Managing established bronchopulmonary dysplasia without using routine blood gas measurements.
J Perinatol
; 44(7): 995-1000, 2024 Jul.
Article
en En
| MEDLINE
| ID: mdl-38654082
ABSTRACT
OBJECTIVE:
Routine blood gas measurements are common in infants with severe bronchopulmonary dysplasia (sBPD) and are a noxious stimulus. We developed a guideline-driven approach to evaluate the care of infants with sBPD without routine blood gas sampling in the chronic phase of NICU care (after diagnosis at 36 weeks PMA). STUDYDESIGN:
We examined blood gas utilization and outcomes in our sBPD inpatient care unit using data collected between 2014 and 2020.RESULTS:
485 sBPD infants met inclusion criteria, and 303 (62%) never had a blood gas obtained after 36 weeks PMA. In infants who had blood gas measurements, the median number of total blood gases per patient was only 4 (IQR 1-10). We did not identify adverse effects on hospital outcomes in patients without routine blood gas measurements.CONCLUSIONS:
We found that patients with established BPD could be managed without routine blood gas analyses after 36 weeks PMA.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Análisis de los Gases de la Sangre
/
Displasia Broncopulmonar
/
Unidades de Cuidado Intensivo Neonatal
Límite:
Female
/
Humans
/
Male
/
Newborn
Idioma:
En
Revista:
J Perinatol
Asunto de la revista:
PERINATOLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Estados Unidos