Usefulness of lung ultrasound in the evaluation and monitoring of pneumonia in children
Keywords:
lung ultrasound; pneumonia; chest x-rayAbstract
Pneumonia is the leading cause of death in children worldwide. Its diagnosis is based on the use of physical examination, laboratory tests and chest x-ray. The latter has the disadvantage of being ionizing, not very sensitive and not very available; its interpretation is not always easy, it requires training and is subject to great inter-observer variability. On the other hand, lung ultrasound has several advantages: it is a quick, cheap, non-invasive test, it can be performed practically at the bedside and allows different organs to be explored immediately. In addition, it constitutes an instrument of high diagnostic value available within the reach of the health professional, and is used in all medical specialties. This work is carried out with the objective of contributing to the theoretical knowledge necessary to promote the use of lung ultrasound in the evaluation and monitoring of pneumonia in children and thus reduce the risk of exposure to ionizing radiation emitted by x-rays. A review of the updated medical literature on the role of lung ultrasound in the evaluation and monitoring of pneumonia in children was carried out through the databases PubMed, SciELO, Scopus and Medigraphic, and the Google Scholar search engine. It is concluded that currently lung ultrasound has acquired a leading role, its use facilitates non-invasive evaluation and monitoring of children with pleuropulmonary disease and its application guarantees the reduction of the risk of exposure to ionizing radiation.
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Méndez Neciosup PL. Ecografía pulmonar versus Radiografía de tórax como prueba diagnóstica para la neumonía adquirida en la comunidad en preescolares [tesis en Internet]. Trujillo: Universidad Nacional de Trujillo; 2022 [citado 12/10/2023]. Disponible en: https://hdl.handle.net/20.500.14414/18572
Gelman Bagaria A, Renter Valdovinos L, Ranera Málaga A, et al. Utilidad y aceptación de la ecografía pulmonar para el diagnóstico de neumonía en la infancia. Medicina Clínica Práctica [Internet]. 2022 [citado 12/10/2023];5(2):100279. Disponible en: https://colab.ws/articles/10.1016%2Fj.mcpsp.2021.100279
Jiménez Sánchez AF, Fernández Hernández CM, Gutiérrez Ramírez MC, et al. El papel de la ecografía en el diagnóstico y seguimiento de las consolidaciones pulmonares en el paciente pediátrico. SERAM [Internet]. 2018 [citado 17/10/2023]. Disponible en: https://piper.espacio-seram.com/index.php/seram/article/view/813
Inchingolo R, Copetti R, Smargiassi A, et al. Air bronchogram integrated lung ultrasound score to monitor community-acquired pneumonia in a pilot pediatric population. J Ultrasound [Internet]. 2021 [citado 17/10/2023];24(2):191-200. Disponible en: https://pubmed.ncbi.nlm.nih.gov/33409860/
Saura-Cuesta LM, Borroto Pérez Y, Águila Carbelo M. Ecografía pulmonar en la evaluación del paciente crítico. Medicentro Electrón [Internet]. 2023 [citado 17/10/2023];27(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432023000100020
Godínez García F, Bravo Santibañéz E, Vega Martínez D, et al. Implementación del ultrasonido pulmonar en la UCI durante la pandemia de COVID-19. Med Crit [Internet]. 2020 [citado 17/10/2023];34(4):238-44. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2448-89092020000400238
Paz Vázquez A, Betancourt Cervantes JR, Viera Leal L. Utilidad del ultrasonido en el paciente traumatizado grave. Medicentro Electrón [Internet]. 2019 [citado 04/01/2020];23(2):151-4. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432019000200151
Navarro Sánchez JD, Herrera Daza LC, Granada Romero J, et al. Uso del ultrasonido a la cabecera del paciente con neumonía por COVID-19: una revisión narrativa de la literatura. Univ Med [Internet]. 2020 [citado 17/10/2023];61(4). Disponible en: https://revistas.javeriana.edu.co/files-articulos/UMED/61-4%20(2020)/231063809026/
Sibila O, Molina-Molina M, Valenzuela C, et al. Documento de consenso de la Sociedad Española de Neumología y Cirugía Torácica (SEPAR) para el seguimiento clínico post-COVID-19. Open Respiratory Archives [Internet]. 2020 [citado 17/10/2023];2(4):278-83. Disponible en: https://www.sciencedirect.com/science/article/pii/S2659663620300771
Vasco Sánchez A. Consenso de la Federación Ecuatoriana de Radiología e Imagen frente a la pandemia por COVID-19/SARS-CoV-2 [Internet]. Quito: Federación Ecuatoriana de Radiología e Imagen; 2020 [citado 04/01/2021]. Disponible en: https://www.yumpu.com/es/document/view/63508376/consenso-feri/25
Gravel CA, Monuteaux MC, Levy JA, et al. Interrater reliability of pediatric point-of-care lung ultrasound findings. Am J Emerg Med [Internet]. 2020 [citado 17/10/2023];38(1):1-6. Disponible en: https://pubmed.ncbi.nlm.nih.gov/30795947/
Moujir Sánchez SA, El Katib Ghzal SY, Riol Sancho SD, et al. Utilidad de la ecografía pulmonar en el paciente pediátrico. SERAM [Internet]. 2021 [citado 17/10/2023];1(1). Disponible en: https://piper.espacio-seram.com/index.php/seram/article/view/4412
Tung-Chen Y, Martí de Gracia M, Díez-Tascón A, et al. Correlation between Chest Computed Tomography and Lung Ultrasonography in Patients with Coronavirus Disease 2019 (COVID-19). Ultrasound Med Biol. 2020;46(11):2918-26. DOI: 10.1016/j.ultrasmedbio.2020.07.003.
Tung-Chen Y. Acute pericarditis due to COVID-19 infection: An underdiagnosed disease? Med Clin. 2020;155(1):44-5. DOI: 10.1016/j.medcle.2020.06.001.
Pereda MA, Chavez MA, Hooper-Miele CC, et al. Lung Ultrasound for the Diagnosis of Pneumonia in Children: A Meta-analysis. Pediatrics [Internet]. 2015 [citado 17/10/2023];135(4):714-22. Disponible en: https://pubmed.ncbi.nlm.nih.gov/25780071/
Jacob J, Zorrilla J, Gené E, et al. Análisis del uso de la ecografía a pie de cama en los servicios de urgencias hospitalarios de Cataluña. Estudio ECURCAT. Anales Sis San Navarra [Internet]. 2018 [citado 05/01/2020];41(2):161-9. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1137-66272018000200161
Coca Pérez A. Utilidad de la ecografía pulmonar clínica en la bronquiolitis moderada-grave [tesis en Internet]. Alcalá de Henares: Universidad de Alcalá; 2022 [citado 17/10/2023]. Disponible en: https://ebuah.uah.es/dspace/handle/10017/55497
Mayordomo-Colunga J, González-Cortés R, Bravo MC, et al. Ecografía a pie de cama: ¿es el momento de incluirla en la formación del pediatra? An Pediatr [Internet]. 2019 [citado 17/10/2023];91(3). Disponible en: https://www.analesdepediatria.org/es-ecografia-pie-cama-es-el-articulo-S1695403319302528
Molina Arias M, Ortega Páez E. La ecografía pulmonar es útil para el diagnóstico de neumonía en niños. Evid Pediatr [Internet]. 2015 [citado 17/10/2023];11:60. Disponible en: https://evidenciasenpediatria.es/files/41-12649-RUTA/60_AVC.PDF
Ortiz González L, Ortiz Peces C. Democratización de la ecografía clínica pulmonar (point of care). Arch argent pediatr [Internet]. 2022 [citado 17/10/2023];120(3):e170. Disponible en: https://pesquisa.bvsalud.org/portal/resource/en/biblio-1368251
Makhnevich A, Sinvani L, Cohen SL, et al. The clinical utility of chest radiography for identifying pneumonia: accounting for diagnostic uncertainty in radiology reports. AJR Am J Roentgenol [Internet]. 2019 [citado 17/10/2023];213(6):1207-12. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31509449/
Calabuig Barbero DE, Rojas Blandón DJF, Avilés Vistorte DY, et al. Aplicación práctica de la ecografía torácica en el neonato y en el niño. SERAM [Internet]; 2022 [citado 17/10/2023];1(1). Disponible en: https://piper.espacio-seram.com/index.php/seram/article/view/9278
Lichtenstein D, Lascols N, Mezière G, et al. Ultrasound diagnosis of alveolar consolidation in the critically ill. Intensive Care Med [Internet]. 2004 [citado 17/10/2023];30(2):276-81. Disponible en: https://pubmed.ncbi.nlm.nih.gov/14722643/
Xirouchaki N, Magkanas E, Vaporidi K, et al. Lung ultrasound in critically ill patiens: comparison with bedside chest radiography. Intensive Care Med [Internet]. 2011 [citado 17/10/2023];37(9):1488-93. Disponible en: https://pubmed.ncbi.nlm.nih.gov/21809107/
Tierney DM, Huelster JS, Overgaard JD, et al. Comparative performance of pulmonary ultrasound, chest radiograph, and CT among patients with acute respiratory failure. Crit Care Med [Internet]. 2020 [citado 17/10/2023];48(2):151-7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/31939782/
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