000			03133cam a2200325 a 4500
003			EG-GiCUC
008			210912s2020 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.2020.He.R
100	0		_aHend Abdelkareem Sayed Mohamed Elnaggar
245	1	0	_aRole of lung ultrasound in predicting surfactant need in very low birth weight neonates / _cHend Abdelkareem Sayed Mohamed Elnaggar ; Supervised Salma Zoheir Elhouchi , Hadeel Mohamed Seifeldin , Esraa Ahmed Mazzahy
246	1	5	_aدورالموجات فوق الصوتية على الرئة فى التنبؤ بالحاجة الى عقارالسرفاكتنت فى حديثى الولادة ذوى الوزن الناقص جدا
260			_aCairo : _bHend Abdelkareem Sayed Mohamed Elnaggar , _c2020
300			_a82 P. : _bcharts , facsimiles ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aBackground:Neonatal respiratory distress syndrome (RDS) is a leading cause of morbidity in preterm newborns (<34 weeks gestational age). Early surfactant administration within the first 2 to 3 hours of life reduces risk of death and/or bronchopulmonary dysplasia (BPD). Hence, the importance of diagnostic tools to guide the clinical decision of surfactant administration.Currently, radiographs are considered gold standard in understanding the etiology of respiratory distress (RD) in newborns. However excess exposure to radiation in a growing neonate in early part of life may have long term consequences. So there is a need for a non-invasive, bedside test, which is more baby friendly. lungultrasound(LUS) appears to be the ideal choice for such a screening or diagnostic tool in the assessment of RD in newborn. Methods: Prospective cohort study was carried on 80 Very low birth weight (VLBW), (<1.5 Kg) preterm (<34 weeks) newborns with RD admitted in two neonatal intensive care units (NICUs) affiliated to Kasr Alainy hospitalsFaculty of Medicine, Cairo University from October 2019 to February2020. All preterm neonates admitted were included and subjected to:Antenatal history taking including: history of maternal illness, maternal drug intake, antenatal corticosteroids, cause of premature delivery and mode of delivery, APGAR score assessment, Gestational age assessment using Ballard score, Anthropometric measurements, Chest X-ray (CXR) and LUS. Results: A cut-off value of (22.5) in the classic U/S score has a sensitivity of (87.5%) and a specificity of (67.9%). A cut-off value of (27.5) in the New US score has a sensitivity of (91.7%) and a specificity of (57.1%) in predicting need for surfactant for VLBW neonates
530			_aIssued also as CD
653		4	_aLung ultrasound
653		4	_aSurfactant
653		4	_aVLBW
700	0		_aEsraa Ahmed Mazzahy , _eSupervisor
700	0		_aHadeel Mohamed Seif Eldin , _eSupervisor
700	0		_aSalma Zoheir Elhouchi , _eSupervisor
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c82092 _d82092