European consensus guidelines on the management of neonatal respiratory distress syndrome.
Détails
ID Serval
serval:BIB_0D736D0DECFD
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 neonatal respiratory distress syndrome.
Périodique
Journal of Perinatal Medicine
Collaborateur⸱rice⸱s
Working Group on Prematurity of the World Association of Perinatal Medicine, European Association of Perinatal Medicine
ISSN
0300-5577 (Print)
ISSN-L
0300-5577
Statut éditorial
Publié
Date de publication
2007
Peer-reviewed
Oui
Volume
35
Numéro
3
Pages
175-186
Langue
anglais
Notes
Publication types: Consensus Development Conference ; Journal Article ; Practice GuidelinePublication Status: ppublish
Résumé
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.
Mots-clé
Enteral Nutrition, Europe, Humans, Infant, Newborn, Oxygen Inhalation Therapy, Prenatal Care, Respiration, Artificial, Respiratory Distress Syndrome, Newborn/diagnosis, Respiratory Distress Syndrome, Newborn/prevention & control, Surface-Active Agents/administration & dosage
Pubmed
Web of science
Création de la notice
22/02/2015 12:30
Dernière modification de la notice
20/08/2019 13:34