{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T07:15:45Z","timestamp":1778742945290,"version":"3.51.4"},"reference-count":12,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,5,22]],"date-time":"2014-05-22T00:00:00Z","timestamp":1400716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"none reported"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Performed for many years in clinical settings, pleural and lung ultrasound (PLUS) has emerged to be an invaluable tool to diagnose underlying conditions of respiratory failure, to monitor disease progression and to ensure appropriate therapeutic intervention. PLUS basically relies on the analysis of two prevalent ultrasound artefacts: A\u2010lines and B\u2010lines. A\u2010lines are hyperechoic reverberation artefacts of the pleural line. A\u2010lines combined with lung sliding show that lungs are well aerated. B\u2010lines are vertical hyperechoic reverberation artefacts arising from pleural line extending to the bottom of the screen. The prevalence of B\u2010lines indicates a pathologic parenchyma. Since PLUS is readily available, easily affordable, and biologically non\u2010invasive, it is especially suitable for bedside clinical care in critically ill and unstable adult patients. Several authors have recently proposed PLUS for application in critically ill neonates and children. We report a case in which PLUS was used to clinically monitor a complex lung lesion during treatment of a child with congenital heart disease suffering from severe lung injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Description<\/jats:title><jats:p>A 1\u2010year\u2010old male with hypoplastic left heart syndrome underwent bidirectional Glenn procedure and systemic\u2010to\u2010left pulmonary artery shunt for heart palliation. After surgery, he developed a severe acute respiratory distress syndrome (ARDS) and extra\u2010corporeal membrane oxygenation (ECMO) treatment was started. PLUS was performed daily to monitor the disease's progression and response to treatment during lung rest. As B\u2010lines were decreasing and A\u2010lines were becoming visible, we were able to monitor the improving aeration of the injured lung. The ultrasound showed high consistency with traditional imaging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Due to its non\u2010ionizing nature, low cost, easy availability, easy repeatability and real\u2010time results, PLUS is a feasible and beneficial bedside imaging technique for critically ill and unstable adult and pediatric patients. A reliable monitoring of ongoing treatments is certainly helpful to provide appropriate intervention, correctly schedule chest X\u2010ray and CT\u2010scan, and optimize ECMO weaning. The present case suggests that PLUS may be a successful and useful tool for monitoring lung diseases in children with CHD with severe post\u2010operative complex lung injury. <jats:bold>Pediatr Pulmonol. 2014; 49:n\u2013n.<\/jats:bold> \u00a9 2014 Wiley Periodicals, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.23059","type":"journal-article","created":{"date-parts":[[2014,5,22]],"date-time":"2014-05-22T08:26:50Z","timestamp":1400747210000},"source":"Crossref","is-referenced-by-count":8,"title":["Sonographic dynamic assessment of lung injury in a child with hypoplastic left heart syndrome undergoing extracorporeal membrane oxygenation"],"prefix":"10.1002","volume":"49","author":[{"given":"Daniele G.","family":"Biasucci","sequence":"first","affiliation":[{"name":"Pediatric Intensive Care Unit Emergency Department \u201cA. Gemelli\u201d Medical School Catholic University of the Sacred Heart Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaccaria","family":"Ricci","sequence":"additional","affiliation":[{"name":"Pediatric Cardiac Intensive Care Unit, Department of Pediatric Cardiology and Cardiac Surgery \u201cBambino Ges\u00f9\u201d Children's Hospital IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giorgio","family":"Conti","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit Emergency Department \u201cA. Gemelli\u201d Medical School Catholic University of the Sacred Heart Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Cogo","sequence":"additional","affiliation":[{"name":"Pediatric Cardiac Intensive Care Unit, Department of Pediatric Cardiology and Cardiac Surgery \u201cBambino Ges\u00f9\u201d Children's Hospital IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,5,22]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-2800"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.CCM.0000260674.60761.85"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.156.5.96-07096"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1586\/ers.10.51"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejheart.2007.10.009"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2694-x"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1476-7120-6-16"},{"key":"e_1_2_4_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2513-4"},{"key":"e_1_2_4_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11547-008-0247-8"},{"key":"e_1_2_4_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.22585"},{"key":"e_1_2_4_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc11865"},{"key":"e_1_2_4_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-012-2401-7"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fppul.23059","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fppul.23059","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.23059","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T00:07:31Z","timestamp":1696378051000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.23059"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,22]]},"references-count":12,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1002\/ppul.23059"],"URL":"https:\/\/doi.org\/10.1002\/ppul.23059","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,5,22]]}}}