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Respiratori
Percorsi Assistenziali Neonatologici Anno 2008
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4. Insuccesso del Tentativo di Estubazione (ripristinare i parametri iniziali)
Crisi apnoiche che richiedano rianimazione
PaCO 2 > 60 -65 mmHg per oltre 30 min (confermata con EAB arterioso)
Ipossia grave: PaO 2 < 50 mmHg e/o SatO 2 < 88% per più di 30 min
Silverman > 6 per oltre 30 min
Rx torace patologico (atelettasia) (in associazione ad uno degli altri eventi)
1. American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 13: Neonatal
Resuscitation Guidelines. Circulation. 2005; 112:IV-188-95
2. Davis PG, Henderson-Smart DI. Nasal continuous positive airways pressure immediately after estubation for preventing morbidity in
preterm infants. Cochrane Database Sist Rev. 2003;(2):CD000143
3. Greenough A, Milner AD, Dimitriou G. Synchronized mechanical ventilation for respiratory support in newborn. Cochrane Database
Sist Rev. 2004; (4):CD000456
4. Sandri F, Ancora G, Lanzoni A, et al. Prophylactic nasal continuous positive airways pressure in newborns of 28-31 weeks gestation:
multicentre randomized controlled clinical trial. Arch Dis Child Fetal Neonatal Ed. 2004;89(5):F394-8
5. Spitzer AR,Greenspan JS, Fox WW. Positive pressure ventilation. In Goldsmith JP, Karotkin EH,editor. Assisted ventilation of the
neonate, 4rd Edition, Philadelphia, Elsevier, 2003:165-6
6. Sweet D, Bevilacqua G, Carniello V, Greisen G, Plavka R, Saugstad OD, Simeoni U, Speer CP, Valls-i-Soler A, Halliday H. Europian
consensus guidelines on the management of neonatal respiratory distress syndrome. J Perinat Med: 35 (2007) 175-186
7. Vento G, Tortorolo L, Zecca E, Rosano A, Matassa PG, Papacci P, Romagnoli C. Spontaneous minute ventilation is a predictor of
extubation failure in extremely-low-birth-weight infants. J Matern Fetal Neonatal Med 2004 ;15:147-54
8. Sweet D, Bevilacqua G, Carnielli V, Greisen G, Plavka R, Didrik Saugstad O, Simeoni U, Speer CP, Valls-I-Soler A, Halliday H,
Working Group on Prematurity of the World Association of Perinatal Medicine, European Association of Perinatal Medicine
European consensus guidelines on the management of neonatal respiratory distress syndrome. J Perinat Med. 2007;35(3):175-86.