New NICE Quality Standards of Care: Specialist neonatal respiratory care for babies born preterm

This quality standard covers neonatal respiratory support in hospital for babies born preterm (before 37 weeks of pregnancy). It describes high-quality care in priority areas for improvement.

These have just been published and contain standards against which services can measure their performance:

  1. Statement 1 Preterm babies having respiratory support soon after birth and before admission to the neonatal unit are given continuous positive airways pressure (CPAP), if clinically appropriate, rather than invasive ventilation.
  2. Statement 2 Preterm babies who need surfactant are given it using a minimally invasive technique if they do not need invasive ventilation.
  3. Statement 3 Preterm babies having invasive ventilation are given volume-targeted ventilation (VTV) in combination with synchronised ventilation.
  4. Statement 4 Preterm babies have a target oxygen saturation of 91% to 95% after stabilisation.
  5. Statement 5 Parents and carers of preterm babies who are having respiratory support are helped to care for their baby.
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