Chronic lung disease in newborns

Indian J Pediatr. 2008 Apr;75(4):369-76. doi: 10.1007/s12098-008-0041-6. Epub 2008 May 18.

Abstract

Chronic lung disease (CLD) or bronchopulmonary dysplasia (BPD) occurs in preterm infants who require respiratory support in the first few days of birth. Apart from prematurity, oxygen therapy and assisted ventilation, factors like intrauterine/postnatal infections, patent ductus arteriosus, and genetic polymorphisms also contribute to its pathogenesis. The severe form of BPD with extensive inflammatory changes is rarely seen nowadays; instead, a milder form characterized by decreased alveolar septation due to arrest in lung development is more common. A multitude of strategies, mainly pharmacological and ventilatory, have been employed for prevention and treatment of BPD. Unfortunately, most of them have not been proved to be beneficial. A comprehensive protocol for management of BPD based on the current evidence is discussed here.

Publication types

  • Review

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Bronchopulmonary Dysplasia / diagnosis
  • Bronchopulmonary Dysplasia / epidemiology*
  • Bronchopulmonary Dysplasia / therapy*
  • Combined Modality Therapy
  • Diuretics / administration & dosage
  • Drug Therapy, Combination
  • Female
  • Follow-Up Studies
  • Humans
  • Indomethacin / administration & dosage
  • Infant, Newborn
  • Infant, Premature*
  • Male
  • Oxygen Inhalation Therapy / adverse effects*
  • Pulmonary Surfactants / administration & dosage
  • Respiratory Function Tests
  • Risk Assessment
  • Severity of Illness Index
  • Survival Analysis
  • Treatment Outcome

Substances

  • Adrenal Cortex Hormones
  • Diuretics
  • Pulmonary Surfactants
  • Indomethacin