Bronchopulmonary Dysplasia

Katelyn G Enzer1, Christopher D Baker1, Benjamin L Wisniewski1

  • 1Department of Pediatrics, Section of Pulmonary and Sleep Medicine, University of Colorado School of Medicine, 13123 East 16th Avenue Box B-395, Aurora, CO 80045, USA.

PubMed

Insights

Bronchopulmonary dysplasia (BPD) is a chronic lung condition in premature infants. Early interventions and interdisciplinary care show promise for improving long-term outcomes in this high-risk population.

Area of Science:

  • Neonatal Medicine
  • Pediatric Pulmonology
  • Chronic Lung Disease

Background:

  • Bronchopulmonary dysplasia (BPD) is a chronic lung disease affecting premature infants.
  • Advancements in neonatal care increase survival rates of extremely premature infants, leading to a stable incidence of BPD.
  • Effective preventative interventions for BPD remain limited.

Purpose of the Study:

  • To highlight the evolving nature of Bronchopulmonary dysplasia (BPD).
  • To emphasize the importance of interdisciplinary care and phenotype-specific management.
  • To discuss the potential of early interventions for long-term outcomes.

Main Methods:

  • Review of current understanding of BPD pathophysiology and clinical management.
  • Analysis of the impact of neonatal care advancements on BPD incidence.
  • Evaluation of existing and potential therapeutic strategies.

Main Results:

  • BPD incidence remains unchanged despite improved neonatal care, due to increased survival of very premature infants.
  • Comprehensive, interdisciplinary care and attention to BPD phenotypes have improved patient management.
  • Few effective interventions currently exist to prevent BPD.

Conclusions:

  • Early interventions during the disease course are crucial for improving long-term survival and adult outcomes.
  • Personalized care strategies tailored to BPD phenotypes are essential.
  • Further research into effective preventative and therapeutic measures for BPD is warranted.

Related Concept Videos

Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.5K
Chronic Obstructive Pulmonary Disease01:22

Chronic Obstructive Pulmonary Disease

COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.2K
Chronic Obstructive Pulmonary Disease-I: Introduction01:20

Chronic Obstructive Pulmonary Disease-I: Introduction

Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
Chronic Obstructive Pulmonary Disease-II: Pathophysiology01:20

Chronic Obstructive Pulmonary Disease-II: Pathophysiology

Chronic Obstructive Pulmonary Disease (COPD) pathophysiology is intricate and multifaceted, involving a complex interplay of physiological processes. Understanding these mechanisms is crucial for effectively managing and treating COPD. Here is an in-depth look at the critical elements in the pathophysiology of COPD:
Chronic Inflammation
2.7K
COPD: Management Using Bronchodilators and Corticosteroids01:26

COPD: Management Using Bronchodilators and Corticosteroids

Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
193
Pneumothorax-I01:26

Pneumothorax-I

A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
186