Lung Ultrasound in the NICU / PICU Course

25/07/2025

Thanks to my colleagues, we have finally answered a recurrent question from clinicians taking care of severest neonatal RDS. When should we go for an ultrasound-guided surfactant re-treatment? It was very complex to answer as we needed many patients given the low prevalence of retreatment with optimal resoiratory care. Thus we needed a multi center design with centers having exactly the same respiratory care policy and the right timing for a second poractant-alpha dose (see our paper in Intensive Care Medicine 2011, back in another era!)… but we did it! Lung ultrasound aeration score indicates the need for retreatment with the same accuracy and same threshold of the first dose but only if performed about 12h from the first dose! 705 extremely preterm patients, in three academic NICUs in 🇪🇺(🇫🇷🇮🇹🇪🇸) published on The Lancet EBiomedicine, open access available at:

https://www.sciencedirect.com/science/article/pii/S2352396425003093?ref=pdf_download&fr=RR-2&rr=964ef59a5e68bb36

21/05/2025

Comme bien faire l'écho pulmonaire quantitative? Il y a qu'une seule façon!

Notre travail à l'honneur par l' Université Paris-Saclay 😀

La Société européenne de médecine de soins intensifs (ESICM) et la Société européenne de soins intensifs pédiatriques et néonatals (ESPNIC) viennent de publier les premières recommandations internationales, “evidence-based", concernant l'utilisation de l'échographie pulmonaire quantitat...

12/05/2025

ESICM-ESPNIC evidence - based guidelines for quantitative lung ultrasound have just been published! Two years ago, the European Society of Intensive Care Medicine (ESICM) and the European Society of Paediatric and Neonatal Intensive Care (ESPNIC), agreed to create an interdisciplinary panel of experts to work on the creation of the first, evidence - based, international consensus guidelines on the use of quantitative lung ultrasound in adults, children and neonates.

Recognising the importance of the technique and its quick development, ESICM and ESPNIC have wanted to create an evidence-based framework to optimise its use and avoid wrongful interpretations. The cross-disciplinarity has been a strong added value and we believe in it! This work is set to guide the clinical practice of all intensivists for many years ahead and has been published on Intensive Care Medicine:

Purpose To provide an international expert consensus on technical aspects and clinical applications of quantitative lung ultrasound in adult, paediatric and neonatal intensive care. Methods The European Society of Intensive Care (ESICM) and the European Society of Paediatric and Neonatal Intensive C...

21/11/2024

Fresh off press: with a multicentre collaboration between France, Spain and Italy we demonstrated that a simple lung ultrasound score (6 chest areas with no posterior scan) is not less accurate than an extended score to guide surfactant replacement in the first 24h of life. This is important as 1 save times, 2 shorten the learning process, 3 is in line with data from the adult world that will be described in the ESICM-ESPNIC consensus on quantitative lung ultrasound.

It takes only few minutes to ensure a personalized surfactant therapy!

Extended scores remains important after the first hours of life and for neonatal heterogeneous lung injuries (ie others than hyaline membrane disease).

Data already available online on the blue journal here:

"Simple vs Extended Lung Ultrasound Score to Guide Surfactant Replacement in the First 24h of Life." American Journal of Respiratory and Critical Care Medicine, 0(ja), pp. Keywords: ultrasonography; neonate; quantitative; respiratory failure

24/10/2024

23/10/2024

Nuova edizione del corso teorico-pratico di ecografia polmonare riservato a specializzandi e giovani strutturati (in italiano). Per iscrivervi scrivete a Valerie.bonal@aphp.fr o Daniele.deluca@aphp.fr

22/10/2024

Tonight

18/10/2024

What is the optimal CPAP level for a neonate with respiratory failure ? Unknown for sure since decades. Finally we have been able to enlighten that with quantitative lung ultrasound and comprehensive oxygenation monitoring: for babies with TTN increasing CPAP up to 8 improves lung aeration and oxygenation. However for patients with RDS, improvement was much less evident, not visible in half of patients and anyway snall in absolute values to the point to be clinically insignificant. Bottom line: if RDS is the diagnosis there is no point in increasing CPAP beyond 6. This may not improve the situation and potentially delay surfactant replacement.

Have a look to our study in Respiratory Research for free:
European Society of Paediatric and Neonatal Intensive Care (ESPNIC)
Université Paris-SaclayHôpital Antoine-Béclère AP-HP

01/10/2024

Great news! The abstract submission deadline is now extended until Monday 14 October.

Submit your research on and other vital monitoring and in and for presentation at 2024!

Submit here👉: https://bit.ly/3xtX3RB
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VOLT 2024: Vital Monitoring and Ultrasound
18-20 November, 2024
Rome, Italy
www.voltcongress.eu

Congress President: Prof.Daniele De Luca
Online Registration: https://bit.ly/3U197mi
Call for Abstract: https://bit.ly/3xtX3RB
Scientific Programme: https://bit.ly/4cDNOP0

25/09/2024

Ultimi posti disponibili per il nostro corso del 14 ottobre !!! Affrettatevi !

23/09/2024

Insights about how to treat babies with the worst respiratory failure ever! Neonatal ARDS treated with surfactant-vehicled budesonide and ECMO in our last paper on Respiratory Care

European Society of Paediatric and Neonatal Intensive Care (ESPNIC)

Have a look at our last paper here:

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20/09/2024

For the second year, I am listed in the Stanford Top 2% Scientists list
Stanford Medicine

Citation metrics are widely used and misused. We have created a publicly available database of top-cited scientists that provides standardized information on citations, h-index, co-authorship adjusted hm-index, citations to papers in different authorship positions and a composite indicator (c-score)...