'Optimal surfactant delivery protocol using the bovine lipid extract surfactant: a quality improvement study'
| Autor: | Martine Claveau, Marisa Leone, Guilherme M. Sant'Anna, Nina Nouraeyan, Alexandra Germain |
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| Rok vydání: | 2020 |
| Předmět: |
Bradycardia
Article Surface-Active Agents 03 medical and health sciences 0302 clinical medicine Bolus (medicine) Pulmonary surfactant 030225 pediatrics Animals Humans Medicine 030212 general & internal medicine Adverse effect Lung business.industry Infant Obstetrics and Gynecology Paediatrics Pulmonary Surfactants Airway obstruction medicine.disease Lipids Quality Improvement Lung recruitment Outcomes research Anesthesia Pediatrics Perinatology and Child Health Cattle medicine.symptom business |
| Zdroj: | Journal of Perinatology |
| ISSN: | 1476-5543 0743-8346 |
| DOI: | 10.1038/s41372-020-00846-1 |
| Popis: | Importance Episodes of severe airway obstruction (SAO) are reported during surfactant administration. Objective To evaluate adherence to and impact of a surfactant protocol on adverse events. Methods An evidence-based protocol for surfactant administration was developed (2011), implemented (2012) and re-implemented (2014), including three major steps: lung recruitment, manual bagging, and bolus instillation. Three epochs were evaluated: E0 (2010), E1 (2015) and E2 (2018). Adherence was defined as compliance with all steps. Adverse events such as hypoxia ( |
| Databáze: | OpenAIRE |
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