Post–Neonatal Intensive Care Unit Management of Bronchopulmonary Dysplasia

Collaco, Joseph M.; McGrath‐Morrow, Sharon A.

doi:10.1016/b978-0-323-68353-1.00019-1

Cited by 2 publications

(2 citation statements)

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“…Consistent respiratory stability, proportional growth, full enteral feeding, and optimization of medications are usually achieved before discharge. There are no guidelines on the maximum acceptable FiO 2 for discharge, although some centers require an FiO 2 below 0.40 [ 62 ]. As expected, the timing of discharge for infants with tracheostomy also varies by center and depends on considerations for safe discharge at each center, which may include clinical status, caregiver education and training, social determinants of health, and the availability of home nursing services [ 3 ].…”

Section: Post-tracheostomy Managementmentioning

confidence: 99%

“…While this may be an area for future studies, it is also plausible that readiness for ventilator weaning coincides with improvements in the BPD disease course. Infants and children are often weaned from daytime support before attempting weaning from overnight support [ 62 ]. Weaning is usually based on pulse oximetry data, end-tidal carbon dioxide monitoring, frequent clinical assessments, and/or polysomnography.…”

Section: Post-tracheostomy Managementmentioning

confidence: 99%

See 1 more Smart Citation

Tracheostomy in Severe Bronchopulmonary Dysplasia—How to Decide in the Absence of Evidence

Miller,

Shepherd,

Manning

et al. 2023

Biomedicines

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Infants with the most severe forms of bronchopulmonary dysplasia (BPD) may require long-term invasive positive pressure ventilation for survival, therefore necessitating tracheostomy. Although life-saving, tracheostomy has also been associated with high mortality, postoperative complications, high readmission rates, neurodevelopmental impairment, and significant caregiver burden, making it a highly complex and challenging decision. However, for some infants tracheostomy may be necessary for survival and the only way to facilitate a timely and safe transition home. The specific indications for tracheostomy and the timing of the procedure in infants with severe BPD are currently unknown. Hence, centers and clinicians display broad variations in practice with regard to tracheostomy, which presents barriers to designing evidence-generating studies and establishing a consensus approach. As the incidence of severe BPD continues to rise, the question remains, how do we decide on tracheostomy to provide optimal outcomes for these patients?

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Section: Post-tracheostomy Managementmentioning

confidence: 99%

Section: Post-tracheostomy Managementmentioning

confidence: 99%