Neonatology Book

http://www.fpnotebook.com/

Bronchopulmonary Dysplasia

Advertisement

  1. Definition
    1. Chronic Lung Disease in Infants and Children
    2. Occurs secondary to Hyaline Membrane Disease associated with Prematurity
  2. Epidemiology
    1. Incidence increases with earlier gestational ages
    2. Incidence increases with lower birth weights
      1. Incidence: Affects 50-80% of infants with birth weight <900 grams
  3. Management
    1. See Pediatric Asthma
    2. Home oxygen may be required
    3. Car Seats may need adjustment (restraint may exacerbate symptoms)
      1. Require Car Seat test before NICU discharge
      2. Special prone or supine car safety device may be indicated
  4. Complications
    1. Respiratory infections
      1. Increased susceptibility
      2. Increased severity
    2. Reactive Airways
      1. Episodic respiratory distress and Wheezing
    3. Growth Delay
      1. Require higher caloric intakes due to increased work of breathing
  5. Course
    1. Lung function often normalizes by teen years

Bronchopulmonary Dysplasia (C0006287)

Definition (MSH)A chronic lung disease developed after OXYGEN INHALATION THERAPY or mechanical ventilation (VENTILATION, MECHANICAL) in certain premature infants (INFANT, PREMATURE) or newborn infants with respiratory distress syndrome (RESPIRATORY DISTRESS SYNDROME, NEWBORN). Histologically, it is characterized by the unusual abnormalities of the bronchioles, such as METAPLASIA, decrease in alveolar number, and formation of CYSTS. Severity of this disease and lung injuries depend on the duration of oxygen supplementation, positive pressure requirement, GESTATIONAL AGE, and BIRTH WEIGHT of the infant.
Definition (CSP)chronic lung disease of infants, possibly related to oxygen toxicity or barotrauma, characterized by bronchiolar metaplasia and interstitial fibrosis.
ConceptsDisease or Syndrome (T047)
ICD9770.7
MSHD001997
EnglishBPD, BPD - Bronchopulmonary dysplasia, BRONCHOPULM DYSPLASIA, Bronchopulmonary Dysplasia, Bronchopulmonary dysplasia of newborn, Chronic lung disease of prematurity, Perinatal bronchopulmonary dysplasia, Ventilator lung in newborn
Spanishdisplasia broncopulmonar, displasia broncopulmonar del recien nacido
Parent ConceptsLung diseases (C0024115), Infant, Premature, Diseases (C0021295), Chronic respiratory disease in perinatal period (C0456017), Neonatal respiratory system disorder (C1285373)
SourcesCSP, DXP, MSH, MTH, MTHICD9, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



Navigation Tree