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
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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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References: 
  1. Abramchenko V.V., Shabalov N.P. Klinicheskaja perinatologija. Petrozavodsk: IntelTek, 2004; 424 s. [Abramchenko V.V., Shabalov N.P. Clinical perinatology. Petrozavodsk: IntelTek, 2004; 424 p. (in Russ.)].
  2. Strizhakov A.N., Ignatko I.V., Davydov A.I. Akusherstvo: uchebnik. M.: GEOTAR-Media, 2020; 1072 s. [Ctrizhakov A.N., Ignatko I.V., Davydov A.I. Obstetrics: a textbook. M.: GEOTAR-Media, 2020; 1072 pp. (in Russ.)]. DOI: 10.33029/9704-5396-4-2020-AKU-I-1072
  3. Akusherstvo: uchebnik. Pod red. V.E. Radzinskogo, A.M. Fuksa. 2-e izd, pererab. i dop. M.: GEOTAR-Media, 2021; 1056 s. [Obstetrics: a textbook. Under V.E. Radzinsky, A.M. Fuks. 2nd ed., revised and enlarged. M.: GEOTAR-Media, 2021; 1056p. (in Russ.)].
  4. Neonatologija: Natsional'noe rukovodstvo. Pod red. N.N. Volodina. M.: GEOTAR-Media, 2009; 848 s. [Neonatology: national leadership. Ed. N.N. Volodin. M.: GEOTAR-Media, 2009; 848 r. (in Russ.)].
  5. Perlman D. Nevrologija. Pod red. R. Polina. Per s angl. pod red. N.A. Ermolenko. M.: Logosfera, 2015; 392 s. [Perlman J.M. Neurology: Neonatology Quesstions and Controversies. Transl. from English ed. N.A. Ermolenko. M.: Lodosfera, 2015; 392 p. (in Russ.)].
  6. Petruhin A.S. Detskaja nevrologija. Uchebnik v 2 t. T.2. M.: GEOTAR-Media, 2018; 560 s. [Petrukhin A.S. Peditric neurology. Textbook in 2 vol. Vol. 2. M.: GEOTAR-Media, 2018; 560 p. (in Russ.)].
  7. Gomella T.L., Eyal F.G., Fayez B.-M. Neonatology. Management, Procedures, On-Call Problems, Diseses, and Druds. 8tn ed. McGraw Hill Lange,
  8. Perlman J.M. Neurology. Neonatology: Questions and Controversies. 3rd ed. Elsevier, 2018; 320 p.
  9. Vnutrizheludochkovye krovoizlijanija u nedonoshennyh novorozhdennyh. Osnovy personalizirovannoj meditsinskoj pomoschi. Uchebnoe posobie. Pod red. A.S. Iova. SPb: SpetsLit, 2020; 64 s. [Intraventricular hemorrhage in premature newborns. Fundamentals of personalized medical care: textbook. Ed. A.S. Iova. St. Petersburg: SpetsLit, 2020; 64 p. (in Russ.)].
  10. Gorohol'skaja VV. Diagnostika strukturnyh povrezhdenij golovnogo mozga po dannym nejrosonografii u novorozhdennyh s ekstremal'no nizkoj, ochen' nizkoj i nizkoj massoj tela. Sb. tez. 6-go Moskovskogo gorodskogo s'ezda pediatrov s mezhregionarnym i mezhdunarodnym uchastiem «Trudnyj diagnoz v pediatrii», 13–15 oktjabrja 2020 g. M., s. 94–5 [Gorokholskaya VV. Diagnostics of structural brain damage according to neurosonography in newborns with extremely low, very low and low body weight. VI Moscow City Congress of Pediatricians with interregional and international Participation «Difficult Diagnosis in Pediatrics». Moscow, collection of abstracts, October 13–15,
  11. Kassil' V.L. i dr. Ventiljatsija legkih v anesteziologii i intensivnoj terapii. M.: GEOTAR-Media, 2016; 720 s. [Kassil V.L. et al. Lung ventilation in anesthesiology and intensive care. M.: GEOTAR-Media, 2016; 720 p. (in Russ.)].
  12. Kassil' V.L., Eremenko A.A., Sapicheva Ju.Ju. i dr. Printsipy mehanicheskoj ventiljatsii legkih v intensivnoj terapii. M: MEDpress-inform, 2017; 488 s. [Kassil V.L., Eremenko A.A., Sapicheva Yu.Yu. et al. The principles of mechanical ventilation in intensive care. M.: MEDpress-inform, 2017; 488 pp. (in Russ.)].
  13. Shurygin I.A. Iskusstvennaja ventiljatsija legkih kak meditsinskaja tehnologija. M.: BINOM, 2020; 630 s. [Shurygin I.A. Artificial ventilation as a medical technology. M.: BINOM, 2020; 630 p. (in Russ.)].
  14. Neonatologija: natsional'noe rukovodstvo. Kratkoe izdanie. Pod red. N.N. Volodina. M.: GEOTAR-Media, 2014; 896 s. [Neonatology: national guidelines. Short edition. Ed. N.N. Volodin. M.: GEOTAR-Media, 2014; 896 p. (in Russ.)].
  15. Aleksandrovich Ju.S., Pshenisnov K.V. Respiratornaja podderzhka pri kriticheskih sostojanijah v pediatrii i neonatologii: rukovodstvo dlja vrachej. M.: GEOTAR-Media, 2020; 272 s. [Aleksandrovich Yu.S., Pshenisnov K.V. Respiratory support for critical conditions in pediatrics and neonatology: a quide for doctors. M.: GEOTAR-Media, 2020; 272 pp. (in Russ.)]. DOI: 10.33029/9704-5418-3-IVL-2020-1-272
  16. Antonov A.G., Bajbarina E.N., Ryndin A.Ju. i dr. Novyj metod respiratornoj podderzhki nedonoshennyh detej. Rossijskij vestnik perinatologii i pediatrii. 2006; 4: 12–4 [Antonov A.G., Baibanna E.N., Ryndin A.Yu. et al. A New method for respiratory support of premature infants. Rossiyskiy Vestnik Perinatologii i Pediatrii = Russian Bulletin of Perinatology and Pediatrics. 2006; 4: 12–4 (in Russ.)].
  17. Kulen R., Gutmann J., Rossent R. Novye metody vspomogatel'noj ventiljatsii legkih. Per. s nemets. M.: Meditsina, 2004; 160 s. [Coulin R., Guttmann J., Rossent R. New methods of assisted ventilation. Trans from German. M.: Meditsina, 2004; 160 p. (in Russ.)].
  18. Kirtbaja A.R., Degtjarev D.N., Vorontsova Ju.N. i dr. Sravnenie dvuh metodov podderzhanija polozhitel'nogo davlenija na vydohe pri samostojatel'nom dyhanii u gluboko nedonoshennyh detej s respiratornym distress-sindromom. Vestnik RGMU. 2010; 4: 38–41 [Kirtbaya A.R., Degtyarev D.N., Vorontsova Yu.N. et al. Comparison of two methods of continuous positive airway pressure in extremely preterm infants with respiratory distress syndrome. Vestnik RGMU. 2010; 4: 38–41 (in Russ.)].
  19. Neonatologija: v 2 t. T.2. Pod red. T.L. Gomelly, M.D. Kaningama i F.G. Ejalja. Per. s angl. pod red. D.N. Degtjareva. M.: BINOM, Laboratorija znanij, 2015; 864 s. [Neonatology: in 2 v. Vol. 2. Ed. T.L.Gomella, M.D. Kaningam and F.G. Eyal; Transl. from English. Ed. D.N. Degtyareva. M.: BINOM, Laboratoriya znanii, 2015; 864 p. (in Russ.)].
  20. Nagljadnaja neonatologija. Pod red T. Lissauera, A.A. Fanaroffa, L. Majalla, Dzh Fanaroffa. Per s angl pod red. I.I. Rjuminoj. M.: GEOTAR-Media, 2019; 304 s. [Neonatology at a Glance. Eds. T. Lissauer, A.A. Fanaroff, L. Miall, J. Fanaroff. M.: GEOTAR-Media, 2019; 304 r. (in Russ.)].
  21. Shabalov N.P. i dr. Neonatologija. Uchebnoe posobie. V 2 t. 7 izd., pererab.i dop. T.2. M.: GEOTAR-Media, 2020; 752 s. [Shabalov N.P. et al. Neotalogy: tutorial in 2 volumes. 7th ed. T.1. M.: GEOTAR-Media, 2020; 752 p. (in Russ.)].
  22. Zav'jalov O.V., Marenkov V.V., Dement'ev A.A. i dr. Lechenie respiratornogo distress-sindroma novorozhdennyh u nedonoshennyh detej s ekstremal'no nizkoj massoj tela: vybor respiratornoj podderzhki. Vrach. 2020; 31 (8): 58–64 [Zavyalov O., Marenkov V., Dementyev A. et al. Treatment for neonatal respiratory distress syndrome in extremely low-birth weight premature infants: selection of respiratory support. Vrach. 2020; 31 (8): 58–64 (in Russ.)]. https://doi.org/10.29296/25877305-2020-08-09
  23. Zav'jalov O.V., Marenkov V.V., Dement'ev A.A. i dr. Sindrom dyhatel'nyh rasstrojstv u detej s ekstremal'no nizkoj massoj tela pri rozhdenii: osobennosti provedenija neinvazivnoj respiratornoj terapii v rannem neonatal'nom periode. Voprosy prakticheskoj pediatrii. 2020; 15 (6): 94–102 [Zavyalov O.V., Marenkov V.V., Dementyev A.A. et al. The syndrome of respiratory disorders in children with extremely low birth weight: features of non-invasive respiratory therapy in the early neonatal period. Voprosy prakticheskoi pediatrii = Clinical Practice in Pediatrics. 2020; 15 (6): 94–102 (in Russ.)]. DOI: 10.20953/1817-7646-2020-6-94-102
  24. Metodicheskoe pis'mo «Pervichnaja i reanimatsionnaja pomosch' novorozhdennym detjam» №15-4/10/2-3204 ot 21.04.2010 g. Kollektiv avtorov veduschih NII. Utverzhdeno zam. ministra zdravoohranenija i sotsial'nogo razvitija Rossijskoj Federatsii Skvortsovoj V.I. [Methodical Letter «Primary and resuscitation care assistance to newborn children» No15-4/10/2-3204 of 04.21.2010. Team of authors. Approved by Deputy Minister of Health and Social Development of the Russian Federation V. Skvortsova (in Russ.)].
  25. Pykov M.I., Vatolin K.V., Bykova Ju.K. i dr. Detskaja ul'trazvukovaja diagnostika. Uchebnik. T.3. Nevrologija. Sosudy golovy i shei. Pod red M.I. Pykova. M.: Vidar-M, 2015; 368 s. [Pykov M.I., Vatolin K.V., Bykova Yu.K. et al. Pediatric ultrasound diagnostics. Textbook. Vol.3. Nevrology. Vessels of the head and neck. Ed. M.I. Pycov. M.: Vidar-M, 2015; 368 p. (in Russ.)].
  26. Berman R.E. i dr. Pediatrija po Nel'sonu: v 5 t. Per s angl. Pod red. A.A. Baranova. T.1. M.: OOO «Rid Elsiver», 2009; 824 s. [Berman R.E. et al. According to Nelson Pediatrics: in 5 volumes: transl. From English. Ed. A.A. Baranova. T.1. M.: LLC «RidElsiver», 2009; 824 p. (in Russ.)].
  27. Detskie bolezni: uchebnik. Pod red. R.R. Kil'dijarovoj. 2-e izd., pererab. M.: GEOTAR-Media, 2021; 800 s. [Childhood diseases: textbook. Ed. Z.Z. Kildiyarova. 2nd ed., rev. M.: GEOTAR-Media, 2021; 800 p. (in Russ.)].
  28. Vedenie novorozhdennyh s respiratornym distress-sindromom 2015. Klinicheskie rekomendatsii (protokoly) po neonatologii. Red. D.O. Ivanov. SPb: Inform–Navigator, 2016; 464 s. [Management of newborns witn respiratory distress syndrome 2015. Clinical recommendations (Protocols) on neonatology. Ed. D.O. Ivanov. SPb: Inform–Nawigator, 2016; 464 p. (in Russ.)].
  29. Izbrannye klinicheskie rekomendatsii po neonatologii. Pod red. E.N. Bajbarinoj, D.N. Degtjareva. M.: GEOTAR-Media, 2016; 240 s. [Selected clinical guidelines for neonatology. Ed. E.N. Baybarina, D.N. Degtyareva. M.: GEOTAR-Media, 2016; 240 p. (in Russ).].
  30. Guzeva V.I., Ivanov D.O., Aleksandrovich Ju.S. i dr. Neotlozhnaja nevrologija novorozhdennyh i detej rannego vozrasta. SPb: SpetsLit, 2017; 2015 s. [Guzeva V.I., Ivanov D.O., Aleksandrovich Yu.S. et al. Emergency neurology of newborns and young children. St. Petersburg: SpetsLit, 2017; 2015 p. (in Russ.)].
  31. Klinicheskie rekomendatsii. Neonatologija. Pod red. N.N. Volodina, D.N. Degtjareva, D.S. Krjuchko. M.: GEOTAR-Media, 2019; 320 s. [Clinical guidelines. Neonatology. Ed. N.N. Volodina, D.N. Degtyareva, D.S. Kryuchko. M.: GEOTAR-Media, 2019; 320 p. (in Russ.)].
  32. Lucky J., Gautham K.S. Clinical Guidelines in Neonatology. New York: Mc Graw Hill, 2019; 648 p.
  33. Dudenhauzen J.V. Prakticheskoe akusherstvo. Rukovodstvo dlja vrachej. Per s angl. Pod red. A.D. Makatsarija. 21-e izd. M.: OOO «Izdatel'stvo «Meditsinskoe informatsionnoe agenstvo», 2019; XVI + 592 s. [Dudenhausen J.W. Practical obstetrics. Aquide for physicians. Transl. From English. Ed. A.D. Macatsaria. 21st ed. M.: LLS Publishing House Medical Information Agency, 2019; XVI + 592 pp. (in Russ.)].
  34. Dyrul A.K. Teoreticheskie i klinicheskie osobennosti iskusstvennoj ventiljatsii legkih u mladentsev. Uchebnoe posobie dlja vrachej-anesteziologov obschego profilja, klinicheskih ordinatorov, internov i neonatologov. IP Makov M.Ju., 2020; 96 s. [Dyrul A.K. Theoretical and clinical features of artificial ventilation in infants: A textbook for doctors – general anesthesiologists, clinical residents, interns and neonatologists. IP Makov M.Yu., 2020; 96 p. (in Russ.)].
  35. Majer R.F., Obladen M. Intensivnaja terapija novorozhdennyh. Dokazatel'stvo i opyt. Per. s nem. M.: MEDpress-inform, 2021; 768 s. [Maier R.F., Obladen M. Neugeborenen – intensivmedizin. Evidenz und Erfahrung. Transl. From German. M.: MEDpress-inform, 2021; 768 s. (in Russ.)].
  36. Zabolevanija nervnoj sistemy u detej: v 2-h t. T.1. Pod red. Zh. Ajkardi i dr.; per s angl.; obsch. red. A.A. Skoromtsa. M.: Izdatel'stvo Panfilova, BINOM, Laboratorija znanij, 2013; 568 s. [Diseases of the nervous system in children: in 2 volumes. Vol. 1. Ed. J. Aikardi et al.; transl. from English; ed. A.A. Skoromets. M.: Panfilov Publishing House, BINOM, Laboratoriya znanii, 2013; 568 p. (in Russ.)].
  37. Evtushenko S.K., Skoromets A.A., Skoromets A.P. i dr. Izbrannye lektsii po obschej i detskoj nevrologii. M.: OOO «Meditsinskoe informatsionnoe agentstvo», 2021; 840 s. [Evtushenko S.K., Skoromets A.A., Skoromets A.P. et al. Selected lectures on general and child neurology. M.: «Medical Information Agency», 2021; 840 p. (in Russ.)].
  38. Rabochaja tetrad' po gospital'noj pediatrii. Modul' «Neonatologija»: uchebno-metodicheskoe posobie. Pod red. P.V. Shumilova. M.: RNIMU im. N.I. Pirogova, 2019; 176 s. [Workbook on hospital pediatrics. Module «Neonatology»: teaching aid. Ed. P.V. Shumilova. M.: Pirogov Russian National Research Medical University, 2019; 176 p. (in Russ.)].
  39. Neotlozhnaja rentgenodiagnostika v neonatologii i pediatrii (atlas rentgenovskih izobrazhenij). Rukovodstvo dlja vrachej. Pod red. G.E. Trufanova, L.G. Konstantinovoj. SPb: OOO «Medizdat – SPb», 2020; 184 s. [Emergency X-ray diagnostics in neonatology and pediatrics (Atlas of X-ray images). Manual for physicians. Ed. G.E. Trufanova, L.G. Konstantinova. SPb: OOO «Medizdat – St. Peterburg», 2020; 184 p. (in Russ.)].
  40. Shovkun L.A., Aksenova V.A., Kudlai D.A. et al. The role of immunological tests in the diagnosis of tuberculosis infection in children with juvenile idiopathic arthritis (JIA). Eur Resp J Suppl. 2018; 52 (S62): PA2733