Current Pharmacologic Approaches for Prevention and Treatment of Bronchopulmonary Dysplasia

Bronchopulmonary dysplasia (BPD) is a major complication of preterm birth and has serious adverse long-term health consequences. The etiology of BPD is complex, multifactorial, and incompletely understood. Contributing factors include ventilator-induced lung injury, exposure to toxic oxygen levels,...

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Main Authors: Kristen Tropea, Helen Christou
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2012/598606
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author Kristen Tropea
Helen Christou
author_facet Kristen Tropea
Helen Christou
author_sort Kristen Tropea
collection DOAJ
description Bronchopulmonary dysplasia (BPD) is a major complication of preterm birth and has serious adverse long-term health consequences. The etiology of BPD is complex, multifactorial, and incompletely understood. Contributing factors include ventilator-induced lung injury, exposure to toxic oxygen levels, and infection. Several preventive and therapeutic strategies have been developed with variable success. These include lung protective ventilator strategies and pharmacological and nutritional interventions. These strategies target different components and stages of the disease process and they are commonly used in combination. The purpose of this review is to discuss the evidence for current pharmacological interventions and identify future therapeutic modalities that appear promising in the prevention and management of BPD. Continued improved understanding of BPD pathogenesis leads to opportunities for newer preventive approaches. These will need to be evaluated in the setting of current clinical practice in order to assess their efficacy.
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series International Journal of Pediatrics
spelling doaj-art-d358073f51404d0ca5d34e02a915353f2025-02-03T06:06:09ZengWileyInternational Journal of Pediatrics1687-97401687-97592012-01-01201210.1155/2012/598606598606Current Pharmacologic Approaches for Prevention and Treatment of Bronchopulmonary DysplasiaKristen Tropea0Helen Christou1Division of Newborn Medicine, Children's Hospital Boston and Harvard Medical School, Boston, MA 02115, USADivision of Newborn Medicine, Children's Hospital Boston and Harvard Medical School, Boston, MA 02115, USABronchopulmonary dysplasia (BPD) is a major complication of preterm birth and has serious adverse long-term health consequences. The etiology of BPD is complex, multifactorial, and incompletely understood. Contributing factors include ventilator-induced lung injury, exposure to toxic oxygen levels, and infection. Several preventive and therapeutic strategies have been developed with variable success. These include lung protective ventilator strategies and pharmacological and nutritional interventions. These strategies target different components and stages of the disease process and they are commonly used in combination. The purpose of this review is to discuss the evidence for current pharmacological interventions and identify future therapeutic modalities that appear promising in the prevention and management of BPD. Continued improved understanding of BPD pathogenesis leads to opportunities for newer preventive approaches. These will need to be evaluated in the setting of current clinical practice in order to assess their efficacy.http://dx.doi.org/10.1155/2012/598606
spellingShingle Kristen Tropea
Helen Christou
Current Pharmacologic Approaches for Prevention and Treatment of Bronchopulmonary Dysplasia
International Journal of Pediatrics
title Current Pharmacologic Approaches for Prevention and Treatment of Bronchopulmonary Dysplasia
title_full Current Pharmacologic Approaches for Prevention and Treatment of Bronchopulmonary Dysplasia
title_fullStr Current Pharmacologic Approaches for Prevention and Treatment of Bronchopulmonary Dysplasia
title_full_unstemmed Current Pharmacologic Approaches for Prevention and Treatment of Bronchopulmonary Dysplasia
title_short Current Pharmacologic Approaches for Prevention and Treatment of Bronchopulmonary Dysplasia
title_sort current pharmacologic approaches for prevention and treatment of bronchopulmonary dysplasia
url http://dx.doi.org/10.1155/2012/598606
work_keys_str_mv AT kristentropea currentpharmacologicapproachesforpreventionandtreatmentofbronchopulmonarydysplasia
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