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Update des klinischen Managements beim Früh- und Neugeborenen

  • Hans Proquitté

Zusammenfassung

Die klinische Versorgung von Früh- (FG) und Neugeborenen (NG) hat sich in den vergangenen Jahren ständig weiterentwickelt. Während gesunde NG weiterhin primär durch Hebamme und Geburtshelfer versorgt werden, werden Risiko-NG und FG heute spezifisch ausgebildeten Neonatologen anvertraut. Auch sehr unreife FG ≤ 24 Schwangerschaftswochen und kranke NG mit angeborenen Fehlbildungen werden heutzutage betreut. Bildgebend kommen dabei postnatal Verfahren wie Ultraschall und die konventionelle Röntgendiagnostik zum Einsatz, vermehrt werden aber auch die Magnetresonanztomographie (MRT) und selten sogar die Computertomographie (CT) durchgeführt. Kurz wird hier auf aktuelle Neuerungen und Entwicklungen aus dem Bereich der Neonatologie eingegangen.

Literatur

  1. Abdulhai S, Glenn IC, McNinch NL, Ponsky TA, Schlager A. Current Practices in the Management of Congenital Diaphragmatic Hernia Patients Requiring Extracorporeal Membrane Oxygenation: Results of an International Survey of Pediatric Surgeons. J Laparoendosc Adv Surg Tech A 2017Google Scholar
  2. Aguilera-Pujabet M, Gahete JAM, Guillen G, et al. Management of neonates with right-sided aortic arch and esophageal atresia: International survey on IPEG AND ESPES members experience. J Pediatr Surg 2017Google Scholar
  3. Aldana-Aguirre JC, Pinto M, Featherstone RM, Kumar M. Less invasive surfactant administration versus intubation for surfactant delivery in preterm infants with respiratory distress syndrome: a systematic review and meta-analysis. Arch Dis Child Fetal Neonatal Ed 2017;102:F17-F23CrossRefGoogle Scholar
  4. Arnold MA, Chang DC, Nabaweesi R, et al. Development and validation of a risk stratification index to predict death in gastroschisis. J Pediatr Surg 2007;42:950-5; discussion 5-6CrossRefGoogle Scholar
  5. Arunoday A, Zipitis C. Confirming longline position in neonates – Survey of practice in England and Wales. World J Clin Pediatr 2017;6:149-53CrossRefGoogle Scholar
  6. Bohler T, Schaeff B, Waibel B, Mohrmann M. Perinatal Centres in the State of Baden-Wurttemberg: Effects of Minimum Volume Standards and Quality Assessments by the Medical Service of Statutory Health Insurance (MDK). Gesundheitswesen 2012;74:87-94Google Scholar
  7. Boyd CA, Quigley MA, Brocklehurst P. Donor breast milk versus infant formula for preterm infants: systematic review and meta-analysis. Arch Dis Child Fetal Neonatal Ed 2007;92:F169-75CrossRefGoogle Scholar
  8. Breschan C, Graf G, Jost R, et al. A Retrospective Analysis of the Clinical Effectiveness of Supraclavicular, Ultrasound-guided Brachiocephalic Vein Cannulations in Preterm Infants. Anesthesiology 2018;128:38-43CrossRefGoogle Scholar
  9. Dawczynski K, Schleussner E, Dobermann H, Proquitte H. [Infection Prevention in Premature Infants and Newborns in Thuringia: Implementation of Recommendation of the Commission for Hospital Hygiene and Infection Prevention (KRINKO)]. Z Geburtshilfe Neonatol 2017;221:30-8Google Scholar
  10. Dawson JA, Kamlin CO, Vento M, et al. Defining the reference range for oxygen saturation for infants after birth. Pediatrics 2010;125:e1340-7CrossRefGoogle Scholar
  11. Dawson JA, Kamlin CO, Wong C, et al. Oxygen saturation and heart rate during delivery room resuscitation of infants <30 weeks’ gestation with air or 100% oxygen. Arch Dis Child Fetal Neonatal Ed 2009; 94:F87-91CrossRefGoogle Scholar
  12. Fowlie PW, Davis PG, McGuire W. Prophylactic intravenous indomethacin for preventing mortality and morbidity in preterm infants. Cochrane Database Syst Rev 2010:CD000174Google Scholar
  13. Herd M, Whittingham K, Sanders M, Colditz P, Boyd RN. Efficacy of preventative parenting interventions for parents of preterm infants on later child behavior: a systematic review and meta-analysis. Infant Ment Health J 2014;35:630-41CrossRefGoogle Scholar
  14. Hales KA, Morgan MA, Thurnau GR. Influence of labor and route of delivery on the frequency of respiratory morbidity in term neonates. Int J Gynaecol Obstet 1993;43:35-40CrossRefGoogle Scholar
  15. Isayama T, Iwami H, McDonald S, Beyene J. Association of Noninvasive Ventilation Strategies With Mortality and Bronchopulmonary Dysplasia Among Preterm Infants A Systematic Review and Meta-analysis. Jama-J Am Med Assoc 2016;316:611-24CrossRefGoogle Scholar
  16. Katz C, Bentur L, Elias N. Clinical implication of lung fluid balance in the perinatal period. J Perinatol 2011;31:230-5CrossRefGoogle Scholar
  17. Lemyre B, Laughon M, Bose C, Davis PG. Early nasal intermittent positive pressure ventilation (NIPPV) versus early nasal continuous positive airway pressure (NCPAP) for preterm infants. Cochrane Database Syst Rev 2016;12:CD005384Google Scholar
  18. Lodwick D, Asti L, Deans K, Minneci P, McLeod D. Variation in Practice Patterns for the Management of Newborn Spina Bifida in the United States. Urology 2017;100:207-12CrossRefGoogle Scholar
  19. Moody C, Callahan TJ, Aldrich H, Gance-Cleveland B, Sables-Baus S. Early Initiation of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) Reduces Length of Stay: A Quality Improvement Project. J Pediatr Nurs 2017;32:59-63CrossRefGoogle Scholar
  20. Mutlu M, Aslan Y, Kul S, Yilmaz G. Umbilical venous catheter complications in newborns: a 6-year single-center experience. J Matern Fetal Neonatal Med 2016;29:2817-22Google Scholar
  21. Nguyen J. Ultrasonography for Central Catheter Placement in the Neonatal Intensive Care Unit-A Review of Utility and Practicality. Am J Perinatol 2016;33:525-30CrossRefGoogle Scholar
  22. Olver RE, Walters DV, S MW. Developmental regulation of lung liquid transport. Annu Rev Physiol 2004;66:77-101CrossRefGoogle Scholar
  23. Pammi M, Suresh G. Enteral lactoferrin supplementation for prevention of sepsis and necrotizing enterocolitis in preterm infants. Cochrane Database Syst Rev 2017;6:CD007137Google Scholar
  24. Roehr CC, Yoder BA, Davis PG, Ives K. Evidence Support and Guidelines for Using Heated, Humidified, High-Flow Nasal Cannulae in Neonatology: Oxford Nasal High-Flow Therapy Meeting, 2015. Clin Perinatol 2016;43:693-705CrossRefGoogle Scholar
  25. Rojas-Reyes MX, Orrego-Rojas PA. Rescue high-frequency jet ventilation versus conventional ventilation for severe pulmonary dysfunction in preterm infants. Cochrane Database Syst Rev 2015:CD000437Google Scholar
  26. Rychik J. Fetal cardiovascular physiology. Pediatr Cardiol 2004;25:201-9Google Scholar
  27. Saugstad OD, Vento M, Ramji S, Howard D, Soll RF. Neurodevelopmental outcome of infants resuscitated with air or 100% oxygen: a systematic review and meta-analysis. Neonatology 2012;102:98-103CrossRefGoogle Scholar
  28. Saugstad OD. Resuscitation of newborn infants: from oxygen to room air. Lancet 2010;376:1970-1CrossRefGoogle Scholar
  29. Singh N, Halliday HL, Stevens TP, Suresh G, Soll R, Rojas-Reyes MX. Comparison of animal-derived surfactants for the prevention and treatment of respiratory distress syndrome in preterm infants. Cochrane Database Syst Rev 2015:CD010249Google Scholar
  30. Sirch M, Poryo M, Butte M, et al. [Parenteral nutrition in premature babies with a birth weight <1500g: a systematic single-center analysis and comparison with current guidelines]. Wien Med Wochenschr 2017Google Scholar
  31. Westrup B. Family-centered developmentally supportive care: the Swedish example. Arch Pediatr 2015;22:1086-91CrossRefGoogle Scholar
  32. White LN, Thio M, Owen LS, et al. Achievement of saturation targets in preterm infants <32 weeks’ gestational age in the delivery room. Arch Dis Child Fetal Neonatal Ed 2017;102:F423-F7CrossRefGoogle Scholar
  33. Wilson D, Verklan MT, Kennedy KA. Randomized trial of percutaneous central venous lines versus peripheral intravenous lines. J Perinatol 2007;27:92-6CrossRefGoogle Scholar
  34. Wyllie J, Bruinenberg J, Roehr CC, Rüdiger M, Trevisanuto D, Urlesberger B. Die Versorgung und Reanimation des Neugeborenen; Kapitel 7 der Leitlinien zur Reanimation 2015 des European Resuscitation Council. Notfall Rettungsmed 2015;18:964–83CrossRefGoogle Scholar
  35. Wyllie JP, Gupta S. Prophylactic and early targeted treatment of patent ductus arteriosus. Semin Fetal Neonatal Med 2018Google Scholar
  36. Zhang GQ, Hu HJ, Liu CY, Shakya S, Li ZY. Probiotics for Preventing Late-Onset Sepsis in Preterm Neonates: A PRISMA-Compliant Systematic Review and Meta-Analysis of Randomized Controlled Trials. Medicine (Baltimore) 2016;95:e2581CrossRefGoogle Scholar
  37. Zani A, Eaton S, Hoellwarth ME, et al. International survey on the management of esophageal atresia. Eur J Pediatr Surg 2014;24:3-8CrossRefGoogle Scholar
  38. Zani A, Eaton S, Puri P, et al. International Survey on the Management of Congenital Diaphragmatic Hernia. Eur J Pediatr Surg 2016;26:38-46Google Scholar

Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Sektion Neonatologie/Pädiatrische IntensivmedizinKlinik für Kinder- und JugendmedizinJenaDeutschland

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