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European Respiratory Society guideline on long term management of children with bronchopulmonary dysplasia.

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eMediNexus    10 October 2019

A new article published in The European Respiratory Journal provided recommendations for monitoring and treatment of children in whom bronchopulmonary dysplasia (BPD) has been established and have been discharged from the hospital, or who are older than 36 weeks of postmenstrual age. It was suggested that only a subgroup of patients should be monitored by lung imaging using ionizing radiation, for example, severe BPD or recurrent hospitalizations, but all children must be monitored for lung function. Individual advice should be impartedto parents regarding day care attendance. The use of bronchodilators must be advised in a subgroup only, such as in those with asthma-like symptoms, reversibility in lung function, no treatment with inhaled or systemic corticosteroids or during natural weaning of diuretics by the relative decrease in dose with increasing weight gain—if diuretics are started in the neonatal period, and to treat with supplemental oxygen with a saturation target range of 90-95%. A multidisciplinary approach was recommended for children with established severe BPD after the neonatal period into adulthood. It was stated that these recommendations should be considered until new and urgently needed evidence becomes available.

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