Non-invasive respiratory support for the management of transient tachypnea of the newborn

Moresco, Luca; Romantsik, Olga; Calevo, Maria Grazia; Bruschettini, Matteo

doi:10.1002/14651858.cd013231.pub2

Cited by 21 publications

(18 citation statements)

References 47 publications

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“…We analyzed that this may be associated with increased fluid in the lungs and insufficient lymphatic drainage of the lungs without fluid in the lungs can be compressed through the vaginal delivery as the pathophysiological factor for transient tachypnea of the newborn (TTN). 17 Next, EOS and septic shock also significantly increase the incidence of NARDS.…”

Section: Discussionmentioning

confidence: 98%

Risk Factors of Neonatal Acute Respiratory Distress Syndrome Based on the Montreux Definition in Neonates with Sepsis: A Retrospective Case–Control Study

Chen

Wang

et al. 2022

Am J Perinatol

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Objective To analyze the risk factors for neonatal acute respiratory distress syndrome (NARDS) development based on the Montreux definition among near- and full-term neonates with sepsis and received meropenem. Study Design This was a single-center, case-control, retrospective trial from January 2019 to June 2020. Newborns of gestational ages (GAs) ≥ 35 weeks, diagnosed with sepsis and received meropenem were included. Patients who developed NARDS subsequently were defined as the study group (NARDS group), while the others without NARDS were enrolled in the control group (Non-NARDS group). Results Out of 213 eligible neonates, NARDS occurred in 52 (24.4%) cases. In univariate analysis, infants with NARDS had a lower GA and birth weight, but a higher rate of premature birth (p <0.05). The median onset times of sepsis were earlier among neonates with NARDS compared to those without NARDS (1 (1,1) versus 6 (1,15) days, p < 0.001)). Neonates with NARDS were more likely to suffer from early-onset sepsis (EOS), persistent pulmonary hypertension of newborns, pulmonary hemorrhage, septic shock, and patent ductus arteriosus (p <0.05). During labor, women whose neonates experienced NARDS were more likely to cesarean delivery (67.3% versus 46.6%, p = 0.009) and to receive at least one dose of corticosteroids (21.2% versus 5.0%, p = 0.001). In multivariable analyses, factors remaining independently associated with NARDS were premature birth, cesarean delivery, EOS, and septic shock. Compared with conventional inflammatory markers for NARDS, PCT was correlating with septic neonates who developed NARDS (p =0.012) but had a low diagnostic value (AUC =0.609). CRP, WBC, and PLT did not correlate with morbidity of NARDS (AUC <0.05 and p >0.05). Conclusions Premature birth, cesarean delivery, EOS, and septic shock were independently associated with NARDS among near- and full-term septic neonates. PCT showed limited predictive value for NARDS.

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Section: Discussionmentioning

confidence: 98%

Risk Factors of Neonatal Acute Respiratory Distress Syndrome Based on the Montreux Definition in Neonates with Sepsis: A Retrospective Case–Control Study

Chen

Wang

et al. 2022

Am J Perinatol

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“…TTN is a clinical diagnosis and is supported by ndings from chest radiographs, such as increased lung volumes with at diaphragms and mild cardiomegaly [16].…”

Section: Methodsmentioning

confidence: 99%

Ultrasound image patterns right after birth can predict healthy neonates – a nested case-control study

Dai

Wang

et al. 2020

Preprint

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Background Lungultarsound(LUS) is widely used to diagnose neonatal lung diseases, yet image patterns on intrauterine to extrauterine stage(right after birth), of which impairment is well related to lung disease, remains unclear. Objectives To identify these image patterns that can distinguish healthy infants from infants with lung disease.Methods This is a nested case-control study in a top-ranking obstetrics hospital in China, between 1 January 2020 to 1 April 2020. Infants transferred to the NICU after birth who had LUS obtained at 0.5, 1, 2, 4, 6 hours time intervals were enrolled. Confirmed by 3-day follow-up, case and control groups contains 22 patients and 473 healthy infants. Their GA ranges from 33.5 to 41.0 weeks. A newly designed protocol was used to capture the LUS image. The image patterns and their variations were shown and categorized as high and low-risk groups. The predictive value for healthy infants and patients were calculated. Rsults Low-risk patterns, accompanied with no high-risk ones, typically appeared in healthy infants (specificity=86.4%, PPV=99.0%), whereas four high-risk patterns could be seen in both healthy infants and patients (specificity=62.4%, PPV=9.6%). High-risk patterns were more likely to be pathological signs when appearing at the oxter and lower back and to be physiological signs when appearing at the prothorax. Conclusions LUS is valid to differentiate healthy infants from potential patients shortly after birth. Infants with low-risk patterns only are highly likely to be healthy, whereas infants with high-risk patterns have a risk for respiratory issues but need prolonged monitoring to confirm.

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“…Систематический обзор L. Moresco и соавт. (2020) [86] включал три исследования (общее количество пациентов -150) влияния применения кислорода без создания положительного давления (назальный CPAP, NIPPV или NHFV) на течение ТТН. Метаанализ результатов исследований не был выполнен из-за гетерогенности методов и параметров респираторной терапии.…”

Section: неинвазивная респираторная поддержкаunclassified

Transient Tachypnea of the Newborn: Pathogenesis, Diagnosis, Treatment

Shestak

Ковтун

2022

Vopr. sovr. pediatr.

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The review provides up-to-date information on the development of transient tachypnea of the newborn (TTN) considering early postnatal period physiology and pathophysiological processes. Data on risk factors of TTN development, feature of disease course, and its differential diagnosis are presented. Traditional treatment methods for patients with TTN as well as results of modern studies on efficacy of non-invasive respiratory support are covered.

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Non-invasive respiratory support for the management of transient tachypnea of the newborn

Cited by 21 publications

References 47 publications

Risk Factors of Neonatal Acute Respiratory Distress Syndrome Based on the Montreux Definition in Neonates with Sepsis: A Retrospective Case–Control Study

Risk Factors of Neonatal Acute Respiratory Distress Syndrome Based on the Montreux Definition in Neonates with Sepsis: A Retrospective Case–Control Study

Ultrasound image patterns right after birth can predict healthy neonates – a nested case-control study

Transient Tachypnea of the Newborn: Pathogenesis, Diagnosis, Treatment

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