James: Neonatal RDS case study

Hanks, Storm and Maguire, Laura (2023) James: Neonatal RDS case study. Journal of Neonatal Nursing, 30 (2). pp. 181-186. ISSN 1355-1841

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This case study reviews the neonatal journey of James and includes analysis of participation in the POLAR (positive end-expiratory pressure levels during resuscitation at birth) trial, comparing dynamic positive end-expiratory pressure (PEEP) (new intervention) to static PEEP (current standard of care); he received dynamic PEEP at delivery. James was born at 23 + 5 weeks gestation via spontaneous vaginal delivery. His mother received one dose of antenatal steroids and intravenous magnesium sulfate (MgSO4). James weighed 628 g at birth. The pathophysiology, care provided, and ethical legal and professional issues are explored. The survival of preterm infants has increased, however, the prevalence of neonatal morbidities associated with premature birth such as BPD and neurodevelopmental impairment remains high. In James’ case, being part of a clinical trial has had no apparent negative consequences; At the time of writing this trial continues, potentially improving future PEEP management at delivery and the incidence of chronic lung in preterm neonates.

Item Type: Article
Identification Number: https://doi.org/10.1016/j.jnn.2023.10.016
30 October 2023Accepted
21 November 2023Published Online
Subjects: CAH02 - subjects allied to medicine > CAH02-04 - nursing and midwifery > CAH02-04-01 - nursing (non-specific)
Divisions: Faculty of Health, Education and Life Sciences > School of Nursing and Midwifery
Depositing User: Gemma Tonks
Date Deposited: 04 Apr 2024 13:58
Last Modified: 04 Apr 2024 13:58
URI: https://www.open-access.bcu.ac.uk/id/eprint/15380

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