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INTRAVENTRICULAR HEMORRHAGES IN CHILDREN WITH EXTREMELY LOW BODY WEIGHT: A COMPREHENSIVE PERINATAL ASSESSMENT IN A COMPARATIVE ANALYSIS OF RESPIRATORY THERAPY TACTICS IN THE EARLY NEONATAL PERIOD

DOI: https://doi.org/10.29296/25877305-2021-03-09
Issue: 
3
Year: 
2021

O. Zavyalov(1, 2); Professor I. Pasechnik(1), MD; Professor I. Ignatko(2, 4), Corresponding
Member of RAS, MD; V. Marenkov(2); A. Dementyev(2, 3), Candidate of Medical Sciences; D. Smirnov(2, 3),
Candidate of Medical Sciences; Zh. Chabaidze(1, 4), Candidate of Medical Sciences (1)Central State Medical
Academy, Presidential Administration of the Russian Federation, Moscow; (2)S.S. Yudin City Clinical
Hospital, Moscow; (3)Russian Medical Academy of Continuing Professional Education, Moscow; (4)I.M. Sechenov
First Moscow State Medical University (Sechenov University)

The article presents the clinical, anamnesis and prognostic significance of a complex perinatal assessment in a comparative analysis of the tactics of respiratory therapy in children with extremely low body weight (ELBW) in the intensive care unit of newborns (NICU). Perinatal (maternal and neonatal) risk factors and the degree of progression of intraventricular hemorrhage (IVN) in the early neonatal period were studied based on the study of modern domestic and foreign scientific studies and our own clinical observation data in 2 children with EBMT. In a comparative analysis of cardiorespiratory predictors, clinical picture of varying severity of respiratory failure and gestational morphometry, a differentiated approach to the choice of the optimal tactics of initial respiratory therapy in children with EBMT in an ICU in the early neonatal period was considered.

Keywords: 
neonatology
intraventricular hemorrhage
congenital pneumonia
respiratory failure
premature infants
non-invasive mechanical ventilation
intensive care unit for newborns
respiratory distress syndrome in a newborn
extremely low body weight



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