The Silverman–Andersen scale in the assessment of respiratory distress syndrome in preterm infants: clinical and prognostic significance

Abstract

The article discusses the historical features of the clinical formation of the diagnostic criteria of the Silverman-Andersen scale in the assessment of respiratory distress syndrome in preterm infants. The epidemiology and clinical picture of the respiratory distress syndrome of newborn (infantile respiratory distress syndrome,) is given. The international practical experience of the clinical application of the rating scale in neonatology and neonatal resuscitation is presented. Modern aspects of further improvement of the neonatal scale in the primary and/or repeated visual assessment of the clinical picture of IRDS during monitoring of vital functions and intensive care of premature infants in the early neonatal period are analyzed. The important clinical and prognostic significance of the primary use of the Silverman-Andersen scale in the rapid assessment of the clinical course of ADRS in premature infants is emphasized with a targeted choice of tactics for starting respiratory support in the intensive care unit for newborns in the maternity hospital of the perinatal center of Yudin City Clinical Hospital (Moscow).

Keywords

• ventilation of the lungs with two phases of airway pressure
• preterm infants
• assessment of respiratory failure
• infantile respiratory distress syndrome
• irds
• initial respiratory support
• silverman-andersen scale