Bronchopulmonary Dysplasia: a Multidisciplinary Approach to Management

Abstract

Purpose of Review: We aim to present the challenges in defining bronchopulmonary dysplasia (BPD) and summarize optimized management of established BPD in a multidisciplinary fashion. Recent Findings: In the last few years, several meta-analyses assessing the treatment of BPD have been updated to assist in guiding clinical management. In addition, a new severity grading system was proposed at the National Institute of Child Health and Human Development (NICHD) BPD workshop with more objective criteria including commonly used modes of non-invasive respiratory support. Summary: Although survival of infants born prematurely has improved over the last several decades, the incidence of BPD has remained unchanged. Defining BPD and stratifying its severity continue to be challenging for clinicians. Successful BPD management requires a multidisciplinary approach to optimize ventilator strategies, provide adequate nutrition, utilize pharmacotherapeutics in an evidence-based fashion, and screen for comorbidities.