Penatalaksanaan Hyaline Membrane Disease

Oleh :

dr.Nailla Fariq Alfiani

Penatalaksanaan hyaline membrane disease (HMD) dilakukan dengan penggunaan alat bantu napas, pemberian surfaktan, dan terapi suportif seperti pemberian cairan serta nutrisi. Monitoring serial analisis gas darah diperlukan untuk memantau oksigenasi dan ventilasi. Pencegahan bisa dilakukan dengan pemberian kortikosteroid antenatal pada ibu yang diduga kuat akan mengalami persalinan preterm.[3,6,18,29]

Alat Bantu Napas

Alat bantu napas yang dapat digunakan pada bayi dengan HMD diantaranya Continuous Positive Airway Pressure (CPAP), Nasal Intermittent Positive Pressure Ventilation (NIPPV), Humidified High-Flow Nasal Cannulas (HFNC), dan ventilasi mekanik.[4,6]

Referensi

3. Manandhar SR. Outcome of Surfactant Replacement Therapy in Preterm Babies with Hyaline Membrane Disease at Neonatal Intensive Care Unit of a Tertiary Hospital. Birat Journal of Health Sciences. 2019. 3. 537-541. 10.3126/bjhs.v3i3.22171. https://www.researchgate.net/publication/330099646_Outcome_of_Surfactant_Replacement_Therapy_in_Preterm_Babies_with_Hyaline_Membrane_Disease_at_Neonatal_Intensive_Care_Unit_of_a_Tertiary_Hospital
4. Yadav S, Lee B, Kamity R. Neonatal Respiratory Distress Syndrome. [Updated 2022 Jul 25]. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK560779/
6. Ndour D, Gueye M. Diagnostic and Management of Hyaline Membrane Disease. 2018. https://www.researchgate.net/publication/326817024_Diagnostic_and_Management_of_Hyaline_Membrane_Disease
12. Pramanik AK. Respiratory Distress Syndrome. Medscape. 6 Januari 2020. https://emedicine.medscape.com/article/976034-overview#a5
18. López ADLH, Alonso MS, Jiménez APJ, Pozo VMD, et al. Antenatal Corticosteroids and Incidence of Neonatal Respiratory Distress After Elective Caesarean Section in Late Preterm and Term Neonates. Anales de Pediatría (English Edition) Volume 91, Issue 6, 2019, Pages 371-377, ISSN 2341-2879, DOI: 10.1016/j.anpede.2018.12.008.
19. Chen C, Tian T, Liu L, Zhang J, Fu H. Gender-related efficacy of pulmonary surfactant in infants with respiratory distress syndrome: A STROBE compliant study. Medicine (Baltimore). 2018 Apr;97(17):e0425. doi: 10.1097/MD.0000000000010425. PMID: 29702992; PMCID: PMC5944534.
29. Sweet, D. G., Carnielli, V., Greisen, G., Hallman, M., Ozek, E., te Pas, A., Halliday, H. L. European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update. Neonatology, 115(4), 432–450. doi:10.1159/000499361. 2019. https://karger.com/neo/article/115/4/432/231930/European-Consensus-Guidelines-on-the-Management-of
30. Norman J, Shennan A, Jacobsson B, Stock SJ; FIGO Working Group for Preterm Birth. FIGO good practice recommendations on the use of prenatal corticosteroids to improve outcomes and minimize harm in babies born preterm. Int J Gynaecol Obstet. 2021 Oct;155(1):26-30. doi: 10.1002/ijgo.13836. Erratum in: Int J Gynaecol Obstet. 2022 May;157(2):486. PMID: 34520057.
31. Pinto VL, Sharma S. Continuous Positive Airway Pressure. StatPearls Publishing; 2023 Jan-. https://www.ncbi.nlm.nih.gov/books/NBK482178/
32. Mukerji A, Abdul WM.G, Razak A. et al. High CPAP vs. NIPPV in preterm neonates — A physiological cross-over study. J Perinatol, 2021. 41, 1690–1696. https://doi.org/10.1038/s41372-021-01122-6
33. Perma Iskandar A, Kaban R, Djer M. Heated, Humidified High-Flow Nasal Cannula vs. Nasal CPAP in Infants with Moderate Respiratory Distress. The Indonesian Journal of Pediatrics Medicine, 2019. Vol. 59 No. 6 pp:331-339. 11. https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2203
34. Chakkarapani AA, Adappa R, Mohammad Ali SK, Gupta S, Soni NB, Chicoine L, Hummler HD. Current concepts of mechanical ventilation in neonates - Part 1: Basics. International journal of pediatrics & adolescent medicine, 2020. 7(1), 13–18. https://doi.org/10.1016/j.ijpam.2020.03.003
35. Banerjee S, et al. Surfactant replacement therapy for respiratory distress syndrome in preterm infants: United Kingdom national consensus. Pediatric research, 2019. 86(1), 12–14. https://doi.org/10.1038/s41390-019-0344-5
36. Dani C, et al. Enteral and Parenteral Treatment with Caffeine for Preterm Infants in the Delivery Room: A Randomised Trial. Paediatric drugs, 2023. 25(1), 79–86. https://doi.org/10.1007/s40272-022-00541-y
37. Luyt CE, et al. Pulmonary infections complicating ARDS. Intensive care medicine, 2020. 46(12), 2168–2183. https://doi.org/10.1007/s00134-020-06292-z

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Masuk atau Daftar

Nomor Ponsel Sudah Terdaftar

Masuk dengan Email

Masuk dengan Email

Masuk dengan Facebook

Penatalaksanaan Hyaline Membrane Disease

Referensi

Masuk atau Daftar

Artikel Terkait