Chronic respiratory failure in bronchopulmonary dysplasia. Issue 11 (15th March 2021)

• Record Type: Journal Article
• Authors: Baker, Christopher D.
• Other Names: Panitch Howard guestEditor.; Moore Paul guestEditor.
• Is Part Of: Pediatric pulmonology. Volume 56:Issue 11(2021)
• Page Start: 3490
• Page End: 3498
• Publication Date: 2021-03-15
• Subjects: bronchopulmonary dysplasia -- chronic ventilation -- mechanical ventilation -- neonatal pulmonary medicine -- tracheostomy; Pediatric respiratory diseases -- Periodicals; Pediatrics -- Periodicals; 618.922
• DOI: 10.1002/ppul.25360
• Languages: English
• ISSNs: 8755-6863

Abstract

Abstract: Although survival has improved dramatically for extremely preterm infants, those with the most severe forms of bronchopulmonary dysplasia (BPD) fail to improve in the neonatal period and go on to develop chronic respiratory failure. When careful weaning of respiratory support is not tolerated, the difficult decision of whether or not to pursue chronic ventilation via tracheostomy must be made. This requires shared decision‐making with an interdisciplinary medical team and the child's family. Although they suffer from increased morbidity and mortality, the majority of these children will survive to tolerate ventilator liberation and tracheostomy decannulation. Care coordination for the technology‐dependent preterm infant is complex, but there is a growing consensus that chronic ventilation can best support neurodevelopmental progress and improve long‐term outcomes.