Tracheostomy in infants with severe bronchopulmonary dysplasia: A review
In recent years, with increased survival of infants with severe bronchopulmonary dysplasia (BPD), long term ventilation due to severe BPD has increased and become the most common indication for tracheostomy in infants less than one year of age. Evidence shows that tracheostomy in severe BPD may impr...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-01-01
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| Series: | Frontiers in Pediatrics |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2022.1066367/full |
| _version_ | 1797955259702706176 |
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| author | Gangaram Akangire Gangaram Akangire Winston Manimtim Winston Manimtim |
| author_facet | Gangaram Akangire Gangaram Akangire Winston Manimtim Winston Manimtim |
| author_sort | Gangaram Akangire |
| collection | DOAJ |
| description | In recent years, with increased survival of infants with severe bronchopulmonary dysplasia (BPD), long term ventilation due to severe BPD has increased and become the most common indication for tracheostomy in infants less than one year of age. Evidence shows that tracheostomy in severe BPD may improve short- and long-term respiratory and neurodevelopmental outcomes. However, there is significant variation among centers in the indication, timing, intensive care management, and follow-up care after hospital discharge of infants with severe BPD who received tracheostomy for chronic ventilation. The timing of liberation from the ventilator, odds of decannulation, rate of rehospitalization, growth, and neurodevelopment are all clinically important outcomes that can guide both clinicians and parents to make a well-informed decision when choosing tracheostomy and long-term assisted ventilation for infants with severe BPD. This review summarizes the current literature regarding the indications and timing of tracheostomy placement in infants with severe BPD, highlights center variability in both intensive care and outpatient follow-up settings, and describes outcomes of infants with severe BPD who received tracheostomy. |
| first_indexed | 2024-04-10T23:31:22Z |
| format | Article |
| id | doaj.art-0dc01b6b90ad47f39b815bc04f0c96f3 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-04-10T23:31:22Z |
| publishDate | 2023-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-0dc01b6b90ad47f39b815bc04f0c96f32023-01-12T05:54:17ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-01-011010.3389/fped.2022.10663671066367Tracheostomy in infants with severe bronchopulmonary dysplasia: A reviewGangaram Akangire0Gangaram Akangire1Winston Manimtim2Winston Manimtim3Division of Neonatology, Children's Mercy Kansas City, Kansas City, MO, United StatesDepartment of Pediatrics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, United StatesDivision of Neonatology, Children's Mercy Kansas City, Kansas City, MO, United StatesDepartment of Pediatrics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, United StatesIn recent years, with increased survival of infants with severe bronchopulmonary dysplasia (BPD), long term ventilation due to severe BPD has increased and become the most common indication for tracheostomy in infants less than one year of age. Evidence shows that tracheostomy in severe BPD may improve short- and long-term respiratory and neurodevelopmental outcomes. However, there is significant variation among centers in the indication, timing, intensive care management, and follow-up care after hospital discharge of infants with severe BPD who received tracheostomy for chronic ventilation. The timing of liberation from the ventilator, odds of decannulation, rate of rehospitalization, growth, and neurodevelopment are all clinically important outcomes that can guide both clinicians and parents to make a well-informed decision when choosing tracheostomy and long-term assisted ventilation for infants with severe BPD. This review summarizes the current literature regarding the indications and timing of tracheostomy placement in infants with severe BPD, highlights center variability in both intensive care and outpatient follow-up settings, and describes outcomes of infants with severe BPD who received tracheostomy.https://www.frontiersin.org/articles/10.3389/fped.2022.1066367/fulltracheostomy (TS)bronchopulmonary dysplasiareshospitalizationhome ventilationairway disorderschronic lung disease (CLD) of prematurity |
| spellingShingle | Gangaram Akangire Gangaram Akangire Winston Manimtim Winston Manimtim Tracheostomy in infants with severe bronchopulmonary dysplasia: A review Frontiers in Pediatrics tracheostomy (TS) bronchopulmonary dysplasia reshospitalization home ventilation airway disorders chronic lung disease (CLD) of prematurity |
| title | Tracheostomy in infants with severe bronchopulmonary dysplasia: A review |
| title_full | Tracheostomy in infants with severe bronchopulmonary dysplasia: A review |
| title_fullStr | Tracheostomy in infants with severe bronchopulmonary dysplasia: A review |
| title_full_unstemmed | Tracheostomy in infants with severe bronchopulmonary dysplasia: A review |
| title_short | Tracheostomy in infants with severe bronchopulmonary dysplasia: A review |
| title_sort | tracheostomy in infants with severe bronchopulmonary dysplasia a review |
| topic | tracheostomy (TS) bronchopulmonary dysplasia reshospitalization home ventilation airway disorders chronic lung disease (CLD) of prematurity |
| url | https://www.frontiersin.org/articles/10.3389/fped.2022.1066367/full |
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