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Updated: Dec 20, 2025

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

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Physiological Basis of Neonatal Aerodigestive Difficulties in Chronic Lung Disease

Shabih U Hasan1, Abhay K Lodha2, Kamran Yusuf1

  • 1Department of Pediatrics, Alberta Health Services, Cumming School of Medicine, Health Sciences Centre, 3330 Hospital Drive Northwest, Calgary, Alberta T2N 4N1, Canada.

Clinics in Perinatology
|May 23, 2020
PubMed

Insights

Preterm birth complications like chronic lung disease and feeding difficulties impact many infants. Early feeding strategies can improve oral feeding achievement and shorten hospital stays for vulnerable newborns.

Area of Science:

  • Neonatal-Perinatal Medicine
  • Pediatric Pulmonology
  • Developmental Pediatrics

Background:

  • Preterm birth rates are rising in the US.
  • Very low-birth-weight infants frequently develop chronic lung disease (CLD) and feeding difficulties.
  • Achieving full oral feeds is challenging for preterm infants, especially those with respiratory support or CLD.

Purpose of the Study:

  • To review strategies for minimizing aerodigestive disorders in preterm infants.
  • To highlight the importance of early oral feeding interventions.

Main Methods:

  • Literature review of current neonatal-perinatal care practices.
  • Analysis of strategies to support feeding in high-risk preterm infants.

Main Results:

  • Over 40% of very low-birth-weight infants develop CLD.
  • Nearly 25% experience feeding difficulties, delaying oral feeds and hospital discharge.
  • Specific interventions can mitigate these challenges.

Conclusions:

  • Supporting nonnutritive sucking is crucial.
  • Infant-directed feeding protocols and sensory-motor stimulation aid oral feeding.
  • Early introduction of oral feeds is a key strategy for improving outcomes in preterm infants.

Keywords:
Central swallow pattern generatorChronic lung diseaseNoninvasive ventilationOral feedingOromotor skillsPreterm infantsRespiratory rhythmogenesisSuck-swallow-breathe coordination

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