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Point of care lung ultrasound service in neonatal intensive care: Five years of experience in Manitoba, Canada

Journal of Perinatology volumeĀ 42,Ā pages 1228ā€“1232 (2022)Cite this article

Subjects

Abstract

Objective

To evaluate the utility of a point of care lung ultrasound (POC-LUS) on patient management in the Neonatal Intensive Care Unit (NICU).

Study design

A retrospective cohort study of neonates who had POC-LUS from 2016 to 2020 in two-level III NICUs in Winnipeg, Manitoba, Canada. The primary outcome was the change in clinical management. The analysis aims mainly to describe the implementation process of the POC-LUS program.

Results

A total of 956 neonates underwent 4076 POC-LUS studies during the study period. The number of POC-LUS studies increased significantly every year, from 316 (in 2016) to 1257 (in 2020) (pā€‰<ā€‰0.001). POC-LUS resulted in a change in clinical management following 2528 POC-LUS studies (62%), while it supported continuing the same management in 1548 studies (38%).

Conclusion

POC-LUS in Manitoba increased since its inception and led to an alteration in the clinical management in a significant proportion of patients who received the service.

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Fig. 1
Fig. 2: 4 typical patterns of lung ultrasound, pattern 1: normal lung aeration with transverse repetition of the pleural lines, which is A-line artifact (arrow); these patterns are given a score of zero.
Fig. 3: The annual number of the classified indication of POC-LUS from 2016 to 2020.
Fig. 4

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Data availability

All data and original material are available for transparency.

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Author information

Authors and Affiliations

  1. Division of Neonatology, Department of Pediatrics and Child Health, Rady Faculty of Medicine, University of Manitoba, Winnipeg, Canada

    Yasser Elsayed, Michael Narvey, Asem Lashin, Deima Alammary & Deepak Louis

  2. Department of respiratory therapy, St Boniface hospital, Winnipeg, Canada

    Shere Gigolyk

Authors
  1. Yasser Elsayed
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  2. Michael Narvey
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  3. Asem Lashin
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  4. Deima Alammary
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  5. Shere Gigolyk
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  6. Deepak Louis
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Contributions

All authors made a substantial contribution to the manuscript and the design of the work: Elsayed collected and analyzed data, wrote the first draft, all authors are POC-LUS instructors and participated in the practice guidelines, all authors edited and wrote part of the manuscript.

Corresponding author

Correspondence to Yasser Elsayed.

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Competing interests

The authors declare no competing interests.

Ethical approval

This study was approved by the Ethical committee at the University of Manitoba for data collection and publication (#HS21962).

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Elsayed, Y., Narvey, M., Lashin, A. et al. Point of care lung ultrasound service in neonatal intensive care: Five years of experience in Manitoba, Canada. J Perinatol 42, 1228ā€“1232 (2022). https://doi.org/10.1038/s41372-022-01455-w

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