Overview of the European consensus guidelines on the management of respiratory distress syndrome – 2019

• Semen S. Mezhinsky
• Anna L. Karpova
• Aleksey V. Mostovoy
• Artem V. Andreev
• Nataliya A. Shilova
• Natalya V. Harlamova

Abstract

Up-dated European consensus guidelines on the management of respiratory distress syndrome in newborns were published in April 2019. We present the translation of these clinical guidelines. The review focused on the key factors as monitoring of the pregnancy, stabilization of a newborn in the delivery room, oxygen supplementation, and stabilization of the blood pressure. Surfactant therapy, non-invasive respiratory support, strategies for protective endotracheal ventilation, and usage of steroids in the postnatal period were discussed. The particular attention was paid to the main changes in the new version of recommendations and advanced directions in the diagnosis and treatment of respiratory distress syndrome. Comparative analysis with available the Russian National Clinical Guidelines (2016) was performed.

Keywords:respiratory distress syndrome, extremely low birth weight infants, very low birth weight infants, neonatal intensive care unit, respiratory therapy, surfactant, preterm labor, prevention of fetal respiratory distress syndrome

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