Paeds Vivas · fetal-neonatal-and-perinatal
Bronchopulmonary dysplasia and chronic neonatal lung disease
Viva scenario on a preterm infant with evolving BPD requiring stepwise management discussion.
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Prompt
A 26-week gestation male infant, birth weight 720 g, is now 4 weeks old. He remains intubated and ventilated at 30% oxygen with late-onset sepsis and a significant PDA.
Branch 1: Assessment
Examiner: This infant has been ventilated for four weeks. What is your assessment? Expected response: This infant is on a clear trajectory toward severe BPD. Persistent ventilator dependence beyond the first two weeks, combined with postnatal sepsis, a significant PDA, and poor growth, all place him at very high risk. He meets preliminary criteria for BPD at 28 days, with final severity classified at 36 weeks PMA [1].
References2ShowHide
- [1]Jobe AH, Bancalari E Bronchopulmonary dysplasia Am J Respir Crit Care Med, 2001.PMID 11401896
- [2]Aschner JL, Bancalari EH, McEvoy CT, et al Can we prevent bronchopulmonary dysplasia? J Pediatr, 2017.PMID 28947055