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

  • Sweet DG Regional Neonatal Unit, Royal Maternity Hospital, Belfast, United Kingdom, david.sweet@belfasttrust.hscni.net.
  • Carnielli V Department of Neonatology, Polytechnic University of Marche, and Azienda Ospedaliero-Universitaria Ospedali Riuniti Ancona, Ancona, Italy.
  • Greisen G Department of Neonatology, Rigshospitalet and University of Copenhagen, Copenhagen, Denmark.
  • Hallman M Department of Pediatrics and Adolescence, Oulu University Hospital, and PEDEGO Research Unit, Medical Research Center, University of Oulu, Oulu, Finland.
  • Ozek E Department of Pediatrics, Marmara University Medical Faculty, Istanbul, Turkey.
  • Te Pas A Leiden University Medical Centre, Leiden, The Netherlands.
  • Plavka R Division of Neonatology, Department of Obstetrics and Gynecology, General Faculty Hospital and 1st Faculty of Medicine, Charles University, Prague, Czechia.
  • Roehr CC Department of Paediatrics, University of Oxford, Medical Sciences Division, Newborn Services, John Radcliffe Hospitals, Oxford, United Kingdom.
  • Saugstad OD Department of Pediatric Research, Oslo University Hospital Rikshospitalet, University of Oslo, Oslo, Norway.
  • Simeoni U Division of Pediatrics, CHUV & University of Lausanne, Lausanne, Switzerland.
  • Speer CP Department of Pediatrics, University Children's Hospital, Würzburg, Germany.
  • Vento M Department of Pediatrics and Neonatal Research Unit, Health Research Institute La Fe, University and Polytechnic Hospital La Fe, Valencia, Spain.
  • Visser GHA Department of Obstetrics and Gynecology, University Medical Centre, Utrecht, The Netherlands.
  • Halliday HL Department of Child Health, Queen's University Belfast and Royal Maternity Hospital, Belfast, United Kingdom.
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  • 2019-04-12
Published in:
  • Neonatology. - 2019
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
Consensus
Continuous Positive Airway Pressure
Disease Management
Europe
Humans
Infant
Infant, Newborn
Infant, Premature
Neonatologists
Pulmonary Surfactants
Respiratory Distress Syndrome, Newborn
English 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.
Language
  • English
Open access status
hybrid
Identifiers
Persistent URL
https://folia.unifr.ch/global/documents/281672
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