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Emerging issues in pediatric pulmonology in India

Y K Amdekar1

  • 1J.J. Hospital, Mumbai.

Indian Journal of Pediatrics
|April 20, 2000
PubMed

Insights

Infants surviving intensive care in India often experience abnormal pulmonary outcomes. These include chronic lung disease, infections, and anatomical issues impacting growth and development.

Area of Science:

  • Pediatrics
  • Neonatology
  • Pulmonology

Background:

  • Ventilatory care for newborns has advanced in India.
  • Pediatricians increasingly encounter "intensive care nursery survivors".

Purpose of the Study:

  • To outline the spectrum of abnormal pulmonary outcomes in infants surviving neonatal intensive care.
  • To highlight the impact of these outcomes on overall child development.

Main Methods:

  • This is a review/discussion based on clinical experience and existing literature.
  • No specific new data collection was mentioned.

Main Results:

  • Survivors may face sudden death, bronchopulmonary dysplasia, reactive airway disease, and increased respiratory infections.
  • Anatomical complications like subglottic stenosis and tracheobronchomalacia are also noted.

Conclusions:

  • Abnormal pulmonary outcomes are a significant concern for neonatal intensive care survivors.
  • These respiratory issues profoundly affect feeding, growth, and neurodevelopmental trajectories.

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