Mechanical Ventilation and Bronchopulmonary Dysplasia

Clin Perinatol. 2015 Dec;42(4):781-96. doi: 10.1016/j.clp.2015.08.006. Epub 2015 Oct 1.

Abstract

Mechanical ventilation is an important potentially modifiable risk factor for the development of bronchopulmonary dysplasia. Effective use of noninvasive respiratory support reduces the risk of lung injury. Lung volume recruitment and avoidance of excessive tidal volume are key elements of lung-protective ventilation strategies. Avoidance of oxidative stress, less invasive methods of surfactant administration, and high-frequency ventilation are also important factors in lung injury prevention.

Keywords: Bronchopulmonary dysplasia; Lung-protective ventilation; Mechanical ventilation; Ventilator-associated lung injury; Volume-targeted ventilation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Bronchopulmonary Dysplasia / prevention & control*
  • Humans
  • Infant, Newborn
  • Infant, Premature
  • Lung / growth & development*
  • Noninvasive Ventilation / methods*
  • Oxidative Stress
  • Pulmonary Surfactants / therapeutic use*
  • Respiration, Artificial / methods
  • Risk Factors
  • Tidal Volume

Substances

  • Pulmonary Surfactants