RESUMO
La displasia broncopulmonar (DBP) es la secuela más prevalente del recién nacido pretérmino, y sigue suponiendo un motivo frecuente de consulta en las unidades de Neumología Pediátrica. La decisión del alta de la unidad neonatal debe apoyarse en una valoración exhaustiva de la situación clínica del paciente y en el cumplimiento de unos requisitos, que incluyen la estabilidad respiratoria y nutricional, y la instrucción a los cuidadores en el manejo domiciliario. Para un control adecuado de la enfermedad, es necesario que quede establecido, previamente al alta, un calendario de visitas y de exploraciones complementarias, y deben aplicarse las pautas de prevención de exacerbaciones y el tratamiento apropiados. El concepto de DBP como enfermedad multisistémica es fundamental en el seguimiento de los pacientes y debe ser tenido en cuenta para un buen control de la enfermedad. En este documento, el Grupo de Trabajo de Patología Respiratoria Perinatal de la Sociedad Española de Neumología Pediátrica propone un protocolo que sirva como referencia para unificar el seguimiento de los pacientes con DBP entre los diferentes centros y ámbitos asistenciales. Se revisan los aspectos a tener en cuenta en la evaluación previa al alta de la Unidad Neonatal y las principales complicaciones durante el seguimiento. Seguidamente, se detallan las recomendaciones en materia de tratamiento de la enfermedad y prevención de complicaciones, los controles tras el alta y su cronología
Bronchopulmonary dysplasia (BPD) is the most common complication of preterm birth, and remains a major problem in pediatric pulmonology units. The decision of discharging from the Neonatal Unit should be based on a thorough assessment of the condition of the patient and compliance with certain requirements, including respiratory and nutritional stability, and caregiver education on disease management. For proper control of the disease, a schedule of visits and complementary tests should be established prior to discharge, and guidelines for prevention of exacerbations and appropriate treatment should be applied. In this paper, the Working Group in Perinatal Respiratory Diseases of the Spanish Society of Pediatric Pulmonology proposes a protocol to serve as a reference for the follow up of patients with BPD among different centers and health care settings. Key factors to consider when planning discharge from the Neonatal Unit and during follow up are reviewed. Recommendations on treatment and prevention of complications are then discussed. The final section of this guide aims to provide a specific schedule for follow-up and diagnostic interventions to be performed in patients with BPD
Assuntos
Humanos , Masculino , Feminino , Criança , Displasia Broncopulmonar/epidemiologia , Displasia Broncopulmonar/prevenção & controle , Protocolos Clínicos , Recém-Nascido de muito Baixo Peso , Doenças do Prematuro/diagnóstico , Gasometria/métodos , Displasia Broncopulmonar/complicações , Displasia Broncopulmonar/diagnóstico , Displasia Broncopulmonar/fisiopatologia , Seguimentos , Recém-Nascido Prematuro/fisiologia , Indicadores Básicos de SaúdeRESUMO
Bronchopulmonary dysplasia (BPD) is the most common complication of preterm birth, and remains a major problem in pediatric pulmonology units. The decision of discharging from the Neonatal Unit should be based on a thorough assessment of the condition of the patient and compliance with certain requirements, including respiratory and nutritional stability, and caregiver education on disease management. For proper control of the disease, a schedule of visits and complementary tests should be established prior to discharge, and guidelines for prevention of exacerbations and appropriate treatment should be applied. In this paper, the Working Group in Perinatal Respiratory Diseases of the Spanish Society of Pediatric Pulmonology proposes a protocol to serve as a reference for the follow up of patients with BPD among different centers and health care settings. Key factors to consider when planning discharge from the Neonatal Unit and during follow up are reviewed. Recommendations on treatment and prevention of complications are then discussed. The final section of this guide aims to provide a specific schedule for follow-up and diagnostic interventions to be performed in patients with BPD.
Assuntos
Displasia Broncopulmonar/diagnóstico , Seguimentos , Humanos , Recém-Nascido , Recém-Nascido Prematuro , Guias de Prática Clínica como AssuntoRESUMO
No disponible
Assuntos
Humanos , Masculino , Criança , Asma/complicações , Traqueomalácia/diagnóstico , Laringomalácia/diagnóstico , Broncoscopia , LaringoscopiaRESUMO
No disponible
Assuntos
Criança , Humanos , Transtornos do Sono-Vigília/diagnóstico , Polissonografia/métodos , Apneia Obstrutiva do Sono/diagnóstico , Dissonias/diagnóstico , Parassonias/diagnóstico , Transtornos Respiratórios/diagnósticoRESUMO
No disponible
Assuntos
Computadores de Mão , Bases de Dados Factuais , Pediatria , Farmacologia ClínicaRESUMO
No disponible
Assuntos
Pré-Escolar , Feminino , Humanos , Tomografia Computadorizada por Raios X , Pneumonia Lipoide , Óleos , Diagnóstico Diferencial , Doença AgudaRESUMO
No disponible
