Bronchopulmonary dysplasia Flashcards
1
Q
who is affected?
A
prem babies <28 weeks
2
Q
what do these babies suffer with at birth?
A
RDS - need oxygen or intubation/ventilation
3
Q
diagnosis
A
CXR
oxygen therapy >36 weeks
4
Q
features
A
low oxygen sats increased work of breathing poor feeding and weight gain crackles/wheeze chest increased susceptibility to infection
5
Q
prevention
A
betamethasone to mothers showing signs of premature labour
6
Q
reducing risk once neonate born
A
CPAP
caffeine
not over oxygenating
7
Q
management
A
sleep study - O2 sats
monthly monoclonal antibody injections - prevent RSV/bronchiolitis
surfactant
8
Q
CXR findings
A
hyperinflation
rounded
radiolucent areas
alternating with thin denser lines
9
Q
histology
A
nercrotising bronchiolitis with alveolar fibrosis
10
Q
Risk factors
A
lower gestational age and birthweight SGA male formula milk treated with surfactant treated for PDA
