RDS-NExT workshop: consensus statements for the use of surfactant in preterm neonates with RDS

被引:22
作者
Bhandari, Vineet [1 ]
Black, Rachel [2 ]
Gandhi, Bheru [3 ]
Hogue, Susan [2 ]
Kakkilaya, Venkatakrishna [4 ]
Mikhael, Michel [5 ]
Moya, Fernando [6 ]
Pezzano, Chad [7 ]
Read, Pam [2 ]
Roberts, Kari D. D. [8 ]
Ryan, Rita M. M. [9 ]
Stanford, Richard H. H. [2 ]
Wright, Clyde J. J. [10 ,11 ]
机构
[1] Rowan Univ, Childrens Reg Hosp Cooper, Cooper Med Sch, Camden, NJ 08102 USA
[2] AESARA Inc, Chapel Hill, NC USA
[3] Texas Childrens Hosp, Baylor Coll Med, Houston, TX USA
[4] Univ Texas Southwestern Med Ctr Dallas, Dept Pediat, Div Neonatal Perinatal Med, Dallas, TX USA
[5] Childrens Hosp Orange Cty, Orange, CA USA
[6] UNC Sch Med, Dept Pediat, Div Wilmington Pediat Subspecialists, Wilmington, NC USA
[7] Albany Med Ctr, Dept Cardioresp Serv Pediat, Albany, NY USA
[8] Univ Minnesota, Minneapolis, MN USA
[9] Case Western Reserve Univ, UH Rainbow Babies & Childrens Hosp, Cleveland, OH USA
[10] Childrens Hosp Colorado, Dept Pediat, Sect Neonatol, Aurora, CO USA
[11] Univ Colorado, Sch Med, Aurora, CO USA
关键词
RESPIRATORY-DISTRESS-SYNDROME; LARYNGEAL MASK AIRWAY; REPLACEMENT THERAPY; LUNG ULTRASOUND; ENDOTRACHEAL INTUBATION; GESTATIONAL-AGE; INFANTS; VENTILATION; CPAP; FAILURE;
D O I
10.1038/s41372-023-01690-9
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
ObjectiveTo provide the best clinical practice guidance for surfactant use in preterm neonates with respiratory distress syndrome (RDS). The RDS-Neonatal Expert Taskforce (RDS-NExT) initiative was intended to add to existing evidence and clinical guidelines, where evidence is lacking, with input from an expert panel.Study designAn expert panel of healthcare providers specializing in neonatal intensive care was convened and administered a survey questionnaire, followed by 3 virtual workshops. A modified Delphi method was used to obtain consensus around topics in surfactant use in neonatal RDS.ResultStatements focused on establishing RDS diagnosis and indicators for surfactant administration, surfactant administration methods and techniques, and other considerations. After discussion and voting, consensus was achieved on 20 statements.ConclusionThese consensus statements provide practical guidance for surfactant administration in preterm neonates with RDS, with a goal to contribute to improving the care of neonates and providing a stimulus for further investigation to bridge existing knowledge gaps.
引用
收藏
页码:982 / 990
页数:9
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