Tracheostomy in infants with severe bronchopulmonary dysplasia: A review.
Tracheostomy in infants with severe bronchopulmonary dysplasia: A review.
复制标题
严重支气管肺发育不良婴儿的气管切开术：综述。
DOI：
10.3389/fped.2022.1066367
复制
发表时间：
2022
影响因子：
2.6
通讯作者：
中科院分区：
文献类型：
--
作者：
近年来，随着严重支气管肺发育不良（BPD）婴儿存活率的增加，由于严重BPD导致的长期通气已增加，并成为1岁以下婴儿气管造口术的最常见指征。有证据表明，严重BPD患者的气管切开术可能会改善短期和长期的呼吸和神经发育结局。然而，对于接受气管切开术进行慢性通气的重度BPD婴儿，各中心在适应症、时机、重症监护管理和出院后的随访护理方面存在显著差异。脱离呼吸机的时间、拔管的几率、再住院率、生长和神经发育都是临床上重要的结果，可以指导临床医生和父母在为重度BPD婴儿选择气管切开术和长期辅助通气时做出明智的决定。本综述总结了目前关于严重BPD婴儿气管切开术的适应症和时机的文献，强调了重症监护和门诊随访环境中的中心差异，并描述了接受气管切开术的严重BPD婴儿的结局。
In recent years, with increased survival of infants with severe bronchopulmonary dysplasia (BPD), long term ventilation due to severe BPD has increased and become the most common indication for tracheostomy in infants less than one year of age. Evidence shows that tracheostomy in severe BPD may improve short- and long-term respiratory and neurodevelopmental outcomes. However, there is significant variation among centers in the indication, timing, intensive care management, and follow-up care after hospital discharge of infants with severe BPD who received tracheostomy for chronic ventilation. The timing of liberation from the ventilator, odds of decannulation, rate of rehospitalization, growth, and neurodevelopment are all clinically important outcomes that can guide both clinicians and parents to make a well-informed decision when choosing tracheostomy and long-term assisted ventilation for infants with severe BPD. This review summarizes the current literature regarding the indications and timing of tracheostomy placement in infants with severe BPD, highlights center variability in both intensive care and outpatient follow-up settings, and describes outcomes of infants with severe BPD who received tracheostomy.
登录
查看更多内容
影响因子：
3.6
作者：
Akangire G;Taylor JB;McAnany S;Noel-MacDonnell J;Lachica C;Sampath V;Manimtim W
通讯作者：
Manimtim W
影响因子：
8
作者：
Cristea, A. Ioana;Carroll, Aaron E.;Ackerman, Veda L.
通讯作者：
Ackerman, Veda L.
影响因子：
3.1
作者：
Collaco JM;Agarwal A;Austin ED;Hayden LP;Lai K;Levin J;Manimtim WM;Moore PE;Sheils CA;Tracy MC;Alexiou S;Baker CD;Cristea AI;Fierro JL;Rhein LM;Villafranco N;Nelin LD;McGrath-Morrow SA
通讯作者：
McGrath-Morrow SA
DOI：
10.1038/s41372-021-01144-0
发表时间：
2021-11
期刊：
Journal of perinatology : official journal of the California Perinatal Association
影响因子：
--
作者：
Annesi CA;Levin JC;Litt JS;Sheils CA;Hayden LP
通讯作者：
Hayden LP
影响因子：
3.1
作者：
Greene, Zelda M.;Davenport, Jim;McNally, Paul
通讯作者：
McNally, Paul