A5032122433- Ultrasound in Clinical Applications
- Obstructive Sleep Apnea Research
- Pleural and Pulmonary Diseases
- Respiratory Support and Mechanisms
- Respiratory viral infections research
- Neonatal Respiratory Health Research
- Neuroscience of respiration and sleep
- Radiology practices and education
- Phonocardiography and Auscultation Techniques
- Injury Epidemiology and Prevention
- Cardiovascular and Diving-Related Complications
- Pneumonia and Respiratory Infections
- Emergency and Acute Care Studies
- Airway Management and Intubation Techniques
- Trauma and Emergency Care Studies
- Asthma and respiratory diseases
- Atomic and Subatomic Physics Research
- Congenital Heart Disease Studies
- COVID-19 diagnosis using AI
- COVID-19 and healthcare impacts
- Viral gastroenteritis research and epidemiology
- High Altitude and Hypoxia
- Sepsis Diagnosis and Treatment
- Appendicitis Diagnosis and Management
- Case Reports on Hematomas
Bambino Gesù Children's Hospital
2019-2024
Istituti di Ricovero e Cura a Carattere Scientifico
2019-2024
Sapienza University of Rome
2013-2018
Azienda Ospedaliera Sant'Andrea
2012-2015
IMPORTANCE Although polysomnographic (PSG) testing is the gold standard for diagnosis of obstructive sleep apnea syndrome (OSAS) in children, number pediatric laboratories limited.Developing new screening methods identifying OSAS may reduce need PSG testing.OBJECTIVE To evaluate combined use clinical record (SCR) and nocturnal oximetry predicting results children with clinically suspected OSAS.DESIGN, SETTING, AND PARTICIPANTS Prospective study over 10 months.A cohort 268 consecutive (mean...
Abstract Objective The purpose of this study was to describe lung ultrasound (LUS) findings at baseline and 48 hours after the beginning treatment evaluate how they correlate with outcome Design We prospectively analyzed patients from 1 month 17 years age community acquired pneumonia (CAP) evaluated a tertiary level pediatric hospital. At treatment, history, clinical examination, laboratory testing, chest X‐ray, LUS were performed. Results One hundred one children enrolled in (13 complicated...
Bronchiolitis is the most common reason for hospitalization of children worldwide. Many scoring systems have been developed to quantify respiratory distress and predict outcome, but none them validated. We hypothesized that ultrasound evaluation diaphragm could therefore we correlated parameters with outcome.Prospective study infants bronchiolitis (1-12 months) evaluated in a pediatric emergency department. Ultrasonography examinations was performed (diaphragm excursion [DE], inspiratory...
The coronavirus disease 2019 (COVID-19) has caused a new global pandemic and is responsible for millions of infections thousands deaths in the world. lung ultrasound (LUS) noninvasive easily repeatable tool can be carried out by pediatrician at bedside children with consequent reduction risk transmission virus.We hypothesized that findings these patients would (1) associated their severity (2) change over time alignment clinical outcome.The study was made emergency department (ED) tertiary...
Background Bronchiolitis is a major source of morbimortality among young children worldwide. Non-pharmaceutical interventions (NPIs) implemented to reduce the spread severe acute respiratory syndrome coronavirus 2 may have had an important impact on bronchiolitis outbreaks, as well societal consequences. Discriminating between their respective impacts would help define optimal public health strategies against bronchiolitis. We aimed assess each NPI outbreaks in 14 European countries. Methods...
There is increasing recognition of the role lung ultrasound (LUS) to assess bronchiolitis severity in children. However, available studies are limited small, single-center cohorts. We aimed a qualitative and quantitative LUS protocol evaluate course at diagnosis during follow-up. This prospective, multicenter study. Children with were stratified according clinical underwent four evaluations set intervals. was classified models: (1) positive/negative; (2) main pattern...
To date, there are no data regarding the systematic application of Point-of-Care Lung Ultrasound (PoC-LUS) in children with Multisystem Inflammatory Syndrome Children (MIS-C). The main aim this study is to show role as an additional aid diagnosis COVID-19-related (MIS-C).Between April 2020 and 2021, patients aged 0-18 years referred our emergency department for fever, later hospitalized without a specific diagnosis, underwent PoC-LUS. images final MIS-C were retrospectively evaluated.Ten...
Spontaneous pneumothorax is a relatively uncommon and poorly studied condition in children. While several protocols have been developed to evaluate the use of lung ultrasound for dyspneic adult patients emergency department, no specific guidelines are present pediatric physicians.We prospectively analyzed children with acute chest pain clinical suspicion evaluated at department.We consecutively enrolled aged 5-17 years presenting department clinically suspected based on sudden onset pain....
The aim of this exploratory survey is to describe the current state US (ultrasound) technique across different pediatric settings nationwide.
Abstract Accidents are the main cause of injury in children, more than half events happen at home. Aims this study were to assess if SARS-CoV-2 lockdown influence emergency department (ED) visits due children domestic accident (DAs) and identify factors associated with hospitalization. This was a multicentre, observational, retrospective cohort involving 16 EDs Italy enrolling (3–13 years) receiving visit ED during March–June 2019 2020. Risk for hospitalization identified by logistic...
We proposed to analyze thoroughly the impact of COVID-19 lockdown (CL) in changes profiles and trend domestic accidents (DAs) children.This was a single experience, cross-sectional study conducted at emergency department (ED) III trauma center. enrolled children under 18 years admitted ED with diagnosis DAs comparing CL period from 10th March 2020 4th May same previous year,10th 2019 2019.In period, cumulative incidence visits for increased 86.88 272.13 per 1,000 hospitalizations 409.72...
Point‐of‐care ultrasound (POCUS) is a growing interesting tool in the emergency setting. Its usefulness diagnostic and therapeutic pathway of patients with respiratory distress addition to clinical evaluation well established adult medicine while paediatric specific data, although growing, remain limited. We report case series presenting successfully diagnosed cardiac dysfunction following POCUS evaluations. Lung POCUS, combination very useful supplementary assess breathless child rapidly...
This retrospective study was conducted to analyze clinical and laboratoristic parameters individuate specific differences facilitate differential diagnosis between Measles Kawasaki Disease (KD) at first evaluation in an emergency room. We found similar features as duration of fever number KD criteria (p > 0.5) but significant white blood cell count, neutrophils, CRP LDH levels < 0.001). value ≥ 800 mg/dl had sensibility 89% specificity 90% for while 3 85% KD. The combined use CRP, AST showed...
Because signs of nocturnal seizures can overlap with sleep respiratory events, clinicians have difficulty distinguishing abnormal events related to disorders from epileptic seizures. We describe the case a 3-year-old child presenting ictal electroencephalographic (EEG) activity associated particular form atypical obstructive apnea, characterized by increased rate, paradoxical breathing, desaturations, and tonic-dystonic posture movement artifacts. Following cardiorespiratory polysomnography,...
Point‐of‐care lung ultrasound is a widely used tool in the diagnosis and management of patients with pulmonary diseases now SARS‐CoV‐2 infection. We describe two cases pneumothorax which are, as far we know, among first reported COVID‐19 younger than 18 years. The diagnostic monitoring role point‐of‐care has been extremely useful patients.
With the emergence of Covid-19 pandemic, pleuropulmonary ultrasound has become a very common tool in clinical practice, even pediatric field. Therefore, clinicians' need to speak language becomes increasingly necessary. The Italian scientific society AdET (Academy Thoracic Ultrasound) been carrying out study and dissemination pulmonary medical practice Italy for years. this article, group wants propose report model as useful daily interpret images reach diagnostic conclusion, aiming share...
During the COVID-19 pandemic, lung ultrasound (LU) turned out to be a pivotal tool study involvement in adult population, but same was not well evaluated children. We detected LU patterns through an integrated approach with clinical−laboratory features children hospitalized for relation temporal trend of Italian epidemic. conducted retrospective which took place at pediatric tertiary hospital from 15 March 2020 2021. compared characteristics initial phase first year—in spring and summer (15...
<title>Abstract</title> Covid-19 causedhospitalizations, severe disease and deaths in any age, including the youngest children. The aim of this multicenter national study is to characterize clinical prognostic role lung ultrasound (LUS) children with Covid-19. We enrolled between 1 month 18 years age diagnosed SARS-CoV2 infection whounderwenta within 6 hours from firstmedical evaluation. A total 213 were enrolled, 51.6%were male, median was2 5 months (IQR 4mm- 11 yearsand4 months).One...