Advances in treating bronchopulmonary dysplasia.

Abstract:

:Introduction: Bronchopulmonary dysplasia (BPD) is a common long-term adverse complication of very premature delivery. Affected infants can suffer chronic respiratory morbidities including lung function abnormalities and reduced exercise capacity even as young adults. Many studies have investigated possible preventative strategies; however, it is equally important to identify optimum management strategies for infants with evolving or established BPD. Areas covered: Respiratory support modalities and established and novel pharmacological treatments. Expert opinion: Respiratory support modalities including proportional assist ventilation and neurally adjusted ventilatory assist are associated with short term improvements in oxygenation indices. Such modalities need to be investigated in appropriate RCTs. Many pharmacological treatments are routinely used with a limited evidence base, for example diuretics. Stem cell therapies in small case series are associated with promising results. More research is required before it is possible to determine if such therapies should be investigated in large RCTs with long-term outcomes.

journal_name

Expert Rev Respir Med

authors

Williams E,Greenough A

doi

10.1080/17476348.2019.1637738

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

727-735

issue

8

eissn

1747-6348

issn

1747-6356

journal_volume

13

pub_type

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