Radiographic Criteria for the Assessment of the Severity of Respiratory Distress Syndrome of the Newborn
https://doi.org/10.18705/2311-4495-2019-6-2-18-24
Abstract
Radiological diagnosis of respiratory distress syndrome of newborns (RDS) is an urgent task. The article presents clinical and radiological parallels of respiratory distress syndrome in newborns. X-ray criteria determining the degree of severity of RDS, allowing to improve early x-ray diagnosis, are identified. Taking into account the tasks in the Perinatal Center of Almazov National Medical Research Center 143 radiographs of newborns for 2017 with established diagnosis of RDS (boys n = 66, 46.2 %, girls n = 77, 53.8 %) were analyzed. The gestational age of newborns was 100 (69.9 %) children at the gestational age up to 32 weeks, and 43 (30.1 %) children at the age of 32 weeks. The body weight of the newborns was 1190 ± 510 g. The severity of neonates with RDS due to the severity of acute respiratory failure that determines the conduct of radiographic studies in the first 1-3 hours of a child’s life to solve the question about the choice of respiratory support and treatment with surfactants.
About the Authors
A. S. Lepekhina
Almazov National Medical Research Centre
Russian Federation
Competing Interests: No conflict of interest
Russian Federation
Lepekhina Anna S. – Resident.
Akkuratova Str. 2, Saint Petersburg, 197341
Competing Interests: No conflict of interest
L. G. Konstantinova
Almazov National Medical Research Centre
Russian Federation
Competing Interests: No conflict of interest
Russian Federation
Konstantinova Larisa G. - PhD, Head of the Radiological Department of the Perinatal Center.
Saint Petersburg
Competing Interests: No conflict of interest
G. E. Trufanov
Almazov National Medical Research Centre
Competing Interests: No conflict of interest
Trufanov Gennady E. - PhD, Dr. Sc., Professor, Head of the Department of Radiology and Medical Imaging.
Saint Petersburg
Competing Interests: No conflict of interest
References
1. Trufanov GE, Fokin VA, Ivanov DO et al. Peculiarity of Methods’ Application of Imaging Modalities Used in Pediatric Practice. Vestnik sovremennoj klinicheskoj mediciny=Bulletin of modern clinical medicine. 2013;6(6):48-54.
2. Neonatology. Clinical Guidelines. For editor Volodin NN, Degtyareva DN, Kryuchko DS. M.: GEOTAR-Media, 2019. p. 320.
3. Kulakova VI. Perinatal Audit for Preterm Labor. M.: Edinburg, 2005. p. 224.
4. Vauehr R. Surfactant in Neonatology. Prevention and Treatment of Neonatal Respiratory Distress Syndrome. M.: Medicinskaya literatura, 2011. P. 96.
5. Mehrabadi А, Lisonkova S, Joseph KS. Heterogeneity of Respiratory Distress Syndrome: Risk Factors and Morbidity Associated with Early and Late Gestation Disease. BMC Pregnancy and Childbirth. 2016;16(1):281.
6. Lopez E, Gascoin G, Flamant C et al. Exogenous Surfactant Therapy in 2013: What Is Next? Who, When and How Should We Treat Newborn Infants in the Future? BMC Pediatr. 2013;13:165.
7. Sweet DG, Carnielli V, Greisen G et al. European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2016 Update. Neonatology. 2016;111(2):107-125.
8. Gallacher DJ, Hart K, Kotecha S. Common Respiratory Conditions of the Newborn. Breathe (Sheff). 2016;12(1):30-42.
9. Yampolskaya EN, Trufanov GE. Ultrasound — An Alternative Visualization Method in Newborns with Respiratory Distress Syndrome. Rossijskij ehlektronnyj zhurnal luchevoj diagnostiki=Russian electronic journal of radiology. 2017;7(4):83-89.
Review
For citations:
Lepekhina A.S., Konstantinova L.G., Trufanov G.E. Radiographic Criteria for the Assessment of the Severity of Respiratory Distress Syndrome of the Newborn. Translational Medicine. 2019;6(2):18-24. (In Russ.) https://doi.org/10.18705/2311-4495-2019-6-2-18-24
Views:
1016
Email this article 