Bronchopulmonary dysplasia requiring tracheostomy: A review of management and outcomes

被引:8
作者
Karkoutli, Adam Ahmad [1 ]
Brumund, Michael R. [2 ,4 ]
Evans, Adele K. [3 ,4 ]
机构
[1] Louisiana State Univ, Sch Med, Hlth Sci Ctr, 533 Bolivar St, New Orleans, LA 70112 USA
[2] Louisiana State Univ, Dept Pediat, Pediat Cardiol, Hlth Sci Ctr, 200 Henry Clay Ave, New Orleans, LA 70118 USA
[3] Louisiana State Univ, Dept Otolaryngol Head & Neck Surg, Pediat Otolaryngol, Hlth Sci Ctr, 533 Bolivar St,Suite 566, New Orleans, LA 70112 USA
[4] Childrens Hosp New Orleans, 200 Henry Clay Ave, New Orleans, LA 70118 USA
关键词
Tracheostomy; Bronchopulmonary dysplasia; Pulmonary hypertension; Prematurity; INHALED NITRIC-OXIDE; PULMONARY-ARTERY HYPERTENSION; VITAMIN-A SUPPLEMENTATION; EARLY CAFFEINE THERAPY; PRETERM INFANTS; CARDIAC-CATHETERIZATION; MECHANICAL VENTILATION; LANGUAGE-DEVELOPMENT; PEDIATRIC-PATIENTS; OXYGEN-SATURATION;
D O I
10.1016/j.ijporl.2020.110449
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Bronchopulmonary Dysplasia (BPD) is a pulmonary disease affecting newborns, commonly those with prematurity or low birth weight. Its pathogenesis involves underdevelopment of lung tissue with subsequent limitations in ventilation and oxygenation, resulting in impaired postnatal alveolarization. Despite advances in care with improved survival, BPD remains a prevalent comorbidity of prematurity. In severe cases, management may involve mechanical ventilation via tracheostomy. BPD's demand for multidisciplinary care compounds the challenges in management of this condition. Here, we review existing literature: the history of disease, criteria for diagnosis, pathogenesis, and modes of treatment with a focus on the severe subtype: that which is associated with pulmonary hypertension (PAH) for which tracheostomy is often required to facilitate long-term mechanical ventilation. We review the current recommendations for tracheostomy and decannulation.
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页数:9
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