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

Consensus Continuous Positive Airway Pressure / methods Disease Management Europe Humans Infant Infant, Newborn Infant, Premature Neonatologists Pulmonary Surfactants / therapeutic use Respiratory Distress Syndrome, Newborn / therapy
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

Journal

Neonatology
ISSN: 1661-7819
Titre abrégé: Neonatology
Pays: Switzerland
ID NLM: 101286577

Informations de publication

Date de publication:
2019
Historique:
pubmed: 12 4 2019
medline: 18 12 2019
entrez: 12 4 2019
Statut: 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.

Identifiants

DOI: 10.1159/000499361 PMID: 30974433 PMC: PMC6604659
pubmed: 30974433
pii: 000499361
doi: 10.1159/000499361
pmc: PMC6604659
doi:

Substances chimiques

Pulmonary Surfactants 0

Types de publication

Journal Article Practice Guideline

Langues

eng

Sous-ensembles de citation

IM

Pagination

432-450

Informations de copyright

© 2019 S. Karger AG, Basel.

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Auteurs

David G Sweet (DG)

Regional Neonatal Unit, Royal Maternity Hospital, Belfast, United Kingdom, david.sweet@belfasttrust.hscni.net.

Virgilio Carnielli (V)

Department of Neonatology, Polytechnic University of Marche, and Azienda Ospedaliero-Universitaria Ospedali Riuniti Ancona, Ancona, Italy.

Gorm Greisen (G)

Department of Neonatology, Rigshospitalet and University of Copenhagen, Copenhagen, Denmark.

Mikko Hallman (M)

Department of Pediatrics and Adolescence, Oulu University Hospital, and PEDEGO Research Unit, Medical Research Center, University of Oulu, Oulu, Finland.

Eren Ozek (E)

Department of Pediatrics, Marmara University Medical Faculty, Istanbul, Turkey.

Arjan Te Pas (A)

Leiden University Medical Centre, Leiden, The Netherlands.

Richard Plavka (R)

Division of Neonatology, Department of Obstetrics and Gynecology, General Faculty Hospital and 1st Faculty of Medicine, Charles University, Prague, Czechia.

Charles C Roehr (CC)

Department of Paediatrics, University of Oxford, Medical Sciences Division, Newborn Services, John Radcliffe Hospitals, Oxford, United Kingdom.

Ola D Saugstad (OD)

Department of Pediatric Research, Oslo University Hospital Rikshospitalet, University of Oslo, Oslo, Norway.

Umberto Simeoni (U)

Division of Pediatrics, CHUV & University of Lausanne, Lausanne, Switzerland.

Christian P Speer (CP)

Department of Pediatrics, University Children's Hospital, Würzburg, Germany.

Maximo Vento (M)

Department of Pediatrics and Neonatal Research Unit, Health Research Institute La Fe, University and Polytechnic Hospital La Fe, Valencia, Spain.

Gerhard H A Visser (GHA)

Department of Obstetrics and Gynecology, University Medical Centre, Utrecht, The Netherlands.

Henry L Halliday (HL)

Department of Child Health, Queen's University Belfast and Royal Maternity Hospital, Belfast, United Kingdom.

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Classifications MeSH

questionsmedicales.fr › Phénomènes psychologiques › Processus mentaux › Pensée (activité mentale) › Prise de décision › Consensus › European Consensus Guidelines on the...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Ventilation à pression positive › Ventilation en pression positive continue › European Consensus Guidelines on the...
questionsmedicales.fr › Administration des services de santé › Gestion des soins aux patients › Prise en charge de la maladie › European Consensus Guidelines on the...
questionsmedicales.fr › Régions géographiques › Europe › European Consensus Guidelines on the...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › European Consensus Guidelines on the...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › European Consensus Guidelines on the...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Nouveau-né › European Consensus Guidelines on the...
questionsmedicales.fr › Personnes › Tranches d'âge › Nourrisson › Nouveau-né › Prématuré › European Consensus Guidelines on the...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Médecins › Pédiatres › Néonatologistes › European Consensus Guidelines on the...
questionsmedicales.fr › Actions chimiques et utilisations › Actions pharmacologiques › Utilisations thérapeutiques › Agents de l'appareil respiratoire › Surfactants pulmonaires › European Consensus Guidelines on the...
questionsmedicales.fr › Malformations et maladies congénitales, héréditaires et néonatales › Maladies néonatales › Maladies du prématuré › Syndrome de détresse respiratoire du nouveau-né › European Consensus Guidelines on the...