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Bronchopulmonary dysplasia( chronic lung disease) Dr prathik
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
DEFINITION ,[object Object],[object Object],[object Object],[object Object]
NIH DEFINITION < 32 weeks > 32 weeks Time point of assessment 36 weeks PMA or discharge* > 28 days but < 56 days postnatal age or discharge* Treatment with oxygen > 21% for at least 28 days > 21% for at least 28 days Mild Breathing room air at 36 weeks PMA or discharge Breathing room air at 56 days postnatal age or discharge* Moderate Need for <30% oxygen at 36 weeks PMA or discharge Need* for <30% oxygen at 56 days postnatal age or discharge Severe Need for > 30% oxygen and/or positive pressure (IMV/CPAP) at 36 weeks PMA or discharge Need for > 30% oxygen and/or positive pressure (IMV/CPAP) at 56 days postnatal age or discharge
Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
pathogenesis ,[object Object],[object Object]
Infection ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Barotrauma/Volutrauma ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
 
Inflammation ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Genetics ,[object Object],[object Object],[object Object]
Clinical and radiologic features ,[object Object],[object Object]
Stage I ,[object Object],[object Object],[object Object]
Stage II ,[object Object],[object Object],[object Object]
Stage III ,[object Object],[object Object],[object Object]
Stage IV ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Old vs New BPD ,[object Object],[object Object]
[object Object],[object Object],[object Object]
Histo-Pathologic characteristics of the ‘New BPD’ ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prevention of BPD ,[object Object],[object Object],[object Object]
Prevention of bpd ,[object Object],[object Object],[object Object],[object Object]
Practices in delivery room ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ventilatory strategies ,[object Object],[object Object]
Nasal intermittent positive pressure ventilation (NIPPV) ,[object Object],[object Object],[object Object],[object Object]
Patient-triggered ventilation (PTV): ,[object Object],[object Object],[object Object]
High-frequency ventilation (HFV): ,[object Object],[object Object],[object Object]
Volume targeted ventilation ,[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Fluid restriction ,[object Object],[object Object],[object Object]
Nutrition ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Pharmacological strategies ,[object Object],[object Object],[object Object]
 
Role of vit A  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Methylxanthines ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Indomethacin / Ibuprofen therapy for PDA: ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
ROLE OF STEROIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic Early Postnatal Corticosteroid Therapy <96 Hours  ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Moderately Early Postnatal Corticosteroid Therapy (7–14 Days PNA) ,[object Object],[object Object],[object Object]
Systemic Delayed Postnatal Corticosteroid Therapy (>3 Weeks) ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Inhaled nitric oxide ,[object Object],[object Object],[object Object],[object Object]
Diuretic therapy: ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Mast cell stabilizers ,[object Object],[object Object],[object Object],[object Object],[object Object]
Associted complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Discharge planning ,[object Object],[object Object],[object Object],[object Object]
Immmunization ,[object Object],[object Object],[object Object],[object Object]
OUTCOME ,[object Object],[object Object],[object Object],[object Object]
 

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  • 1. Bronchopulmonary dysplasia( chronic lung disease) Dr prathik
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  • 5. NIH DEFINITION < 32 weeks > 32 weeks Time point of assessment 36 weeks PMA or discharge* > 28 days but < 56 days postnatal age or discharge* Treatment with oxygen > 21% for at least 28 days > 21% for at least 28 days Mild Breathing room air at 36 weeks PMA or discharge Breathing room air at 56 days postnatal age or discharge* Moderate Need for <30% oxygen at 36 weeks PMA or discharge Need* for <30% oxygen at 56 days postnatal age or discharge Severe Need for > 30% oxygen and/or positive pressure (IMV/CPAP) at 36 weeks PMA or discharge Need for > 30% oxygen and/or positive pressure (IMV/CPAP) at 56 days postnatal age or discharge
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  • 62.
  • 63.
  • 64.
  • 65.