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September 5, 2026Journal of Paediatrics and Child HealthOpen Access

Lung Ultrasound Practice in Australian and New Zealand Neonatal Intensive Care Units—A Survey

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Authors

VGV. GruberSMStephanie MorakeasBSBernhard Schwaberger

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Overview

Survey reveals low routine use of lung ultrasound in neonatal intensive care units, suggesting targeted training and standardized protocols are needed to enhance bedside clinical adoption.

Key Points

  • To evaluate current lung ultrasound practices, clinical indications, training levels, and perceived barriers across neonatal intensive care units in Australia and New Zealand.
  • A 45-item structured, anonymous REDCap survey was distributed to neonatal intensive care unit heads of departments across Australia (n = 29) and New Zealand (n = 6) between October 2024 and July 2025.
  • The survey assessed lung ultrasound frequency, clinical and research applications, staff training levels, equipment availability, and barriers to implementation.
  • A total of 29 units participated (82.9% response rate), with 10.3% reporting routine lung ultrasound use, 65.6% occasional use, and 24.1% non-use.
  • Primary indications included pleural effusion (79.3%), pneumothorax (75.9%), and respiratory distress syndrome (58.6%), with 79.3% of units using it as first-line imaging for pneumothorax.
  • At least one senior consultant was trained in 75.9% of units and fellows were trained in 55.2%, with inconsistent utilization not being driven by equipment shortages.

Cite This Study

Gruber et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd4046b95aff0620eb5b1https://doi.org/10.1111/jpc.70569
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Use of neonatal lung ultrasound in European neonatal units: a survey by the European Society of Paediatric Research2024 · 14 citations
  2. 2Breathe easy, baby, breathe. Lung ultrasound in neonatal critical care2025 · 5 citations
  3. 3Clinical Use of Lung Ultrasound by Emergency and Intensive Care Physicians: A Swiss National Survey2025
  4. 4Lung Ultrasound and Ultrasound Score: A Useful Tool in Neonatal Intensive Care Units for the Diagnosis and Therapeutic Management of Newborns With Respiratory Pathology2024 · 3 citations
  5. 5Current use and practices of lung ultrasound in geriatric care: insights from a national survey2026