Bronchopulmonary dysplasia (BPD) is one of the major severe complications of (extreme) preterm birth. Although advanced perinatal care has improved the survival of children born extremely preterm, the incidence of BPD has not decreased.
BPD is defined as oxygen need for ≥28 days from birth until 36 weeks of postmenstrual age. While in earlier years BPD was associated with aggressive mechanical ventilation, nowadays-pulmonary changes are characterised by a global alveolar development arrest and accompanying vascular pathology. BPD may lead to severe chronic respiratory and vascular diseases across the life course, and potentially shortens life expectancy.
Once discharged from the neonatal unit, children with BPD are at a high risk of rehospitalisation due to higher susceptibility to viral infections, decreased nutritional state or poorer neurological outcome, leading to increased healthcare utilisation and costs. Children with BPD have an impaired lung structure, lower lung function, including declining lung function over time, and increased risk of respiratory symptoms in later life.
Although many studies focused on prevention of BPD, studies on monitoring and treating children with established BPD and who are discharged from the hospital are scarce. Therefore, recently, an ERS task force published guidelines on long-term management of children in whom BPD had been established and were discharged from the hospital, or who were older than 36 weeks of postmenstrual age. This webinar will discuss these guidelines and future research.
After this webinar participants will have an update on bronchopulmonary dysplasia and on the new guidelines on long-term management of children with established BPD after discharge from the hospital.
This session will be presented by 2 chairs of the task force on long-term management of BPD. The plenary lecture will be interactive by the use of voting questions throughout the presentation.
The following topics will be discussed:
- Short introduction on epidemiology, pathogenesis and long term effects of BPD.
- The ERS guidelines on long-term management of BPD: rationale, monitoring, treatment
- Research gaps.
After this webinar:
- Participants know the evidence of monitoring children with BPD with lung function and imaging techniques and are able to make a monitoring plan for children with BPD.
- Participants know the evidence of treating children with BPD with oral or inhaled steroids, inhaled bronchodilators, diuretics and oxygen and are able to make a treatment plan for individual children.
- Participants are aware of the huge lack of evidence for monitoring and treating children with established BPD
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This webinar comprises 45-minute lecture followed by a 15-minute question-and-answer sessions. During the webinar you will be asked to share your opinion on issues related to the topic using interactive polls. Your answers are not evaluated but participation is mandatory to obtain the CME credits.
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