Adaptation of ventilation strategies from acute RDS to severe BPD: A national multicenter survey of practices in extremely preterm infants
Özet
Advances in diagnostic and therapeutic methods have led to a paradigm shift in the management of bronchopulmonary dysplasia (BPD). The lack of evidence-based data in this area has led to variations in clinical practice. The aim of this study was to identify these differences and compare them with recommendations based on pathophysiology. The study was designed as an observational online survey of neonatologists from level 3 to 4 neonatal intensive care units caring for premature infants at increased risk of BPD and born before 28 weeks' gestation. Respondents were invited to participate in the study through the portal of the Turkish Neonatal Society. Participants were surveyed online about preferred ventilation modes, settings and clinical management of these patients through each respiratory distress syndrome, evolving BPD and severe BPD phases. A total of 39 centers involved in the study. Pressure-control assist-control volume-guaranteed was the most commonly preferred ventilation mode in respiratory distress syndrome and evolving BPD, while high frequency oscillatory ventilation was most commonly used in severe BPD. The use of synchronized intermittent mandatory ventilation volume-guaranteed pressure support ventilation increased with disease progression. Ventilation settings were found to be changed according to pathophysiological recommendations, but not to the extent recommended. The study shows that early ventilation strategies are predominantly maintained in the later phases of BPD, although there are notable differences between centers.
Anahtar kelimeler
Sürdürülebilir Kalkınma Amaçları
-
SKA 3: Sağlıklı Bireyler
Atıf için künye
AKYILDIZ, C., ERDOĞAN, F., DUMAN, N., Akcan, A. B., Ünkar, Z. A., Aygün, C., Bozdağ, Ş., BOZKURT, Ö., Bulut, Ö., Bülbül, A., Büyükeren, M., Büyükkale, G., Çelik, Y., Çelik, İ. H., Çetin, H., Çetinkaya, M., Çoban, D., Egeli, T., Gökmen, Z., … Özkan, H. (2025). Adaptation of ventilation strategies from acute RDS to severe BPD: A national multicenter survey of practices in extremely preterm infants. MEDICINE, 104(22). https://doi.org/10.1097/md.0000000000041973
BibTeX
@article{akyildiz2025-33557,
author = {AKYILDIZ, CAN and ERDOĞAN, FUNDA and DUMAN, NURAY and Akcan, Abdullah Barış and Ünkar, Zeynep Alp and Aygün, Canan and Bozdağ, Şenol and BOZKURT, ÖZLEM and Bulut, Özgül and Bülbül, Ali and Büyükeren, Melek and Büyükkale, Gökhan and Çelik, Yalçın and Çelik, İstemi Han and Çetin, Hasan and Çetinkaya, Merih and Çoban, Dilek and Egeli, Tuğba and Gökmen, Zeynel and İlhan, Özkan and İşleyen, Fatih and Kader, Şebnem and Kahveci, Hasan and Kanmaz, Gözde and Karadeniz, Leyla and Karagöl, Belma Saygılı and Narlı, Nejat and Okulu, Emel and Ongun, Hakan and Özdemir, Mustafa and Özdemir, Özmert M.A. and Özdemir, Ahmet and Özkan, Hilal and Şimşek, Hüseyin and Tanrıverdi, Sema and Tarakçı, Nuriye and Tekgündüz, Kadir Şerafettin and Terek, Demet and Uygur, Özgün and Varal, İpek Güney and Yıldırım, Tülin Gökmen and Özkan, Hasan},
title = {Adaptation of ventilation strategies from acute RDS to severe BPD: A national multicenter survey of practices in extremely preterm infants},
journal = {MEDICINE},
year = {2025},
volume = {104},
number = {22},
issn = {0025-7974},
doi = {10.1097/md.0000000000041973},
url = {https://akademik.atauni.edu.tr/yayinlar/33557-adaptation-of-ventilation-strategies-from-acute-rds-to-severe-bpd-a-national}
}