| European consensus guidelines on the management of neonatal respiratory distress syndrome. | |
| | |
MedLine Citation:
|
PMID: 17480144 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Despite recent advances in the perinatal management of neonatal respiratory distress syndrome (RDS), controversies still exist. We report the recommendations of a European panel of expert neonatologists who developed consensus guidelines after critical examination of the most up-to-date evidence in 2007. Strong evidence exists for the role of antenatal steroids in RDS prevention, but it is not clear if repeated courses are safe. Many practices involved in preterm neonatal stabilization at birth are not evidence based, including oxygen administration and positive pressure lung inflation, and they may at times be harmful. Surfactant replacement therapy is crucial in management of RDS but the best preparation, optimal dose and timing of administration at different gestations is not always clear. Respiratory support in the form of mechanical ventilation may also be life saving but can cause lung injury, and protocols should be directed to avoiding mechanical ventilation where possible by using nasal continuous positive airways pressure. For babies with RDS to have the best outcome, it is essential that they have optimal supportive care, including maintenance of a normal body temperature, proper fluid management, good nutritional support, management of the ductus arteriosus and support of the circulation to maintain adequate blood pressure. |
| | |
Authors:
|
David Sweet; Giulio Bevilacqua; Virgilio Carnielli; Gorm Greisen; Richard Plavka; Ola Didrik Saugstad; Umberto Simeoni; Christian P Speer; Adolf Valls-I-Soler; Henry Halliday; ; |
Related Documents
:
|
11943654 - Vascular regulation of type ii cell exocytosis. 2745284 - Role of lung injury in the pathogenesis of hyaline membrane disease in premature baboons. 7510424 - Effect of detergent on alveolar particle clearance due to large tidal ventilation. 8442604 - Treatment responses to surfactants containing natural surfactant proteins in preterm ra... 20555294 - Lack of association between polymorphisms in stk39, a putative thiazide response gene, ... 10919424 - Brainstem death and ventilator trigger settings. |
Publication Detail:
|
Type: Consensus Development Conference; Journal Article; Practice Guideline |
Journal Detail:
|
Title: Journal of perinatal medicine Volume: 35 ISSN: 0300-5577 ISO Abbreviation: J Perinat Med Publication Date: 2007 |
Date Detail:
|
Created Date: 2007-05-07 Completed Date: 2007-07-19 Revised Date: 2010-09-16 |
Medline Journal Info:
|
Nlm Unique ID: 0361031 Medline TA: J Perinat Med Country: Germany |
Other Details:
|
Languages: eng Pagination: 175-86 Citation Subset: IM |
Affiliation:
|
Regional Neonatal Unit, Royal Maternity Hospital, Belfast, Northern Ireland, UK. david.sweet@royalhospitals.n-i.nhs.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Enteral Nutrition Europe Humans Infant, Newborn Oxygen Inhalation Therapy Prenatal Care Respiration, Artificial Respiratory Distress Syndrome, Newborn / diagnosis, prevention & control*, therapy Surface-Active Agents / administration & dosage |
| Chemical | |
Reg. No./Substance:
|
0/Surface-Active Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Educating CAM practitioners about integrative medicine: an approach to overcoming the communication ...
Next Document: Hypogastric artery ligation for severe hemorrhage in obstetric patients.