Bronchopulmonary dysplasia: a review

Zarqa Ali1, Peter Schmidt, James Dodd

  • 1University Department of Pediatrics, Section 531, Hvidovre Hospital, Kettegaard Alle, DK-2650 Hvidovre, Copenhagen, Denmark. zarqa_ali@hotmail.com

Insights

Bronchopulmonary dysplasia (BPD) is a common complication in preterm infants, and its incidence is rising. While treatments exist, none have halted the increasing rates of this condition.

Area of Science:

  • Neonatal Medicine
  • Pediatric Pulmonology

Background:

  • Bronchopulmonary dysplasia (BPD) is a prevalent complication in preterm infants.
  • Increased survival rates of extremely preterm infants contribute to rising BPD prevalence.
  • BPD significantly impacts long-term respiratory health in survivors.

Purpose of the Study:

  • To review the current understanding of bronchopulmonary dysplasia (BPD) etiology and treatment.
  • To assess the impact of existing treatment modalities on BPD incidence.

Main Methods:

  • Systematic literature review was employed.
  • Analysis of existing research on BPD causes and interventions.

Main Results:

  • The etiology of BPD is multifactorial, with prematurity being a prerequisite.
  • Various treatment modalities have been developed over time.
  • Some treatments have lessened BPD severity but not impacted its increasing incidence.

Conclusions:

  • Prematurity is essential for BPD development.
  • Despite therapeutic advancements, the rising incidence of BPD remains a significant challenge.
  • Further research is needed to identify interventions that can reduce BPD rates.
Abstract

Related Concept Videos

Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
Chronic Obstructive Pulmonary Disease-V: Nursing Management01:30

Chronic Obstructive Pulmonary Disease-V: Nursing Management

Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Chronic Obstructive Pulmonary Disease I: Introduction01:23

Chronic Obstructive Pulmonary Disease I: Introduction

Chronic obstructive pulmonary disease is a common, preventable, and treatable respiratory disorder characterized by persistent symptoms and progressive airflow limitation. This limitation results from a combination of small-airway disease (obstructive bronchiolitis) and parenchymal destruction (emphysema), both driven by chronic inflammation from exposure to harmful particles or gases.The disease includes two main pathological entities: emphysema, marked by destruction of alveolar walls and...