Re: Fetal lung madurity
From: art fougner, md (evsono@pipeline.com)
Mon Jul 16 11:38:02 2001
Jim -
thanks for the clinical info - just proves Yogi Berra is the patron
saint of prenatal diagnosis - "it ain't over til it's over."
art
At Mon, 16 Jul 2001, James S Smeltzer MD wrote:
>
>Pablo,
>
>Fetal lung hypoplasia, severe enough to result in certain death, is not
>predictable by sonography. I have had babies who were doomed by certain
>formulae who are walking around using their own lungs. I have had others
>who died of hypoplasia despite acceptable or viable ratios (heart to
>chest). Rules of thumb, so far, have been very poor in my hands, and those
>of many others. The people who perform "life-saving" surgery on unborn
>babies for possibly fatal problems may have other opinions.
>
>Jim
>
>At 04:33 PM 7/12/2001 -0500, you wrote:
>>I was wrong: the neonatologists want to know if there is some way to predict
>>fetal hypoplasia with ultrasound, they are not concerned about how to
>>determine maturity with ultrasound.
>>
>>I know the relationship between the hemithorax and the lung in case of
>>diaphragmatic hernia to determine lung hypoplasia. I think I will apply this
>>relationship for both hemitorax.
>>If any one know how to do it in a non-herniated fetus, I will appreciate the
>>information.
>>
>>Thanks
>>Pablo
>>
>>> -----Mensaje original-----
>>> De: Pablo D'Angelo <pjd@post.com>
>>> Para: Multiple recipients of list ULTRASOUND
>>> <ultrasound@mail.medispecialty.com>
>>> Fecha: Miércoles, 11 de Julio de 2001 05:23 p.m.
>>> Asunto: Fetal lung madurity
>>>
>>> >Hello
>>> >
>>> >Someone knows if there is any RELIABLE way to determine fetal lung
>>madurity
>>> >with ultrasound?
>>> >
>>> >We had a pregnant woman 26 weeks of gestation with premature rupture of
>>> >membranes from 4 weeks ago, with an AFI that never exceeded 10 mm.
>>> >We need to know lung madurity.
>>> >
>>> >Any idea?
>>> >
>>> >Thanks
>>> >
>>> >Pablo D'Angelo, MD
>>> >from Argentina
>>> >
>>>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
