagnosing
pneumothorax in the critically ill neonate. J Pediatr. 2016;175:74-8.
5. Liu J, Chen XX, Li XW, Chen SW, Wang Y, Fu W.
Lung ultrasonography to diagnose transient tachypnea of the newborn.
Chest. 2016;149:1269-75.