Chronic respiratory failure in bronchopulmonary dysplasia.
bronchopulmonary dysplasia
chronic ventilation
mechanical ventilation
neonatal pulmonary medicine
tracheostomy
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
revised:
27
02
2021
received:
29
11
2020
accepted:
01
03
2021
pubmed:
6
3
2021
medline:
24
12
2021
entrez:
5
3
2021
Statut:
ppublish
Résumé
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.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3490-3498Informations de copyright
© 2021 Wiley Periodicals LLC.
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