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首页> 外文期刊>Journal of paediatrics and child health >How do neonatal units within the Australian and New Zealand Neonatal Network manage ex‐preterm infants with severe chronic lung disease still requiring major respiratory support at term?
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How do neonatal units within the Australian and New Zealand Neonatal Network manage ex‐preterm infants with severe chronic lung disease still requiring major respiratory support at term?

机译：澳大利亚和新西兰新生网络中的新生儿单位如何管理患有严重慢性肺病的前早产婴儿仍然需要主要呼吸障碍的术语？

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Aim The aim was to survey the Australian and New Zealand Neonatal Network (ANZNN) member units regarding current services and management guidelines for the ex‐premature infant with severe chronic lung disease (CLD) still requiring significant respiratory support at term. Methods A 16‐question survey was sent to clinical directors of all Level 3 units in Australia and New Zealand via the network. Reminder emails were sent, as required, to prompt a satisfactory response rate. Results Survey responses were received from 26 of the 29 (90%) ANZNN Level 3 units. At 37?weeks' corrected gestation, over 90% of the units provide ongoing respiratory support in the neonatal intensive care unit (NICU). However, by 50?weeks, ongoing care is provided in several settings, including NICU, high dependency unit (HDU)/paediatric intensive care unit or respiratory wards. The majority (76%) of units arrange transfer on an ad hoc basis, but six units (24%) have set criteria for transfer based on gestation, workload and respiratory requirement. Three units declared a maximum age in NICU (44, 46 or 48?weeks). A variety of approaches were used to identify infants who were likely to require transfer, and 78% of units had a staff member assigned to assist transition. Three units stated that they had a home ventilation programme suitable for these infants. No unit supplied a guideline on tracheostomy or specific respiratory management post‐term. Conclusion Despite a significant number of babies requiring ongoing support for severe CLD, the location of the service appears very variable, and there is a lack of specific written guidelines.
机译：目的，目的是调查澳大利亚和新西兰新生儿网络（ANZNN）成员单位，就目前的慢性肺病（CLD）仍需要严重的慢性肺病（CLD）。方法通过网络向澳大利亚和新西兰的所有3级单位的临床董事发送了一个16张调查。根据需要提醒电子邮件，以提示令人满意的响应率。结果从29（90％）ANZNN 3级单位中的26个单位中收到了调查响应。在37个？周数的纠正妊娠，90％以上的单位为新生儿重症监护病房（NICU）提供了持续的呼吸支持。然而，在50？周，在几个设置中提供持续的护理，包括Nicu，高依赖单位（HDU）/儿科重症监护病房或呼吸道。大多数（76％）单位安排临时转移，但六个单位（24％）根据妊娠，工作量和呼吸要求设定转移标准。三个单位在Nicu（44,46或48？周）宣布最大年龄。各种方法用于识别可能需要转移的婴儿，78％的单位有一个分配的工作人员，以协助过渡。三个单位表示，他们有一个适合这些婴儿的家庭通风计划。没有单位在期间提供了气管造口术或特定呼吸管理的指导。结论尽管大量需要对严格CLD的持续支持，但服务的位置出现非常变化，缺乏具体的书面指南。

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