Is chronic lung disease preventable?

Is chronic lung disease preventable?

H. Aly and M. Mohamed in their 2020 article in Pediatrics Research described a bubble CPAP bundle that is associated with a consistently low incidence of chronic lung disease over 16 years. This bundle included:
  • Specific protocol for delivery room management
  • Early use of bubble CPAP
  • Judicious use of surfactant
  • Criteria for bubble CPAP failure
  • Protocol for the care of airway
  • Weaning off CPAP
  • Use of caffeine
  • Monitoring oxygen saturation
  • Fluid and nutrition management
  • Transfusion practices.
They reported their results of 773 infants (median GA = 28 weeks, average BW = 995 g), where 24.5% of them were intubated in delivery room and 11.7% in the first day of life. Their CLD incidence was 6.4% that remained consistent over four chronological epochs (7.6%, 7.5%, 5.8% and 5%). They concluded that it is feasible and sustainable to administer similar bubble CPAP bundles to decrease CLD. Aly, H., Mohamed, M.A. An experience with a bubble CPAP bundle: is chronic lung disease preventable?. Pediatr Res (2020)

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The Bubble CPAP Institute is an interactive educational platform aiming to make the knowledge and skill set of Bubble CPAP accessible to practitioners who care for neonates and young infants across the globe. This platform will primarily focus on the know-how and will offer educational modules on issues like when to consider bCPAP in managing infants with respiratory distress, how to assemble the bCPAP circuits, how to apply the nasal interface and how to troubleshoot bedside issues.

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