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Weaning strategies of home oxygen in infants with bronchopulmonary dysplasia

S Cherian, I Morris, J Evans, S Kotecha
Despite being the most widely used and vital therapy in neonatology, optimal strategies for the use of oxygen in preterm infants remain controversial. Achieving the balance between attaining adequate tissue oxygenation and avoiding oxygen toxicity is challenging. There remains a paucity of clear evidence based guidance for clinicians on safe oxygen saturation targets. What does seem apparent is that these targets vary over time in the life of a preterm infant. This article summarises the evidence behind current practice of oxygen monitoring and administration from the first few minutes after birth, through to the acute neonatal and later convalescent periods...
June 2014: Paediatric Respiratory Reviews
Kara Palm, Tregony Simoneau, Gregory Sawicki, Lawrence Rhein
PURPOSE: : With improvements in neonatal intensive care, more premature infants are surviving. Many have significant pulmonary morbidities after discharge from the hospital. Bronchopulmonary dysplasia is the most common morbidity of prematurity and is a common indication for home oxygen therapy in children. Data are lacking on the appropriate methods for weaning supplemental oxygen. The objective of this study was to identify the methods used by pediatric pulmonologists to wean premature infants from supplemental oxygen...
October 2011: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
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