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Outpatient management of established bronchopulmonary dysplasia: An update

Anita Bhandari1, Stamatia Alexiou1

  • 1Division of Pulmonary and Sleep Medicine, Department of Pediatrics, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, 34th and Civic Center Blvd. Philadelphia, PA 19104, United States.

Seminars in Perinatology
|September 30, 2023
PubMed

Insights

Bronchopulmonary dysplasia (BPD) management in infants is complex, involving multiple therapies and multidisciplinary care. More research is needed to confirm the effectiveness of current treatments for BPD survivors.

Area of Science:

  • Neonatology
  • Pediatric Pulmonology

Background:

  • Rising incidence and survival rates of infants with bronchopulmonary dysplasia (BPD).
  • Complex medical management of BPD necessitates diverse therapies and specialized care.

Approach:

  • Review of widely used outpatient therapies for established BPD.
  • Focus on post-neonatal intensive care management strategies.

Key Points:

  • Commonly used therapies include steroids, bronchodilators, diuretics, oxygen, and positive pressure support.
  • Multidisciplinary care is crucial for optimizing growth and neurodevelopmental outcomes.
  • Evidence supporting many current BPD therapies is limited.

Conclusions:

  • Established BPD requires comprehensive management involving various medical interventions.
  • High-quality research, including randomized controlled trials, is essential to validate treatment efficacy.
  • Further studies are needed to define optimal outcomes for BPD management.

Keywords:
Bronchopulmonary dysplasiaChronic lung diseaseNICU graduates

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