RDS - CPAP or surfactant or both

被引：17

作者：

Bohlin, Kajsa ^{[1
,2
]}

机构：

[1] Karolinska Univ Hosp, Dept Neonatol, Stockholm, Sweden

[2] Karolinska Inst, Stockholm, Sweden

来源：

ACTA PAEDIATRICA | 2012年 / 101卷

关键词：

Continuous positive airway pressure; newborn; pulmonary surfactant; respiratory distress syndrome; POSITIVE AIRWAY PRESSURE; RESPIRATORY-DISTRESS-SYNDROME; PRETERM INFANTS; LUNG INJURY; NASAL CPAP; NEWBORNS; BIRTH; VENTILATION; MANAGEMENT; THERAPY;

D O I：

10.1111/j.1651-2227.2011.02543.x

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

There is mounting evidence that early continuous positive airway pressure (CPAP) from birth is feasible and safe even in very preterm infants. However, many infants will develop respiratory distress syndrome (RDS) and require surfactant treatment. Combining a non-invasive ventilation approach with a strategy for surfactant administration is important, but questions remain about the optimal timing, mode of delivery and the value of predictive tests for surfactant deficiency. Conclusion: Early CPAP in very preterm infants is as safe as routine intubation in the delivery room. However, a strategy for surfactant administration should be part of a non-invasive ventilation approach for those infants at risk of developing significant RDS.'

引用

页码：24 / 28

页数：5

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