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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
06:15

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus

Published on: March 6, 2019

Chronic lung disease in newborns

M Jeeva Sankar1, Ramesh Agarwal, Ashok K Deorari

  • 1Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.

Indian Journal of Pediatrics
|June 10, 2008
PubMed

Insights

Bronchopulmonary dysplasia (BPD), a chronic lung disease in preterm infants, arises from prematurity and respiratory support. Current management strategies offer limited benefits, necessitating evidence-based protocols.

Area of Science:

  • Neonatology
  • Pediatric Pulmonology
  • Developmental Biology

Background:

  • Bronchopulmonary dysplasia (BPD) is a chronic lung disease affecting preterm infants requiring respiratory support.
  • Risk factors include prematurity, oxygen therapy, ventilation, infections, patent ductus arteriosus, and genetic factors.
  • Modern BPD presents as a milder form with impaired alveolar development, differing from historical severe inflammatory types.

Purpose of the Study:

  • To review and discuss current evidence-based strategies for the prevention and treatment of bronchopulmonary dysplasia.
  • To outline a comprehensive management protocol for BPD.

Main Methods:

  • Literature review of pharmacological and ventilatory interventions for BPD.
  • Synthesis of current evidence to inform management guidelines.

Main Results:

  • Many established pharmacological and ventilatory strategies have shown limited efficacy in preventing or treating BPD.
  • A shift towards milder forms of BPD characterized by arrested lung development is observed.

Conclusions:

  • Effective BPD management requires a comprehensive, evidence-based approach.
  • Further research is needed to identify beneficial interventions for BPD.

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