e-ISSN: 2664-1194     print ISSN: 2304-6554
Comparative analysis of efficiency of application respiratory and surfactant therapy with curosurf in preterm infants with respiratory distress syndrome
Azerbaijan Journal of Perinatology and Pediatrics

Abstract

The aim of the study was a comparative evaluation of the effectiveness and appropriateness of applying surfactant replacement therapy with Curosurf and noninvasive method of continuous posi-tive airway pressure (Continuous Positive Airways Pressure) (CPAP) in preterm infants with res-piratory distress syndrome (RDS). The complex, clinical, laboratory and instrumental examination of 363 premature newborns with RDS, with gestational age less than 34 weeks was performed.
It is revealed, that the positive variations of radiological parameters are marked during applica-tion of nasal СРАР and early introduction of Curosurf. Parameters of the oxygen status are impro-ved.
İmprovement and implementation of algorithm of intensive and intensive care, as well as early and late application of exogenous surfactant, will reduce the early neonatal mortality,assist success-ful nursing of premature newborns especially those with very low and extremely low birth weight.

References

Неонатология: национальное руко-водство: краткая версия/ под редакцией Н.Н.Володина. М.: ГЭОТАР- Медиа,2013.

Gomella Tricia Lacy. Neonatology: Management, Produdures, on-Call Problems, Diseases, and Drung: Appleton and Lange,-2013.

Акушерство: национальное руко-водство/ под ред. Савельевой Г.М., Сухих Г.Т., Серова В.Н. и другие. 2-у изд., пере-раб. и доп. М.: ГЭОТАР-Медиа, 2015.

European consensus guidelines on the management of RDS-2016 Update// neonato-logy, 2016 , vol.111, № 2, p.107-125.

Gallacher D.J., Hart K., Kotecha S. Common respiratory conditions of the newborn //Breathe. 2016.Vol.12. p.30-42.

Sweet D.G., Carnieli V., Greisen G., et al. European Association of Perinatal Medici-ne. European consensus guidelines on the ma-nagement of neonatal respiratory distress

syndrome in preterm infants -2013 update // Neonatology.2013.vol.103, №4, р.353-368.

Овсянников Д.Ю. Европейский кон-сенсус по респираторному дистресс-син-дрому пересмотра 2013 года // Педиат-рия.2015.том 94., №1, с.100-105.

Ионов О.В., Рындин А.Ю., Антонов А.Г. и др. Сурфактантная терапия в ком-плексном лечении респираторной пато-логии у глубоконедоношенных детей //Российский перинатологии педиатрии, 3-,2013, том 58, с.108-114. 9. Finer N.N., Carlo W.A.,Walsh M.C. et al. Early CPAP versus surfactant in extremely preterm infants N.Eng J Med 2010;-362:21:1970-1979. 10. Kribs A., Hartel C., Kattner E. et al Surfactant without Intubation in Preterm In-fants with Respiratory Distress: First Multi-center Data.Klin.Pedatr 2010; 222:13-67.

PDF (Русский)
PDF (Русский)

Keywords

respiratory
surfactant therapy
respiratory distress syndrome
prematurity respirator
surfaktant terapiyası
respirator distres sindrom
vaxtından əvvəl doğulanlar респираторная
сурфактантная терапия
респираторный дистресс синдром
недоношенные