Keywords: POCUS, Pediatrics, Lung Ultrasound, Bronchiolitis (PubMed Search)
They scored infant lungs using a cumulative 12-zone system. With the below scale:
0 - A lines with <3 B lines per lung segment.
1 - ≥3 B lines per lung segment, but not consolidated.
2 - consolidated B lines, but no subpleural consolidation.
3 - subpleural consolidation with any findings scoring 1 or 2.
They found that infants with higher LUS scores had increased rates of hospitalization and length of stay.
Here are some tips for a pediatric patient:
Smith JA, Stone BS, Shin J, Yen K, Reisch J, Fernandes N, Cooper MC. Association of outcomes in point-of-care lung ultrasound for bronchiolitis in the pediatric emergency department. Am J Emerg Med. 2023 Oct 21;75:22-28. doi: 10.1016/j.ajem.2023.10.019. Epub ahead of print. PMID: 37897916.