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The Capital Region of Denmark - a part of Copenhagen University Hospital
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European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2019 Update

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  1. Learning Curves for Training in Ultrasonography-Based Examination of Umbilical Catheter Placement: A Piglet Study

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. European Consensus Guidelines on the Management of Respiratory Distress Syndrome - 2016 Update

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Neonatal Pneumothorax: A Descriptive Regional Danish Study

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  • David G Sweet
  • Virgilio Carnielli
  • Gorm Greisen
  • Mikko Hallman
  • Eren Ozek
  • Arjan Te Pas
  • Richard Plavka
  • Charles C Roehr
  • Ola D Saugstad
  • Umberto Simeoni
  • Christian P Speer
  • Maximo Vento
  • Gerhard H A Visser
  • Henry L Halliday
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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.

Original languageEnglish
JournalNeonatology
Volume115
Issue number4
Pages (from-to)432-450
Number of pages19
ISSN1661-7800
DOIs
Publication statusPublished - 2019

ID: 58089565