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European Consensus Guidelines on the Management of Respiratory Distress Syndrome: 2022 Update
DG. Sweet, VP. Carnielli, G. Greisen, M. Hallman, K. Klebermass-Schrehof, E. Ozek, A. Te Pas, R. Plavka, CC. Roehr, OD. Saugstad, U. Simeoni, CP. Speer, M. Vento, GHA. Visser, HL. Halliday
Language English Country Switzerland
Document type Practice Guideline, Research Support, Non-U.S. Gov't
PubMed
36863329
DOI
10.1159/000528914
Knihovny.cz E-resources
- MeSH
- Anti-Bacterial Agents MeSH
- Child MeSH
- Cognition MeSH
- Infant MeSH
- Consensus MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Respiratory Distress Syndrome * MeSH
- Respiratory Distress Syndrome, Newborn * therapy MeSH
- Pregnancy MeSH
- Check Tag
- Child MeSH
- Infant MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- Practice Guideline MeSH
Respiratory distress syndrome (RDS) care pathways evolve slowly as new evidence emerges. We report the sixth version of "European Guidelines for the Management of RDS" by a panel of experienced European neonatologists and an expert perinatal obstetrician based on available literature up to end of 2022. Optimising outcome for babies with RDS includes prediction of risk of preterm delivery, appropriate maternal transfer to a perinatal centre, and appropriate and timely use of antenatal steroids. Evidence-based lung-protective management includes initiation of non-invasive respiratory support from birth, judicious use of oxygen, early surfactant administration, caffeine therapy, and avoidance of intubation and mechanical ventilation where possible. Methods of ongoing non-invasive respiratory support have been further refined and may help 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 by targeted use of postnatal corticosteroids remains essential. The general care of infants with RDS is also reviewed, including emphasis on appropriate cardiovascular support and judicious use of antibiotics as being important determinants of best outcome. We would like to dedicate this guideline to the memory of Professor Henry Halliday who died on November 12, 2022.These updated guidelines contain evidence from recent Cochrane reviews and medical literature since 2019. Strength of evidence supporting recommendations has been evaluated using the GRADE system. There are changes to some of the previous recommendations as well as some changes to the strength of evidence supporting recommendations that have not changed. This guideline has been endorsed by the European Society for Paediatric Research (ESPR) and the Union of European Neonatal and Perinatal Societies (UENPS).
Department of Child Health Queen's University Belfast and Royal Maternity Hospital Belfast UK
Department of Neonatology Rigshospitalet and University of Copenhagen Copenhagen Denmark
Department of Obstetrics and Gynecology University Medical Centre Utrecht The Netherlands
Department of Pediatrics Marmara University Medical Faculty Istanbul Turkey
Department of Pediatrics University Children's Hospital Wuerzburg Germany
Leiden University Medical Centre Leiden The Netherlands
References provided by Crossref.org
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