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Aim <p>To evaluate the impact of standardized lung ultrasound (LUS) implementation in neonatal intensive care.</p> Methods <p>A retrospective cohort study of 172 neonates born at 23–32 weeks of gestation between 2021 and 2024. Two epochs were compared: before and after LUS implementation. Primary outcomes included X-ray exposure, respiratory support, and surfactant use; secondary outcomes included intraventricular hemorrhage, bronchopulmonary dysplasia, retinopathy of prematurity and sepsis.</p> Results <p>LUS implementation reduced chest radiography by 52% and multiple exposures by 17% (<i>p-value</i> &lt; <i>0.001</i>). The need for mechanical ventilation rates decreased by 25% (<i>p-value</i> &lt; <i>0.001</i>), with no change in non-invasive support or surfactant use. LUS score independently predicted early surfactant administration (AUC 0.84, 95% CI 0.73–0.95), increasing odds by 40% per point. No increase in adverse outcomes was observed.</p> Conclusions <p>Standardized LUS significantly reduced chest radiography exposure and the need for mechanical ventilation, and facilitated early surfactant therapy.</p>

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Advancing neonatal care through standardized lung ultrasound implementation

  • 期刊论文

  • 发表日期：

    2026年7月20日

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  • Svetlana Dauengauer-Kirliene,
  • Grazvydas Jakumas,
  • Luis Leon Gunter,
  • Honorata Prunskiene,
  • Lina Lisauskiene,
  • Dominyka Juodyte,
  • Meda Sutkeviciute,
  • Dominyka Lesnikoviene,
  • Agata Nedelko,
  • Ingrida Pilypiene,
  • Yogen Singh,
  • Violeta Gulbiniene

摘要

Aim

To evaluate the impact of standardized lung ultrasound (LUS) implementation in neonatal intensive care.

Methods

A retrospective cohort study of 172 neonates born at 23–32 weeks of gestation between 2021 and 2024. Two epochs were compared: before and after LUS implementation. Primary outcomes included X-ray exposure, respiratory support, and surfactant use; secondary outcomes included intraventricular hemorrhage, bronchopulmonary dysplasia, retinopathy of prematurity and sepsis.

Results

LUS implementation reduced chest radiography by 52% and multiple exposures by 17% (p-value < 0.001). The need for mechanical ventilation rates decreased by 25% (p-value < 0.001), with no change in non-invasive support or surfactant use. LUS score independently predicted early surfactant administration (AUC 0.84, 95% CI 0.73–0.95), increasing odds by 40% per point. No increase in adverse outcomes was observed.

Conclusions

Standardized LUS significantly reduced chest radiography exposure and the need for mechanical ventilation, and facilitated early surfactant therapy.