000			03007cam a2200349 a 4500
003			EG-GiCUC
005			20250223031923.0
008			180201s2017 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.28.M.Sc.2017.Am.R
100	0		_aAmira Mahmoud Abo Sreea Mahmoud
245	1	0	_aRole of neonatal lung ultrasound in prediction of early failure of nasal continuous positive airway pressure (CPAP) / _cAmira Mahmoud Abo Sreea Mahmoud ; Iman Khaled Eyada , Hadeel Mohamed Seif , Walaa Al sharany Abuelhamed
246	1	5	_aدور الموجات فوق الصوتية علي الرئة في حديثي الولادة في التنبؤ بالفشل المبكر للسيباب
260			_aCairo : _bAmira Mahmoud Abosreea Mahmoud , _c2017
300			_a132 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aBackground: Predictors of nasal ventilation failure are helpful in preventing clinical deterioration. Work on neonatal lung ultrasound has shown that the persistence of a hyperechogenic, 2white lung3 image correlates with severe distress in the preterm infant. Objective: The accuracy of white lung to predict early CPAP failure in correlation to the highest chest xray grade and arterial blood gases (PH,PaO2,PcO2 and PaO2 /FiO2 ) values within the same time interval. Methods: We enrolled 60 infants (gestational age 30±1weeks) admitted to the NICU of Cairo University Children hospital with moderate RD and stabilized on nasal continuous positive airway pressure. Lung ultrasound was performed two hours after admission and blindly classi{uFB01}ed as white lung , prevalence of B-lines, or prevalence of A-lines . Chest x ray and arterial blood gases were done twice,on admission and after 2 hours of CPAP application .Chest x ray was examined and graded by an experienced radiologist (blind to the infant{u2019}s clinical condition) to RDS grades according to severity. Results: White lung pro{uFB01}le showed high accuracy for prediction of CPAP failure with sensitivity (76.9%), specificity 100%, PPV 100% and NPV 85% and CI (82.4- 97.6%) which was significantly higher than that of CXR before and after 2 hours on CPAP . Comparing all predictors in our study by regression analysis showed that PaO2 /FiO2 had the most predictive value . Conclusion: Neonatal lung ultrasound and PO2/FIO2 ratio are good predictors for CPAP failure and they are advantageous over chest x ray
530			_aIssued also as CD
653		4	_aChest x ray
653		4	_aCPAP failure
653		4	_aIung ultrasound
700	0		_aHadeel Mohamed Seif , _eSupervisor
700	0		_aIman Khaled Eyada , _eSupervisor
700	0		_aWalaa Al sharany Abuelhamed , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c64794 _d64794