European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2019 Update.

Détails

ID Serval
serval:BIB_090235687F60
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2019 Update.
Périodique
Neonatology
Auteur⸱e⸱s
Sweet D.G., Carnielli V., Greisen G., Hallman M., Ozek E., Te Pas A., Plavka R., Roehr C.C., Saugstad O.D., Simeoni U., Speer C.P., Vento M., Visser GHA, Halliday H.L.
ISSN
1661-7819 (Electronic)
ISSN-L
1661-7800
Statut éditorial
Publié
Date de publication
2019
Peer-reviewed
Oui
Volume
115
Numéro
4
Pages
432-450
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish
Résumé
As management of respiratory distress syndrome (RDS) advances, clinicians must continually revise their current practice. We report the fourth update of "European Guidelines for the Management of RDS" by a European panel of experienced neonatologists and an expert perinatal obstetrician based on available literature up to the end of 2018. Optimising outcome for babies with RDS includes prediction of risk of preterm delivery, need for appropriate maternal transfer to a perinatal centre and timely use of antenatal steroids. Delivery room management has become more evidence-based, and protocols for lung protection including initiation of CPAP and titration of oxygen should be implemented immediately after birth. Surfactant replacement therapy is a crucial part of management of RDS, and newer protocols for its use recommend early administration and avoidance of mechanical ventilation. Methods of maintaining babies on non-invasive respiratory support have been further developed and may cause less distress and reduce chronic lung disease. As technology for delivering mechanical ventilation improves, the risk of causing lung injury should decrease, although minimising time spent on mechanical ventilation using caffeine and, if necessary, postnatal steroids are also important considerations. Protocols for optimising general care of infants with RDS are also essential with good temperature control, careful fluid and nutritional management, maintenance of perfusion and judicious use of antibiotics all being important determinants of best outcome.
Mots-clé
Antenatal steroids, Continuous positive airway pressure, Evidence-based practice, Hyaline membrane disease, Mechanical ventilation, Nutrition, Oxygen supplementation, Patent ductus arteriosus, Preterm infant, Respiratory distress syndrome, Surfactant therapy, Thermoregulation
Pubmed
Web of science
Open Access
Oui
Création de la notice
28/04/2019 15:40
Dernière modification de la notice
15/07/2020 5:26
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