European Consensus Guidelines on the Management of Neonatal Respiratory Distress Syndrome in Preterm Infants-2010 Update

被引:270
作者
Sweet, David G. [1 ]
Carnielli, Virgilio [2 ]
Greisen, Gorm [3 ,4 ]
Hallman, Mikko [5 ]
Ozek, Eren [6 ]
Plavka, Richard [7 ,8 ]
Saugstad, Ola D. [9 ]
Simeoni, Umberto [10 ]
Speer, Christian P. [11 ]
Halliday, Henry L. [1 ,12 ]
机构
[1] Royal Matern Hosp, Reg Neonatal Unit, Belfast BT12 6BB, Antrim, North Ireland
[2] Univ Politecn Marche, Osped Univ Ancona, Dipartimento Neonatol, Ancona, Italy
[3] Rigshosp, Dept Neonatol, DK-2100 Copenhagen, Denmark
[4] Univ Copenhagen, Copenhagen, Denmark
[5] Univ Oulu, Dept Pediat, Inst Clin Med, Oulu Univ Hosp, SF-90100 Oulu, Finland
[6] Marmara Univ, Fac Med, Dept Pediat, Istanbul, Turkey
[7] Charles Univ Prague, Fac Med 1, Prague, Czech Republic
[8] Charles Univ Prague, Dept Obstet & Gynecol, Div Neonatol, Gen Fac Hosp, Prague, Czech Republic
[9] Univ Oslo, Dept Pediat Res, Rikshosp Med Ctr, Fac Med, Oslo, Norway
[10] Hop Conception, Serv Neonatol, Assistance Publ Hop Marseille, Marseille, France
[11] Univ Childrens Hosp, Dept Pediat, Wurzburg, Germany
[12] Queens Univ Belfast, Dept Child Hlth, Belfast BT7 1NN, Antrim, North Ireland
关键词
BIRTH-WEIGHT INFANTS; POSITIVE AIRWAY PRESSURE; ELECTIVE CESAREAN-SECTION; PLURALITY-DEPENDENT RISK; 7-YEAR FOLLOW-UP; OXYGEN-SATURATION; PREMATURE-INFANTS; CONTROLLED-TRIAL; SURFACTANT REPLACEMENT; MANDATORY VENTILATION;
D O I
10.1159/000297773
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
These updated guidelines contain new evidence from recent Cochrane reviews and the medical literature since 2007. Many of the previous recommendations regarding early surfactant and CPAP are now more firmly evidence-based. The section on delivery room stabilisation has been considerably expanded. There are new recommendations on delaying umbilical cord clamping and a new section has been added on avoiding or reducing duration of mechanical ventilation, including recommendations on caffeine therapy, nasal ventilation, permissive hypercapnia and the role of newer ventilator modalities. A new 'miscellaneous' section has also been added covering aspects of RDS management that arise infrequently.
引用
收藏
页码:402 / 417
页数:16
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