RDS-NExT workshop: consensus statements for the use of surfactant in preterm neonates with RDS
Vineet Bhandari, Rachel Black, Bheru B. Gandhi, S. Hogue, Venkatakrishna Kakkilaya, Michel Mikhael, Fernando Moya, Chad Pezzano, Pam Read, Kari E. Roberts, Rita M. Ryan, Richard H. Stanford, Clyde J. Wright
Abstract
OBJECTIVE: To provide the best clinical practice guidance for surfactant use in preterm neonates with respiratory distress syndrome (RDS). The RDS-Neonatal Expert Taskforce (RDS-NExT) initiative was intended to add to existing evidence and clinical guidelines, where evidence is lacking, with input from an expert panel. STUDY DESIGN: An expert panel of healthcare providers specializing in neonatal intensive care was convened and administered a survey questionnaire, followed by 3 virtual workshops. A modified Delphi method was used to obtain consensus around topics in surfactant use in neonatal RDS. RESULT: Statements focused on establishing RDS diagnosis and indicators for surfactant administration, surfactant administration methods and techniques, and other considerations. After discussion and voting, consensus was achieved on 20 statements. CONCLUSION: These consensus statements provide practical guidance for surfactant administration in preterm neonates with RDS, with a goal to contribute to improving the care of neonates and providing a stimulus for further investigation to bridge existing knowledge gaps.