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Nadya Yousef, MD, MSc, is attending neonatologist working at South Paris University Hospital NICU in Paris, France. Dr Yousef received her medical degree from the University of Oslo in 1995 and her MSc from the University of South Paris in 2008. She is board certified in Pediatrics in Norway and France. Dr Yousef is a member of the French society of Neonatology, a member of the respiratory section of the ESPNIC, and a member of the ESPNIC working group on POCUS guidelines. Special interest areas include research on neonatal and pediatric respiratory conditions, point-of-care ultrasound in the NICU, and multidisciplinary national and international collaborations with focus on developing affordable non-invasive patient monitoring techniques using innovative technologies. Dr Yousef directs an ESPNIC-endorsed course on pediatric lung ultrasound held in Paris. She is a founding member of the French group for pediatric lung ultrasound (G-ECHO jr).

Author Of 3 Presentations

LUNG ULTRASOUND

Room
Mozart Hall 2
Date
18.06.2019
Session Time
11:00 - 12:30
Duration
30 Minutes

HOW TO USE ULTRASOUND FOR BEDSIDE DIAGNOSTICS

Room
Papageno Hall
Date
19.06.2019
Session Time
11:10 - 12:10
Duration
20 Minutes

Presentation files

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RELATIONSHIP BETWEEN LUNG MECHANICS AND LUNG AERATION EVALUATED BY A SEMIQUANTITATIVE LUNG ULTRASOUND SCORE

Room
Mozart Hall 2
Date
19.06.2019
Session Time
13:40 - 15:10
Duration
7 Minutes

Abstract

Background

Lung ultrasound (LUS) is becoming an important point-of-care technique in intensive care units. Several semi-quantitative lung ultrasound scores, based on simple LUS signs are available and are used to describe lung aeration and guide respiratory care and interventions. There are currently few data on the relationship between lung mechanics and LUS scores.

Objectives

We aimed to study this relationship to gain an understanding of when a semi-quantitative evaluation of lung aeration may be reliable and useful in clinical practice.

Methods

This is a prospective observational cohort study enrolling NICU-admitted neonates subdivided into three groups:preterm babies with RDS needing intubation and surfactant administration (restrictive pattern group);preterm neonates with developing BPD needing invasive ventilation (mixed pattern group);neonates with no lung disease(control group).LUS was performed by a skilled ultrasonographer and a LUS score was calculated as previously published before surfactant administration, if any.Within 30’ from the LUS examination,respiratory mechanics were evaluated by measuring dynamic compliance(Cdyn) and resistances(Raw).

Results

Sixteen,eleven and eighteen neonates were enrolled in the restrictive,mixed and control groups,respectively.There is a highly significant correlation between LUS and Cdyn for the restrictive pattern group(r= -0.6; p=0.016),but not for either of the other two groups(mixed: r= -0.39; p=0.228; control: r= -0.37; p=0.130).There is no correlation between LUS and Raw for any of the groups(restrictive:r= 0.2; p=0.635; mixed:r= -0.28; p=0.594; control:r= 0.21; p=0.653).

Conclusion

There is an inverse and significant correlation between Cdyn and LUS scores exclusively for patients with a restrictive pattern.The LUS score may be better adapted to evaluate lung mechanics and aeration in restrictive respiratory failure.

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Presenter of 2 Presentations

LUNG ULTRASOUND

Room
Mozart Hall 2
Date
18.06.2019
Session Time
11:00 - 12:30
Duration
30 Minutes

HOW TO USE ULTRASOUND FOR BEDSIDE DIAGNOSTICS

Room
Papageno Hall
Date
19.06.2019
Session Time
11:10 - 12:10
Duration
20 Minutes

Presentation files

Hide