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The Montreux definition of neonatal ARDS: biological and clinical background behind the description of a new entity.
The Lancet ( IF 168.9 ) Pub Date : 2017-08-01 , DOI: 10.1016/s2213-2600(17)30214-x
Daniele De Luca , Anton H van Kaam , David G Tingay , Sherry E Courtney , Olivier Danhaive , Virgilio P Carnielli , Luc J Zimmermann , Martin C J Kneyber , Pierre Tissieres , Joe Brierley , Giorgio Conti , Jane J Pillow , Peter C Rimensberger

Acute respiratory distress syndrome (ARDS) is undefined in neonates, despite the long-standing existing formal recognition of ARDS syndrome in later life. We describe the Neonatal ARDS Project: an international, collaborative, multicentre, and multidisciplinary project which aimed to produce an ARDS consensus definition for neonates that is applicable from the perinatal period. The definition was created through discussions between five expert members of the European Society for Paediatric and Neonatal Intensive Care; four experts of the European Society for Paediatric Research; two independent experts from the USA and two from Australia. This Position Paper provides the first consensus definition for neonatal ARDS (called the Montreux definition). We also provide expert consensus that mechanisms causing ARDS in adults and older children-namely complex surfactant dysfunction, lung tissue inflammation, loss of lung volume, increased shunt, and diffuse alveolar damage-are also present in several critical neonatal respiratory disorders.

中文翻译:

蒙特勒对新生儿ARDS的定义:描述新实体后的生物学和临床背景。

尽管早年存在ARDS综合征的长期公认,但新生儿仍未定义急性呼吸窘迫综合征(ARDS)。我们描述了新生儿ARDS项目:这是一个国际,合作,多中心和多学科的项目,旨在为围产期提供适用于新生儿的ARDS共识定义。该定义是通过欧洲儿科和新生儿重症监护协会的五位专家成员之间的讨论而创建的;欧洲儿科研究学会的四位专家;来自美国的两名独立专家和来自澳大利亚的两名独立专家。该立场文件为新生儿ARDS提供了第一个共识定义(称为蒙特勒定义)。
更新日期:2017-08-10
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