ESPR and EPSNIC initiative produces an expert consensus definition of ARDS for neonates.
Acute respiratory distress syndrome (ARDS) was undefined in neonates so far, despite several neonatal respiratory disorders sharing similar biology, physiopathology and histology features with ARDS occurring in later life. Two years ago, an international, collaborative, multicentre and multidisciplinary project has been launched and called "Neonatal ARDS project". It aims to produce an ARDS consensus definition for neonates 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 (ESPNIC); four experts of the European Society for Paediatric Research (ESPR); two independent experts from the USA and two from Australia. From the beginning, the project wanted to be a breaking - boundaries initiative linking together expertise and knowledge of intensivists taking care of respiratory failure at the different life ages. The project has seen several discussions both in-person and by TC, with the participation of the ESPR President Luc Zimmermann and other experts ESPR member (Anton van Kaam, Olivier Danhaive, Virgilio P. Carnielli). The project has been chaired by Daniele De Luca and Peter Rimensberger.
The first part of the neonatal ARDS project has just been published in The Lancet Respiratory Medicine presenting the consensus definition of neonatal ARDS, the so called "Montreux definition". This is a big novelty which allows the diagnosis of this condition in neonates and to classify its severity, according to physiopathology-based criteria coherent with criteria for adult and pediatric ARDS but which also take into account the peculiarities of the neonatal age. There will be a Late-Breaking Session presenting the Montreux definition and the Neonatal ARDS Project at the next jENS Meeting with the participation of several authors of the Lancet paper. With the dissemination of the Montreux definition we expect increased clinical attention to neonatal ARDS: the Montreux definition may foster neonatal ARDS research, facilitating the investigations of new therapeutic approaches. We congratulate our society members for this work and we invite you all to the session on neonatal ARDS Project at our incoming congress (October 31 to November 4, 2017, in Venice).
Click here for the full article:http://www.thelancet.com/journals/lanres/article/PIIS2213-2600(17)30214-X/fulltext
Questionnaire on the role of imaging in the management of Necrotizing Enterocolitis
Necrotizing Enterocolitis (NEC) remains a clinical and diagnostic challenge in neonatal care. Imaging is an important part of its management, but routines and methods vary between hospitals and countries. This survey, which is distributed to neonatologists and pediatric surgeons mainly in Europe and the United States, aims at mapping current perceptions of the role that medical imaging plays and should (or could) play in caring for patients with known or suspected NEC, as well as the interaction between radiologists and clinicians in this respect. A similar questionnaire is distributed to pediatric radiologists for comparison of perspectives between the different specialties involved. The result can hopefully be used as a base for further discussion on the optimal use of medical imaging for diagnosing and monitoring the disease.
Submit an article to Children, an international open access journal dedicated to the dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication will focus on sharing clinical, epidemiological, translational and basic science research relevant to children’s health.
Public consultation on Commission guidelines on paediatric investigation plans
As you may be aware, the European Commission has recently requested the European Medicines Agency and its Paediatric Committee to suggest amendments to the current guidelines concerning the format and content of paediatric investigation plans.
Therefore, based on your experience, we ask you to comment on the items open for consultation (please see the attached document).
Please note that providing your comments to GRiP does not prohibit you from responding to the consultation directly as individuals.
Please submit your responses to firstname.lastname@example.org by no later than 1st December 2013.
If there are any aspects that you would like to discuss further please do not hesitate to contact us.
Carlo Giaquinto, Mark Turner, Steven Hirschfeld (GRiP coordinators).