METHOD FOR DETERMINING THE TACTICS OF MANAGING PATIENTS WITH TRANSIENT TACHYPNEA IN NEWBORNS AT THE STAGE OF THE DELIVERY ROOM Russian patent published in 2023 - IPC A61M16/00 A61B5/08 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, in particular to neonatology and anesthesiology-resuscitation. The method includes performing respiratory therapy using a respiratory support apparatus and resuscitation breathing circuit and assessing on the Downes scale. At the same time, at 5 minutes from the start of CPAP therapy, using a face mask, they switch to mononasal CPAP therapy (MnCPAP). To do this, an endotracheal tube is inserted into the nasal passage to the level of the nasopharynx, while the insertion depth is equal to the middle of the distance between the earlobe and the child's nostrils. The tube is fixed over the child's upper lip with a strip of adhesive tape. When conducting MnCPAP therapy at 20, 40 and 60 minutes, respiratory disorders (RD) are assessed according to the Downes scale. If at 20 minutes of MnCPAP therapy, with a score of <3 points, the child is weaned from respiratory support, and the doctor monitors the child for 5 minutes. At the same time, if within 5 minutes without respiratory support, RD<3 points and the state of other organs and systems is not disturbed, then the child is transferred to the neonatal department. If within 5 minutes without respiratory support the symptoms of RD on the Downes scale ≥3 points, then the doctor again performs MnCPAP. If at the 20th minute of MnCPAP the RD remain at the same level - 3-5 points on the Downes scale, MnCPAP is continued further, the technique does not change. With an increase in 20 minutes from 3-4 points to 5 points and more - the child is transferred to Orin on the corresponding state of the type of respiratory support: CPar or ALV. With the initial assessment of RD at 6 points on the Download scale, saving 6 points or an increase in more than 6 points, the child is transferred to Oritn on the corresponding state of the type of respiratory support: CPar or ALV. At 40 and 60 minutes, the RD rating is carried out according to the DN assessment scheme at 20 minutes, but if the RD remains at the same level or increase, the child is transferred to Oritn on the corresponding state of the type of respiratory support: CPar or ALV.

EFFECT: method makes it possible to determine the tactics of managing patients with transient tachypnea in newborns at the stage of the delivery room, to increase the effectiveness of treatment by reducing the severity and duration of the disease.

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