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Chronic Lung Disease of Childhood: Control of Breathing During Wake and Sleep
Brian M McGinley1, John L Carroll2
1Pediatric Pulmonary Medicine, Johns Hopkins Hospital, Johns Hopkins University, Baltimore, Maryland.
Insights
Infant breathing control matures rapidly but remains vulnerable in infants with chronic lung disease (CLD). These breathing impairments increase risks for infants with CLD.
Area of Science:
- Neonatal physiology
- Respiratory control
- Infant development
Background:
- Breathing control in infants is immature at birth and matures rapidly within the first year.
- Infants with chronic lung disease (CLD) exhibit impaired breathing control, increasing vulnerability to hypoxia and asphyxia.
- These breathing impairments are linked to higher morbidity and sudden infant death rates in CLD infants.
Purpose of the Study:
- To review factors influencing breathing control during wakefulness and sleep in infants.
- To examine factors affecting the development of breathing control.
- To specifically focus on the impact of chronic lung disease (CLD) on infant breathing control.
Main Methods:
- Literature review of studies on infant breathing control.
- Analysis of factors influencing respiratory development.
- Focus on research concerning chronic lung disease (CLD) and its effects.
Main Results:
- Breathing control undergoes significant maturation in the first year of life.
- Chronic lung disease (CLD) presents multiple impairments to breathing control mechanisms.
- Vulnerability to hypoxic and asphyxic events is heightened in infants with CLD.
Conclusions:
- Impaired breathing control in CLD infants contributes to increased health risks.
- Understanding these impairments is crucial for managing CLD and reducing sudden infant death.
- Further research is needed to fully elucidate the mechanisms and interventions for breathing control in CLD infants.
Abstract:
Control of breathing in infants during wake and sleep is immature at birth and undergoes rapid maturation over the first year of life. Infants with chronic lung disease (CLD) have multiple control of breathing impairments leaving them particularly vulnerable to hypoxic and asphyxic events. These impairments in the control of breathing are thought to contribute significantly to increased morbidity and the increased incidence of sudden infant death in infants with CLD. This review provides an overview of factors integral to the control of breathing during wake and sleep and factors that influence the development of control of breathing with a focus on the impact of CLD.
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