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VOLUME 23 , ISSUE 2 ( February, 2019 ) > List of Articles


Lung Ultrasound in Children with Acute Respiratory Failure: Comparison between Chest X-Ray, Chest Computed Tomography, and Lung Ultrasound: A Case Series

Shinichi Fukuhara, Yoshimichi Yamaguchi, Yoshiyuki Uetani, Yoshinobu Akasaka

Keywords : Lung ultrasound, Acute respiratory failure, Children, Chest X-ray, Chest CT

Citation Information : Fukuhara S, Yamaguchi Y, Uetani Y, Akasaka Y. Lung Ultrasound in Children with Acute Respiratory Failure: Comparison between Chest X-Ray, Chest Computed Tomography, and Lung Ultrasound: A Case Series. Indian J Crit Care Med 2019; 23 (2):95-98.

DOI: 10.5005/jp-journals-10071-23124

License: CC BY-NC 4.0

Published Online: 01-09-2018

Copyright Statement:  Copyright © 2019; The Author(s).


Respiratory failure is one of the most common and critical problems in pediatric wards. Assessments by chest X-rays (CXRs) are common and prevalent for determining the cause of respiratory failure in children. However, CXRs can be misinterpretated. Some patients may require further evaluation with other tools, such as chest computed tomography (CCT). Lung ultrasound (LUS) has proven useful for detecting lung abnormalities with respiratory failure in adults, but its usefulness in children is still not clear. We present a series of eight children who were admitted in a tertiary children's hospital. Each child underwent CXR, CCT, and LUS. In seven of eight cases, both LUS and CCT were able to detect abnormal findings. However, the radiological findings in CXRs were not sufficient. These cases included children with pleural effusion that was comorbid with consolidation, or cases with substantial consolidation that required thoracentesis or proper physical therapy. Key messages: LUS can be beneficial for evaluating children with respiratory failure that are admitted in pediatric intensive care unit (PICU) and may contribute towards appropriate therapy for children.

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  1. Self WH, Courtney DM et al. High discordance of chest x-ray and computed tomography for detection of pulmonary opacities in ED patients: implications for diagnosing pneumonia. Am. J. Emerg. Med. 2013; 31:401-405.
  2. Volpicelli G, Elbarbary M et al. International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based recommendations for point-of-care lung ultrasound. Intensive. Care. Med. 2012 38:577–591.
  3. Shah VP, Tunik MG et al. Prospective Evaluation of Point-of-Care Ultrasonography for the Diagnosis of Pneumonia in Children and Young Adults. JAMA Pediatr. 2013; 167:119-125.
  4. Caiulo VA, Gargani L et al. Lung ultrasound in bronchiolitis: comparison with chest X-ray. Eur, J. Pediatr. 2011; 170:1427-1433.
  5. Pereda MA, Chavez MA et al. Lung ultrasound for the diagnosis of pneumonia in children: a meta-analysis. Pediatrics. 2015;135:714-722.
  6. Ambroggio, Sucharew et al. Lung Ultrasonography: A Viable Alternative to Chest Radiography in Children with Suspected Pneumonia?: J Pediatr. 201; 176:93-98.
  7. Xirouchaki N, Kondili E et al. Impact of lung ultrasound on clinical decision making in critically ill patients. Intensive. Care. Med. 2014; 40:57-65.
  8. Silva S, Biendel C et al. Usefulness of Cardiothoracic Chest Ultrasound in the Management of Acute Respiratory Failure in Critical Care. Chest. 2013; 144:859-865.
  9. Raimondi F, Migliaro F et al. Use of neonatal chest ultrasound to predict noninvasive ventilation failure. Pediatrics. 2014; 134:1089- 1094.
  10. Rodríguez-Fanjul J, Balcells C et al. Lung Ultrasound as a Predictor of Mechanical Ventilation in Neonates Older than 32 Weeks. Neonatology. 2016;
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