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Respiratory support in preterm infants at birth

Position statement or standardsAmerican Academy of Pediatrics2014Over 5 years old
  • Bronchopulmonary dysplasia
  • CPAP and high flow
  • Delivery room and stabilisation
  • Medical
  • Nursing
  • Preterm stabilisation
  • Respiratory
  • Respiratory distress syndrome and surfactant

This guideline is from 2014, more than five years ago. Check whether a newer version exists and which version your unit follows.

Summary

This AAP statement addresses respiratory support for preterm infants at birth, comparing early continuous positive airway pressure with prophylactic or early surfactant administration. It draws on multicentre randomised controlled trials showing lower rates of bronchopulmonary dysplasia or death with early CPAP and selective surfactant in extremely preterm infants. It supports considering CPAP from birth with selective surfactant as an alternative to routine intubation and early surfactant.

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Guidelines are shown for education. Follow your unit's own guidance and senior advice.

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