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Review article

EUROPEAN CONSENSUS GUIDELINES ON THE MANAGEMENT OF NEONATAL RESPIRATORY DISTRESS SYNDROME

Emilja Juretić ; Klinika za ženske bolesti i porode KBC-a, Petrova 13, 10 000 Zagreb

Fulltext: croatian, pdf (136 KB) pages 140-150 downloads: 738* cite
APA 6th Edition
Juretić, E. (2009). EUROPSKE SMJERNICE ZA LIJEČENJE NEONATALNOG SINDROMA RESPIRATORNOG DISTRESA. Gynaecologia et perinatologia, 18 (3), 140-150. Retrieved from https://hrcak.srce.hr/65958
MLA 8th Edition
Juretić, Emilja. "EUROPSKE SMJERNICE ZA LIJEČENJE NEONATALNOG SINDROMA RESPIRATORNOG DISTRESA." Gynaecologia et perinatologia, vol. 18, no. 3, 2009, pp. 140-150. https://hrcak.srce.hr/65958. Accessed 2 Aug. 2021.
Chicago 17th Edition
Juretić, Emilja. "EUROPSKE SMJERNICE ZA LIJEČENJE NEONATALNOG SINDROMA RESPIRATORNOG DISTRESA." Gynaecologia et perinatologia 18, no. 3 (2009): 140-150. https://hrcak.srce.hr/65958
Harvard
Juretić, E. (2009). 'EUROPSKE SMJERNICE ZA LIJEČENJE NEONATALNOG SINDROMA RESPIRATORNOG DISTRESA', Gynaecologia et perinatologia, 18(3), pp. 140-150. Available at: https://hrcak.srce.hr/65958 (Accessed 02 August 2021)
Vancouver
Juretić E. EUROPSKE SMJERNICE ZA LIJEČENJE NEONATALNOG SINDROMA RESPIRATORNOG DISTRESA. Gynaecologia et perinatologia [Internet]. 2009 [cited 2021 August 02];18(3):140-150. Available from: https://hrcak.srce.hr/65958
IEEE
E. Juretić, "EUROPSKE SMJERNICE ZA LIJEČENJE NEONATALNOG SINDROMA RESPIRATORNOG DISTRESA", Gynaecologia et perinatologia, vol.18, no. 3, pp. 140-150, 2009. [Online]. Available: https://hrcak.srce.hr/65958. [Accessed: 02 August 2021]

Abstracts
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.

Keywords
Continuous positive airways pressure; evidence based practice; mechanical ventilation; oxygen supplementation; patent ductus arteriosus; respiratory distress syndrome; surfactant therapy; thermoregulation

Hrčak ID: 65958

URI
https://hrcak.srce.hr/65958

[croatian]

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