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Neonatal resuscitation and respiratory support in prevention of bronchopulmonary dysplasia

C.C. Roehr, K. Bohlin
Breathe 2011 8: 14-23; DOI: 10.1183/20734735.003811
C.C. Roehr
1Dept of Neonatology, Charité University Hospital, Berlin, Germany.
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K. Bohlin
2Dept of Neonatology, Karolinska University Hospital and Karolinska Institute, Stockholm, Sweden.
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  • For correspondence: kajsa.bohlin@ki.se
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    Figure 1

    Pre-term infant on nasal continuous positive airway pressure. Image: A-S. Gustafsson, RN.

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    Figure 2

    a) Smooth alveolar surface in surfactant-treated preterm rabbit lung. b) Disrupted alveolar surface in ventilated preterm rabbit without prior treatment of surfactant.

Tables

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  • Table 1 Diagnostic criteria for bronchopulmonary dysplasia (BPD)
    GA weeks
    <32>32
    Treatment with oxygen>21% for ≥28 days>21% for ≥28 days
    Time-point of assessment36 weeks post-menstrual age or discharge>28 but <56 days or discharge
    BPD
    MildBreathing room air at 36 weeks post-menstrual age or dischargeBreathing room air at 56 days post-natal age or discharge
    ModerateNeed for <30% oxygen at 36 weeks post-menstrual age or dischargeNeed for <30% oxygen at 56 days post-natal age or discharge
    SevereNeed for >30% oxygen, with or without PPV or continuous positive pressure at 36 weeks post-menstrual age or dischargeNeed for >30% oxygen, with or without PPV or continuous positive pressure at 56 days post-natal age or discharge
    • GA: gestational age; PPV: positive pressure ventilation. Modified from [16] with permission from the publisher.

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Vol 8 Issue 1 Table of Contents
Breathe: 8 (1)
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Neonatal resuscitation and respiratory support in prevention of bronchopulmonary dysplasia
C.C. Roehr, K. Bohlin
Breathe Sep 2011, 8 (1) 14-23; DOI: 10.1183/20734735.003811

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Neonatal resuscitation and respiratory support in prevention of bronchopulmonary dysplasia
C.C. Roehr, K. Bohlin
Breathe Sep 2011, 8 (1) 14-23; DOI: 10.1183/20734735.003811
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  • Article
    • Abstract
    • The physiology of the first breath
    • Current neonatal resuscitation guidelines on initial airway management
    • Oxygen saturation targets in the delivery room
    • Surfactant treatment: when and how?
    • Early CPAP or DR intubation
    • SUPPORT
    • CURPAP Trial
    • Noninvasive ventilation and prevention of BPD
    • Conclusion
    • Footnotes
    • References
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  • Acute lung injury and critical care
  • Paediatric pulmonology
  • Pulmonary pharmacology and therapeutics
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