Modified lung ultrasound score for improved monitoring of pARDS on ECMO, a case report
Abstract Background Lung ultrasound scoring is a validated tool for assessing lung pathology. However, existing scoring systems typically overlook the size of consolidations, limiting their accuracy in certain clinical scenarios. Case presentation We describe the first application of adding the maxi...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Pediatrics |
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| Online Access: | https://doi.org/10.1186/s12887-024-05308-7 |
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| author | E. Küng L. Aichhorn M. Di Nardo F. Cardona A. Berger R.I. Milos M. Watzenböck J.B. Brandt |
| author_facet | E. Küng L. Aichhorn M. Di Nardo F. Cardona A. Berger R.I. Milos M. Watzenböck J.B. Brandt |
| author_sort | E. Küng |
| collection | DOAJ |
| description | Abstract Background Lung ultrasound scoring is a validated tool for assessing lung pathology. However, existing scoring systems typically overlook the size of consolidations, limiting their accuracy in certain clinical scenarios. Case presentation We describe the first application of adding the maximum consolidation depth in centimeters (cm) to the conventional score. This modification (LUS+) was used in an eight-month-old patient with severe respiratory failure undergoing extracorporeal life support (ECLS). Spearman’s correlation analysis revealed a similar correlation in LUS+ compared to conventional lung ultrasound score. Importantly, LUS + showed improvement following cessation of lung rest on day 5, preceding the changes observed in conventional lung ultrasound scores and tidal volume measurements on day 9. Conclusions The integration of consolidation depth, quantified in centimeters, represents a valuable refinement of the conventional lung ultrasound score, enhancing its utility in monitoring pediatric acute respiratory distress patients undergoing ECLS. |
| format | Article |
| id | doaj-art-6b96664b314f492c8181eb21f72a0771 |
| institution | Kabale University |
| issn | 1471-2431 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj-art-6b96664b314f492c8181eb21f72a07712025-01-19T12:39:00ZengBMCBMC Pediatrics1471-24312025-01-012511410.1186/s12887-024-05308-7Modified lung ultrasound score for improved monitoring of pARDS on ECMO, a case reportE. Küng0L. Aichhorn1M. Di Nardo2F. Cardona3A. Berger4R.I. Milos5M. Watzenböck6J.B. Brandt7Division of Neonatology, Pediatric Intensive Care & Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of ViennaDivision of Neonatology, Pediatric Intensive Care & Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of ViennaPediatric Intensive Care, Bambino Gesù Children’s Hospital, IRCCSDivision of Neonatology, Pediatric Intensive Care & Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of ViennaDivision of Neonatology, Pediatric Intensive Care & Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of ViennaDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University of ViennaDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University of ViennaDivision of Neonatology, Pediatric Intensive Care & Neuropediatrics, Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics, Medical University of ViennaAbstract Background Lung ultrasound scoring is a validated tool for assessing lung pathology. However, existing scoring systems typically overlook the size of consolidations, limiting their accuracy in certain clinical scenarios. Case presentation We describe the first application of adding the maximum consolidation depth in centimeters (cm) to the conventional score. This modification (LUS+) was used in an eight-month-old patient with severe respiratory failure undergoing extracorporeal life support (ECLS). Spearman’s correlation analysis revealed a similar correlation in LUS+ compared to conventional lung ultrasound score. Importantly, LUS + showed improvement following cessation of lung rest on day 5, preceding the changes observed in conventional lung ultrasound scores and tidal volume measurements on day 9. Conclusions The integration of consolidation depth, quantified in centimeters, represents a valuable refinement of the conventional lung ultrasound score, enhancing its utility in monitoring pediatric acute respiratory distress patients undergoing ECLS.https://doi.org/10.1186/s12887-024-05308-7ChildExtracorporeal Membrane OxygenationExtracorporeal Life SupportInfantLungLung Ultrasound Score |
| spellingShingle | E. Küng L. Aichhorn M. Di Nardo F. Cardona A. Berger R.I. Milos M. Watzenböck J.B. Brandt Modified lung ultrasound score for improved monitoring of pARDS on ECMO, a case report BMC Pediatrics Child Extracorporeal Membrane Oxygenation Extracorporeal Life Support Infant Lung Lung Ultrasound Score |
| title | Modified lung ultrasound score for improved monitoring of pARDS on ECMO, a case report |
| title_full | Modified lung ultrasound score for improved monitoring of pARDS on ECMO, a case report |
| title_fullStr | Modified lung ultrasound score for improved monitoring of pARDS on ECMO, a case report |
| title_full_unstemmed | Modified lung ultrasound score for improved monitoring of pARDS on ECMO, a case report |
| title_short | Modified lung ultrasound score for improved monitoring of pARDS on ECMO, a case report |
| title_sort | modified lung ultrasound score for improved monitoring of pards on ecmo a case report |
| topic | Child Extracorporeal Membrane Oxygenation Extracorporeal Life Support Infant Lung Lung Ultrasound Score |
| url | https://doi.org/10.1186/s12887-024-05308-7 |
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