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https://repository.monashhealth.org/monashhealthjspui/handle/1/48112| Title: | Impact of early respiratory care for extremely preterm infants. | Authors: | Owen L.S.;Manley B.J.;Hodgson K.A.;Roberts C.T. | Monash Health Department(s): | Paediatric - Neonatal (Monash Newborn) Hudson Institute - The Ritchie Centre |
Institution: | (Owen, Manley, Hodgson) Department of Obstetrics and Gynaecology, The University of Melbourne, Melbourne, Australia (Owen, Manley, Hodgson) Newborn Research Centre, The Royal Women's Hospital, Flemington Road, Parkville, Melbourne, VIC 3052, Australia (Owen, Manley) Clinical Sciences, Murdoch Children's Research Institute, Melbourne, Australia (Roberts) Monash Newborn, Monash Children's Hospital, Monash University, Clayton, VIC, Australia (Roberts) Department of Paediatrics, Monash University, Clayton, VIC, Australia (Roberts) The Ritchie Centre, Hudson Institute of Medical Research, Clayton, VIC, Australia |
Issue Date: | 7-Jul-2022 | Copyright year: | 2021 | Publisher: | W.B. Saunders | Place of publication: | United States | Publication information: | Seminars in Perinatology. 45(8) (no pagination), 2021. Article Number: 151478. Date of Publication: December 2021. | Journal: | Seminars in Perinatology | Abstract: | Despite advances in neonatal intensive care, more than half of surviving infants born extremely preterm (EP; < 28 weeks' gestation) develop bronchopulmonary dysplasia (BPD). Prevention of BPD is critical because of its associated mortality and morbidity, including adverse neurodevelopmental outcomes and respiratory health in later childhood and beyond. The respiratory care of EP infants begins before birth, then continues in the delivery room and throughout the primary hospitalization. This chapter will review the evidence for interventions after birth that might improve outcomes for infants born EP, including the timing of umbilical cord clamping, strategies to avoid or minimize exposure to mechanical ventilation, modes of mechanical ventilation and non-invasive respiratory support, oxygen saturation targets, postnatal corticosteroids and other adjunct therapies.Copyright © 2021 Elsevier Inc. | DOI: | http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1016/j.semperi.2021.151478 | PubMed URL: | 34474939 [https://www.ncbi.nlm.nih.gov/pubmed/?term=34474939] | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/48112 | Type: | Article | Subjects: | artificial ventilation assisted ventilation continuous positive airway pressure drug use early intervention extubation high frequency oscillatory ventilation infant inflammation lung dysplasia lung gas exchange lung inflation lung ventilation lung volume newborn apnea newborn intensive care non invasive procedure noninvasive ventilation oxygen saturation pathophysiology postnatal care prematurity respiration control respiratory care umbilical cord clamping ventilator weaning acetylcysteine pentoxifylline volume targeted ventilation | Type of Clinical Study or Trial: | Opinion, perspective or news |
| Appears in Collections: | Articles |
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