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    Carmelli Mariae H. Calugay 8-23-13 BSN-2

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    Carmelli Mariae Calugay
    This document discusses recent developments in respiratory management of preterm infants in the delivery room. It notes that while survival of preterm infants has improved, bronchopulmonary dysplasia remains a major issue. The paradigm for resuscitation has shifted from being interventional to more observational and gentle. New techniques discussed include oxygen supplementation, noninvasive ventilation like nasal CPAP, new surfactant preparations and administration methods, and minimizing invasiveness. Several studies support nasal CPAP as the primary strategy but about half of infants fail this treatment.

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    Carmelli Mariae H. Calugay 8-23-13 BSN-2

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    Carmelli Mariae Calugay
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    This document discusses recent developments in respiratory management of preterm infants in the delivery room. It notes that while survival of preterm infants has improved, bronchopulmonary dysplasia remains a major issue. The paradigm for resuscitation has shifted from being interventional to more observational and gentle. New techniques discussed include oxygen supplementation, noninvasive ventilation like nasal CPAP, new surfactant preparations and administration methods, and minimizing invasiveness. Several studies support nasal CPAP as the primary strategy but about half of infants fail this treatment.

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    Respiratory management of the preterm newborn in the delivery room

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    This document discusses recent developments in respiratory management of preterm infants in the delivery room. It notes that while survival of preterm infants has improved, bronchopulmonary dysplasia remains a major issue. The paradigm for resuscitation has shifted from being interventional to more observational and gentle. New techniques discussed include oxygen supplementation, noninvasive ventilation like nasal CPAP, new surfactant preparations and administration methods, and minimizing invasiveness. Several studies support nasal CPAP as the primary strategy but about half of infants fail this treatment.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    50 views1 page

    Carmelli Mariae H. Calugay 8-23-13 BSN-2

    Uploaded by

    Carmelli Mariae Calugay
    This document discusses recent developments in respiratory management of preterm infants in the delivery room. It notes that while survival of preterm infants has improved, bronchopulmonary dysplasia remains a major issue. The paradigm for resuscitation has shifted from being interventional to more observational and gentle. New techniques discussed include oxygen supplementation, noninvasive ventilation like nasal CPAP, new surfactant preparations and administration methods, and minimizing invasiveness. Several studies support nasal CPAP as the primary strategy but about half of infants fail this treatment.

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    CARMELLI MARIAE H.

    CALUGAY
    BSN-2

    8-23-13

    Respiratory management of the preterm newborn in the delivery room


    The survival of preterm infants has improved significantly during the past several
    decades. However, bronchopulmonary dysplasia remains a major morbidity. Preterm infants
    have both structural and functional lung immaturity compared with term infants, making
    them more likely to require resuscitation and more vulnerable to developing
    bronchopulmonary dysplasia. Interventions in the delivery room may affect short-term and
    long-term outcomes for preterm infants. The paradigm of resuscitation of preterm infants
    has been changing over the past decade from being interventional and invasive to be
    observational and gentle. Recent developments in respiratory management of preterm
    infants in the delivery room include oxygen supplementation and monitoring, alveolar
    recruitment techniques, noninvasive ventilation, new surfactant preparations, and new
    techniques for administration of surfactant. Providing nasal continuous positive airway
    pressure (CPAP) rather than intubating has been identified as a potentially better practice.
    Experimental studies have demonstrated that early application of nasal CPAP is protective
    for the preterm lung and brain compared with mechanical ventilation. Several observational
    studies have suggested that early nasal CPAP and avoiding intubation leads to reduced
    oxygen requirements, intubation rates, duration of mechanical ventilation, and may
    decrease rates of bronchopulmonary dysplasia. Multicenter, randomized controlled trials
    support the use of nasal CPAP as a primary strategy in preterm babies with respiratory
    distress syndrome. This approach leads to a reduction in the number of infants who are
    intubated and given surfactant without an impact on bronchopulmonary dysplasia rates. On
    the other hand, half of the infants enrolled in these studies failed nasal CPAP treatment.
    New techniques for surfactant administration include INSURE ("intubate give surfactant and
    extubate"), administration through a laryngeal mask airway, nebulized surfactant
    administration, and minimally invasive surfactant therapy.

    Reaction:
    Good to know that survival of preterm infants improved so much these days.
    Because these infants are more vulnerable, they need the utmost care we can give. It is
    overwhelming that more and more studies have contributed to the development in
    management of preterm infants in the delivery room. Resuscitation of preterm infants is
    improving which means decrease in bronchopulmonary dysplasia. All-in-all, I can say that
    the men behind these studies did a great job, and that medical professionals in delivery
    room are more effective because of them.

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