European consensus guidelines on the management of neonatal respiratory distress syndrome
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David Sweet
Abstract
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.
©2007 by Walter de Gruyter Berlin New York
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Articles in the same Issue
- European consensus guidelines on the management of neonatal respiratory distress syndrome
- Hypogastric artery ligation for severe hemorrhage in obstetric patients
- Hypogastric artery ligation: a stitch in time
- Labor induction in preeclampsia: Is misoprostol more effective than dinoprostone?
- Neurokinin B levels in maternal and umbilical cord blood in preeclamptic and normal pregnancies
- Intrauterine infection induced oligodendrocyte injury and inducible nitric oxide synthase expression in the developing rat brain
- Chaotic indices and canonical ensemble of heart rate patterns in small-for-gestational age fetuses
- The cisterna magna size in normal second-trimester fetuses
- Type and number of sites colonized by fungi and risk of progression to invasive fungal infection in preterm neonates in neonatal intensive care unit
- Serratia marcescens bacteremia – an indicator for outbreak management and heightened surveillance
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- Management of a rare cause of neonatal airway obstruction: cervical teratoma
- Congress Calendar
