Bronchopulmonary dysplasia Health Article

Definition

Bronchopulmonary dysplasia (BPD) is a chronic lung condition that affects newborn babies who are put on a breathing machine at birth.

Alternative Names

BPD

Causes, incidence, and risk factors

Bronchopulmonary dysplasia (BPD) occurs in severely ill infants who have received high levels of oxygen for long periods of time or who have been on a ventilator during treatment for respiratory distress syndrome. It is more common in infants born early (premature) whose lungs were not fully developed at birth.

Risk factors include:

• Prematurity
• Respiratory infection
• Congenital heart disease
• Other severe illness in the newborn that needs to be treated with oxygen or a ventilator

The risk of severe BPD has decreased in recent years.

Symptoms

• Rapid breathing
• Bluish skin color
• Shortness of breath

Signs and tests

• Chest x-ray
• Arterial blood gas
• Chest CT scan
• Pulse oximetry

Treatment

Extra ventilator support is usually needed to send pressure to the lungs to keep the baby's lung tissue inflated, and to deliver more oxygen. Pressures and oxygen levels are slowly reduced. After being weaned from the ventilator, the infant may continue to get oxygen by a mask or nasal tube for several weeks or months.

Infants with BPD are usually fed by tubes inserted into the stomach (NG tube). These babies need extra calories due to the effort of breathing. Infants may need to limit fluids, and may be given medications that remove water from the body (diuretics) to keep the lungs from filling with fluid. Other medications can include corticosteroids, bronchodilators, and surfactants.

Parents of these infants need emotional support, because it can take time for the disease to get better, and the infant may need to stay in the hospital for a long period of time.

Expectations (prognosis)

Babies with bronchopulmonary dysplasia get better slowly over time. It's possible for infants to need oxygen therapy for many months. Some infants with this condition might not survive.