Document Detail

Management of infants with chronic lung disease of prematurity in China.
MedLine Citation:
PMID:  15748969     Owner:  NLM     Status:  MEDLINE    
With improved survival of very low birth weight infants in China over the last decade, chronic lung disease of prematurity (CLD) is only now becoming prevalent. As a result the management of CLD in China is only now beginning. In this paper, we describe the practice of managing these infants with as much evidence base as possible but often the management is based on other published papers in China and elsewhere and other people's personal experience. It appears that oxygen therapy is important to the survival of CLD infants but blood oxygen concentrations must be monitored closely in infants needing oxygen supplementation. We aim for a target range for oxygen saturation range of between 90%-95% to prevent retinopathy of prematurity. Although dexamethasone is effective in the treatment of CLD particularly extubation of preterm infants from mechanical ventilation, we restrict its use in severe infant due to their side effects. We have little experience of home oxygen and are only now setting up management protocols for oxygen use for CLD in both hospital and at home. We hope that the survival and outlook for these infants with CLD will improve over the next few years.
Juan Li; Kelun Wei
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Publication Detail:
Type:  Journal Article; Review     Date:  2005-01-16
Journal Detail:
Title:  Early human development     Volume:  81     ISSN:  0378-3782     ISO Abbreviation:  Early Hum. Dev.     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-03-07     Completed Date:  2005-07-05     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  7708381     Medline TA:  Early Hum Dev     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  151-4     Citation Subset:  IM    
Department of Pediatrics, The Second Affiliated Hospital, China Medical University, 36 Sanhao Street, Shenyang, PR China.
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MeSH Terms
Adrenal Cortex Hormones / therapeutic use
Chronic Disease
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / therapy*
Infant, Very Low Birth Weight
Oxygen Inhalation Therapy / methods*
Respiratory Distress Syndrome, Newborn / therapy*
Reg. No./Substance:
0/Adrenal Cortex Hormones

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

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