支气管肺发育不良
医学
持续气道正压
呼吸窘迫
重症监护医学
气道正压
通风(建筑)
机械通风
肺
气道
呼吸系统
儿科
麻醉
怀孕
胎龄
内科学
阻塞性睡眠呼吸暂停
遗传学
工程类
生物
机械工程
作者
Mitali Sahni,Vineet Bhandari
标识
DOI:10.1016/j.semperi.2023.151815
摘要
In the age of surfactant and antenatal steroids, neonatal care has improved outcomes of preterm infants dramatically. Since the early 2000’s neonatologists have strived to decrease bronchopulmonary dysplasia (BPD) by decreasing ventilator-associated lung injury and utilizing many novel modes of non-invasive respiratory support. After the initial success with nasal continuous positive airway pressure, it was established that discontinuing invasive ventilation early in favor of non-invasive respiratory support is the most effective way to reduce the incidence of BPD. In this review, we discuss the management of the preterm lung from the time of delivery, through the phases of respiratory distress syndrome (early BPD) and then evolving BPD. The goal remains to optimize respiratory support of the preterm lung while minimizing ventilator-associated lung injury and oxygen toxicity. A multidisciplinary approach involving the medical team and family is quintessential in reaching this goal and involves adequate respiratory support, optimizing nutrition and fluid balance as well as preventing infections.
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