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Author Spotlight: Expanding Interventional Pulmonology Research with Robotic-Assisted Bronchoscopy

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Published on: July 19, 2024

Multidisciplinary bronchopulmonary dysplasia care.

Audrey N Miller¹, Edward G Shepherd¹, George El-Ferzli¹

¹Comprehensive Center for Bronchopulmonary Dysplasia, Nationwide Children's Hospital and Division of Neonatology, Department of Pediatrics, Ohio State University College of Medicine, Columbus, OH, USA.

Expert Review of Respiratory Medicine

|November 20, 2023

Summary

Multidisciplinary chronic care is vital for infants with bronchopulmonary dysplasia (BPD). This review offers a framework for implementing team-based management to improve outcomes for these complex pediatric respiratory patients.

Keywords:

Infant chronic lung disease mechanical ventilation neurodevelopment nutrition

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Area of Science:

Pediatric Pulmonology
Neonatal Medicine
Chronic Disease Management

Background:

Bronchopulmonary dysplasia (BPD) is a chronic respiratory disease in neonates and infants.
BPD often involves multisystem organ involvement, co-morbidities, and prolonged hospital stays.
A multidisciplinary chronic care approach is needed for severe BPD but is challenging to implement.

Purpose of the Study:

To review and synthesize literature on multidisciplinary care for infants and children with established BPD.
To provide a framework for clinical practice and future research in BPD management.

Main Methods:

A literature search was conducted using Ovid MEDLINE, CINAHL, and Embase.
Components of multidisciplinary BPD management were identified and reviewed.
Key areas included chronic care, team development, discharge planning, and outpatient care.

Main Results:

Establishing a core multidisciplinary team familiar with BPD chronicity is recommended.
National consulting services, telemedicine, and educational resources are crucial for broader implementation.
A framework for guiding clinical practice and future research was developed.

Conclusions:

Multidisciplinary care is essential for optimizing outcomes in infants and children with established BPD.
Innovative approaches like telemedicine and national consulting services can overcome implementation challenges.
The proposed framework aims to enhance clinical practice and guide future research in BPD management.