What is the role of STEROIDS? And CAFFEINE? Vitamin A? Nutrition? DIURETICS? Which vent should we use? What is the ideal OXYGEN SATURATION for a growing preemie? How can we get babies HOME with BPD? What is the maximum home Oxygen we use? How does BPD affect children in the future? Learn all this and a lot more in our most thorough video so far!!!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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**TIMESTAMPS**
What can we do to prevent preterm births?
1:16 Prevent premature birth
1:36 Decrease injury to lungs
6:35 Decrease oxygen toxicity
8:05 Decrease inflammation
9:05 Nutrition
10:40 Vitamin A
12:27 Caffeine
13:53 Steroids
How do we treat BPD?
18:21 Provide support needed
21:54 Provide good nutrition
22:37 Inhaled steroids
23:23 Diuretics
24:50 Steroids
Long term outcomes
26:12 Pulmonary issues
29:46 Growth Failure
30:31 Developmental Outcomes
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References:
1) Oxygen Saturation and Outcomes in Preterm Infants. The BOOST II United Kingdom, Australia, and New Zealand Collaborative Groups. May 30, 2013 N Engl J Med 2013; 368:2094-2104
2) Target ranges of oxygen saturation in extremely preterm infants
SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research Network; pubmed.ncbi.nlm.nih.gov/20472...
3) Early CPAP versus Surfactant in Extremely Preterm Infants
SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research Network*
www.nejm.org/doi/full/10.1056...
4) Vitamin A supplementation to prevent mortality and short‐ and long‐term morbidity in very low birth weight infants. Brian A DarlowP J GrahamMaria Ximena Rojas‐Reyes
www.cochranelibrary.com/cdsr/...
5) Htun, Z.T., Schulz, E.V., Desai, R.K. et al. Postnatal steroid management in preterm infants with evolving bronchopulmonary dysplasia. J Perinatol 41, 1783-1796 (2021).
www.nature.com/articles/s4137...
6) Hydrocortisone to Improve Survival without Bronchopulmonary Dysplasia. Eunice Kennedy Shriver NICHD Neonatal Research Network†. March 24, 2022
N Engl J Med 2022; 386:1121-1131
www.nejm.org/doi/full/10.1056...
7) FROM THE AMERICAN ACADEMY OF PEDIATRICS| POLICY STATEMENT| MAY 30 2022
Postnatal Corticosteroids to Prevent or Treat Chronic Lung Disease Following Preterm Birth
James J. Cummings, MD, MS, FAAP; Arun K. Pramanik, MD, FAAP COMMITTEE ON FETUS AND NEWBORN
publications.aap.org/pediatri...
8) Greenberg RG, Gayam S, Savage D, Tong A, Gorham D, Sholomon A, Clark RH, Benjamin DK, Laughon M, Smith PB; Best Pharmaceuticals for Children Act-Pediatric Trials Network Steering Committee. Furosemide Exposure and Prevention of Bronchopulmonary Dysplasia in Premature Infants. J Pediatr. 2019 May;208:134-140.e2. doi: 10.1016/j.jpeds.2018.11.043. Epub 2018 Dec 20. PMID: 30579586; PMCID: PMC6486845.
pubmed.ncbi.nlm.nih.gov/30579...
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.
21 авг 2022
