To Trach or Not To Trach: Long-term Tracheostomy Outcomes in Infants with BPD

Matthew J Kielt1,2, Jonathan C Levin,

  • 1Comprehensive Center for Bronchopulmonary Dysplasia, Nationwide Children's Hospital, Columbus, OH.

Neoreviews
|October 31, 2023
PubMed

Insights

Tracheostomy placement for infants with bronchopulmonary dysplasia (BPD) is increasing, yet evidence-based guidelines are lacking. This review summarizes outcomes to aid family-centered counseling for this vulnerable population.

Area of Science:

  • Neonatology
  • Pediatric Pulmonology
  • Medical Devices

Background:

  • Infants born preterm with bronchopulmonary dysplasia (BPD) exhibit varied illness severity.
  • Severe BPD cases may necessitate long-term ventilation via tracheostomy for hospital discharge.
  • Tracheostomy placement rates are rising in infants with BPD, despite known risks.

Conclusions:

  • There is a growing need for evidence-based guidelines on tracheostomy for infants with BPD.
  • Further research on long-term outcomes is crucial for informed clinical practice.
  • A family-centered approach is essential for counseling regarding tracheostomy placement.

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