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?