Bronchopulmonary Dysplasia
Conditions
Keywords
lung protective strategies, Less invasive respiratory support, preterm infant
Brief summary
This observational study evaluates the impact of respiratory management modifications implemented in our institution on the intubation rates and the death or Bronchopulmonary Dysplasia (BPD) outcome.
Detailed description
Less invasive respiratory management has been implemented in most neonatal units as well as lung protective ventilatory strategies when intubation is required in order to minimize ventilator induced lung injury. In our institution a new ventilatory protocol including less invasive surfactant administration, Synchronized nasal positive pressure ventilation and early rescue High frequency ventilation has been implemented during 2013-14. Hypothesis: New less invasive and lung protective strategies to prevent lung injury had been effective in reducing intubation rates.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
All preterm Infants born with less than 32wGA admitted in our NICU.
Exclusion criteria
Congenital malformations and Known Chromosomal disorders,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| BRONCHOPULMONARY DySPLASIA | 36 weeks of postmenstrual age. | Diagnosis of moderate-severe bronchopulmonary dysplasia (physiological definition) |
| mortality | before discharge | death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mechanical ventilation | during hospitalization | requirement of mechanical ventilation |
Countries
Spain