title: The role of lung ultrasound in diagnosis of respiratory distress syndrome in newborn infants.
abstract: OBJECTIVE
  The aim of this study was to evaluate the value of lung ultrasound in the diagnosis of respiratory distress syndrome (RDS) in newborn infants.
  
  
  METHODS
  From March 2012 to May 2013, 100 newborn infants were divided into two groups: RDS group (50 cases) and control group (50 cases). According to the findings of chest x-ray, there were 10 cases of grade II RDS, 15 grade III cases, and 25 grade IV cases in RDS group. Lung ultrasound was performed at bedside by a single expert. The ultrasound indexes observed in this study included pleural line, A-line, B-line, lung consolidation, air bronchograms, bilateral white lung, interstitial syndrome, lung sliding, lung pulse etc.
  
  
  RESULTS
  In all of the infants with RDS, lung ultrasound consistently showed generalized consolidation with air bronchograms, bilateral white lung or interstitial syndrome, pleural line abnormalities, A-line disappearance, pleural effusion, lung pulse, etc. The simultaneous demonstration of lung consolidation, pleural line abnormalities and bilateral white lung, or lung consolidation, pleural line abnormalities and A-line disappearance co-exists with a sensitivity and specificity of 100% for the diagnosis of neonatal RDS.
  
  
  CONCLUSIONS
  This study indicates that using an ultrasound to diagnose neonatal RDS is accurate and reliable tool. A lung ultrasound has many advantages over other techniques. Ultrasound is non-ionizing, low-cost, easy to operate, and can be performed at bedside, making this technique ideal for use in NICU.
authors.affiliation: Department of Neonatology & NICU, Bayi Children's Hospital Affiliated to Beijing Military General Hospital.
authors.forename: Jing
authors.initials: J
authors.lastname: Liu
authors.affiliation: Department of Ultrasonography, GE Healthcare of USA , Beijing, China.
authors.forename: Hai-Ying
authors.initials: HY
authors.lastname: Cao
authors.affiliation: Department of Neonatology & NICU, Bayi Children's Hospital Affiliated to Beijing Military General Hospital.
authors.forename: Hua-Wei
authors.initials: HW
authors.lastname: Wang
authors.affiliation: Department of Neonatology & NICU, Bayi Children's Hospital Affiliated to Beijing Military General Hospital.
authors.forename: Xiang-Yong
authors.initials: XY
authors.lastname: Kong
keywords: Lung Ultrasound; Newborn; Respiratory Distress Syndrome