Refined diagnosis of different types of neonatal respiratory failure Pregnancy and Childbirth Respiratory failure of newborn
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Neonates presenting with respiratory failure 2. Requiring any type of respiratory support including O2 supplementation, HHHFNC, CPAP, different types of NIV or invasive ventilation, or ECMO 3. =1 consolidation on lung ultrasound performed during clinical care. Consolidation is defined according to classical lung ultrasound semiology as the presence of echo-poor or tissue-like echotexture originating from the pleural line area with irregular borders, which may also have mixed hypoechogenic and hyperechogenic spots representing air bronchograms. In order to search for consolidations, a lung ultrasound exam must be complete and all chest areas (including posterior ones) should be scanned.
Exclusion criteria
Exclusion criteria: 1. Major congenital malformations 2. Congenital lung anomalies 3. Cytogenetic anomalies 4. Need for thoracic surgery 5. Massive air leaks preventing a detailed evaluation of lung parenchyma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Integrated clinical diagnosis obtained using clinical and anamnestic data, together with following, collected within routine care: 1. Lung ultrasound score calculated using point-of-care lung ultrasound 2. Maximal size from the pleura to their inferior margin of consolidation measured using point-of-care lung ultrasound 3. Inflammatory biomarker (such as procalcitonin, C-reactive protein, or others) levels measured using clinical routine blood samples | — |
Secondary
| Measure | Time frame |
|---|---|
| There are no secondary outcome measures | — |
Countries
France, Italy, Spain