PRIMENE RAZLIČITIH VRSTA NEINVAZIVNE RESPIRATORNE PODRŠKE KOD PREVREMENO ROĐENE DECE I MOGUĆNOST PREVENCIJE KOMPLIKACIJA
DOI:
https://doi.org/10.46793/PP190212006VKljučne reči:
neinvazivna ventilacija, prematurus, prevencijaApstrakt
Mehanička ventilacija putem endotrahealnog tubusa za mnoge prevremeno rođene bebe predstavlja vid respiratorne potpore koja spasava život. Ipak, u nekim slučajevima mehanička ventilacija dovodi do oštećenja pluća i pojave hronične plućne bolesti kod prematurusa. Uprkos primeni antenatalne kortikosteroidne terapije, primeni plućnog surfaktanta i različitih modova konvencionalne i visokofrekventne oscilatorne ventilacije, više od 40% novorođenčadi rođene pre 28. nedelje gestacije i dalje razvija komplikacije. Smanjenje trajanja mehaničke ventilacije, rana ekstubacija i primena neinvazivnih metoda respiratorne potpore jesu mere koje dokazano manje oštećuju pluća i druge komplikacije.
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