Preterm resuscitation I: Clinical approaches to improve management in delivery room
Preterm resuscitation I: Clinical approaches to improve management in delivery room
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DOI：
10.1016/j.earlhumdev.2011.08.019
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发表时间：
2011-11-01
影响因子：
2.5
通讯作者：
Dinger, Juergen
中科院分区：
文献类型：
--
作者：
Ruediger, Mario;Braun, Nicole;Dinger, Juergen
产房（DR-）管理具有极大的潜力，以优化极早产儿的长期结局质量。然而，一个新的概念框架，侧重于个性化的“支持过渡”，而不是“复苏”是必要的。DR管理的录像是一个有价值的工具，以改善护理。记录结合结构化反馈应逐步引入临床常规方法。为了描述婴儿组的产后状况或比较研究环境中的干预措施，需要数字评分-代表几个客观结果的总和。常规ApgarScore具有严重的局限性，限制了其适用性。特异性阿普加评分可以独立于干预措施评估婴儿的状况，无论胎龄如何。扩展阿普加评分量化了达到特定阿普加评分所描述的条件所需的干预措施。总之，除了新的概念框架外，还需要对DR管理进行个性化监测和客观评估。(C)2011爱思唯尔爱尔兰有限公司保留所有权利。
Delivery room (DR-) management has a great potential to optimise quality of long term outcome in extremely preterm infants. However, a new conceptual framework that focuses on an individualised 'support of transition' rather than on 'resuscitation' is necessary.Video-recordings of DR-management represent a valuable tool to improve care. Recording combined with a structured feed-back should be introduced in step-wise approach in clinical routine.To describe the postnatal condition of groups of infants or to compare interventions in a research setting, a numerical score - representing the sum of several objective findings - is required. The conventional ApgarScore has severe limitations that restrict its applicability. The Specified-Apgar allows an assessment of infant's condition independent of interventions and regardless of gestational age. The Expanded-Apgar quantifies the interventions needed to achieve the condition described by the Specified-Apgar.In summary, beside a new conceptual framework an individualised monitoring and an objective assessment of DR-management are required. (C) 2011 Elsevier Ireland Ltd. All rights reserved.