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Current practice in early management of neonatal respiratory distress syndrome: Is it evidence-based?
  1. Gillian Hendriks1,
  2. Rebecca Stephenson2,
  3. Phani Kiran Yajamanyam3
  1. 1Department of Paediatrics, St Helens and Knowsley Teaching Hospitals NHS Trust, Liverpool, UK
  2. 2Department of Community Paediatrics, Alder Hey Children’s NHS Foundation Trust, Liverpool, UK
  3. 3Department of Neonatology, Liverpool Women’s NHS Foundation Trust, Liverpool, UK
  1. Correspondence to Dr Phani Kiran Yajamanyam, Neonatal Unit, Liverpool Women’s NHS Foundation Trust, Liverpool L8 7SS, UK; pyajamanyam{at}nhs.net

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Chronic lung disease (CLD) of prematurity remains a significant long-term complication of preterm birth. The National Neonatal Audit Programme 2016 annual report shows that the rate of significant CLD among babies born at <32 weeks gestation varies from <30% to >40% in different neonatal units.1 The reason for this variation is unknown and different treatment choices could be contributing.1 European consensus guidelines for the management of respiratory distress syndrome (RDS) are evidence-based (EB) recommendations which aim at maximising survival in preterm infants while minimising complications such as CLD. …

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