Respiratory support strategies in the prevention and treatment of bronchopulmonary dysplasia

Neonates who are born preterm frequently have inadequate lung development to support independent breathing and will need respiratory support. The underdeveloped lung is also particularly susceptible to lung injury, especially during the first weeks of life. Consequently, respiratory support strategi...

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Main Authors: Erik B. Hysinger, Shawn K. Ahlfeld
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2023.1087857/full
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author Erik B. Hysinger
Shawn K. Ahlfeld
author_facet Erik B. Hysinger
Shawn K. Ahlfeld
author_sort Erik B. Hysinger
collection DOAJ
description Neonates who are born preterm frequently have inadequate lung development to support independent breathing and will need respiratory support. The underdeveloped lung is also particularly susceptible to lung injury, especially during the first weeks of life. Consequently, respiratory support strategies in the early stages of premature lung disease focus on minimizing alveolar damage. As infants grow and lung disease progresses, it becomes necessary to shift respiratory support to a strategy targeting the often severe pulmonary heterogeneity and obstructive respiratory physiology. With appropriate management, time, and growth, even those children with the most extreme prematurity and severe lung disease can be expected to wean from respiratory support.
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spelling doaj.art-676ce74935c944dc9f588ef76656b49a2023-03-02T08:05:34ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-03-011110.3389/fped.2023.10878571087857Respiratory support strategies in the prevention and treatment of bronchopulmonary dysplasiaErik B. Hysinger0Shawn K. Ahlfeld1Division of Pulmonary Medicine, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United StatesDivision of Neonatology, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, United StatesNeonates who are born preterm frequently have inadequate lung development to support independent breathing and will need respiratory support. The underdeveloped lung is also particularly susceptible to lung injury, especially during the first weeks of life. Consequently, respiratory support strategies in the early stages of premature lung disease focus on minimizing alveolar damage. As infants grow and lung disease progresses, it becomes necessary to shift respiratory support to a strategy targeting the often severe pulmonary heterogeneity and obstructive respiratory physiology. With appropriate management, time, and growth, even those children with the most extreme prematurity and severe lung disease can be expected to wean from respiratory support.https://www.frontiersin.org/articles/10.3389/fped.2023.1087857/fullprematuritybronchopulmonary dysplasiaCPAPmechanical ventilationtracheostomy
spellingShingle Erik B. Hysinger
Shawn K. Ahlfeld
Respiratory support strategies in the prevention and treatment of bronchopulmonary dysplasia
Frontiers in Pediatrics
prematurity
bronchopulmonary dysplasia
CPAP
mechanical ventilation
tracheostomy
title Respiratory support strategies in the prevention and treatment of bronchopulmonary dysplasia
title_full Respiratory support strategies in the prevention and treatment of bronchopulmonary dysplasia
title_fullStr Respiratory support strategies in the prevention and treatment of bronchopulmonary dysplasia
title_full_unstemmed Respiratory support strategies in the prevention and treatment of bronchopulmonary dysplasia
title_short Respiratory support strategies in the prevention and treatment of bronchopulmonary dysplasia
title_sort respiratory support strategies in the prevention and treatment of bronchopulmonary dysplasia
topic prematurity
bronchopulmonary dysplasia
CPAP
mechanical ventilation
tracheostomy
url https://www.frontiersin.org/articles/10.3389/fped.2023.1087857/full
work_keys_str_mv AT erikbhysinger respiratorysupportstrategiesinthepreventionandtreatmentofbronchopulmonarydysplasia
AT shawnkahlfeld respiratorysupportstrategiesinthepreventionandtreatmentofbronchopulmonarydysplasia