Document Detail

Discharge and aftercare in chronic lung disease of the newborn.
MedLine Citation:
PMID:  15001148     Owner:  NLM     Status:  MEDLINE    
This article deals with the discharge planning and continuing care of babies with chronic lung disease of the newborn (CLD), especially those with a continuing oxygen requirement, with some reference to longer term outcome. The pattern of CLD has changed since early descriptions, and the most useful definition for persisting morbidity in a baby with lung disease is a continuing oxygen requirement beyond 36 weeks post-menstrual age. Long-term oxygen therapy to maintain oxygen saturation at a mean of 95% or more and prevent levels below 90% is the cornerstone of management, and with adequate oxygen therapy the excess mortality previously reported in CLD can largely be avoided. Care must be given to the method of assessing oxygen saturation: overnight monitoring using appropriate recording devices is recommended. Exposure to respiratory viruses should be minimized where possible. Metabolic requirements are increased, but if efforts are made to maintain adequate energy input the long-term outlook for catch-up growth in height is good. Respiratory morbidity is increased in early life, but this improves in later childhood, along with lung function and exercise tolerance. Although respiratory symptoms should be treated as they arise, there is no evidence for long-term benefit from any pharmacological intervention in CLD.
R A Primhak
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Seminars in neonatology : SN     Volume:  8     ISSN:  1084-2756     ISO Abbreviation:  Semin Neonatol     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2004-03-05     Completed Date:  2004-04-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9606001     Medline TA:  Semin Neonatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  117-26     Citation Subset:  IM    
University Department of Child Health, Sheffield Children's Hospital NHS Trust, Western Bank, Sheffield S10 2TH, UK.
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MeSH Terms
Aftercare / standards*
Anoxia / prevention & control*
Chronic Disease
Infant Care* / methods
Infant, Newborn
Intensive Care Units, Neonatal / standards
Lung Diseases / etiology,  therapy*
Parents / education
Patient Care Team
Patient Discharge / standards*
Respiratory Distress Syndrome, Newborn / complications
Risk Assessment

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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