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Bronchopulmonary Dysplasia (BPD), Pediatric

Vineet Bhandari, MD, DM and Anita Bhandari, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • A chronic lung disease (CLD) of premature infants defined as the need for supplemental oxygen for 28 days and a need for supplemental oxygen +/− positive pressure at 36 weeks postmen...

DIAGNOSIS

HISTORY

  • AN: pregnancy-induced hypertension, preterm/prolonged rupture of membranes, chorioamnionitis, steroids

  • Perinatal: resuscitation at birth

  • PN: GA, BW, small for GA (SGA), respiratory dist...

TREATMENT

GENERAL MEASURES

Fluids/nutrition 
  • Early phase: Restricting fluids to ~140 cc/kg/day may decrease BPD.

  • Early/evolving/established phase: Aim to achieve 120 to 140 kcal/kg/day.

MEDICATION

  • Oxygen s...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Multidisciplinary approach with primary care physician; pediatric pulmonologist; pediatric cardiologist; nutritionist; and speech, respiratory, occupational, and ...

ADDITIONAL READING

  • Bhandari A, Bhandari V. “New” bronchopulmonary dysplasia: a clinical review. Clin Pulm Med.  2011;18:137–143. [View Abstract on OvidInsights]

  • Bhandari A, Bhandari V. Pitfalls, p...

CODES

ICD9

770.7 Chronic respiratory disease arising in the perinatal period 

ICD10

P27.1 Bronchopulmonary dysplasia origin in the perinatal period 

SNOMED

67569000 bronchopulmonary dysplasia of newborn (d...

FAQ

  • Q: Can my patient with BPD receive influenza vaccine?

  • A: Yes. Influenza vaccination should be considered for babies >6 months of age and their contacts.

  • Q: The American Academy of Pediatrics (AAP...

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