Bronchopulmonary Dysplasia

Chronic lung disease defined by O2 requirement at 36 weeks PMA. Multifactorial: prematurity, oxygen toxicity, volutrauma, inflammation.

All references

Key points

  • Prevent with antenatal steroids, surfactant, gentle ventilation, caffeine.
  • Severity grading at 36 weeks PMA.
  • Diuretics, inhaled steroids in selected cases.

Pitfalls

  • Avoid excessive FiO2 — target SpO2 90–95%.
  • Be cautious with systemic steroids — weigh neurodevelopmental risks.

Ask the Copilot

  • BPD prevention strategies?
  • When to use postnatal steroids?