If too much of a good thing is bad, is too much of a bad thing BPD?

The report by Poets and Sens1 in this issue clearly shows that raising the criteria required for endotracheal intubation and intermittent mandatory ventilation (ET/IMV) in an entire community population of vulnerable, very low birth weight (VLBW) infants reduces bronchopulmonary dysplasia (BPD). Out...

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Bibliographic Details
Published in:Pediatrics (Evanston) 1996-07, Vol.98 (1), p.125-127
Main Author: Cassady, G
Format: Article
Language:English
Subjects:
Artificial respiration
Babies
Bronchopulmonary dysplasia
Bronchopulmonary Dysplasia - etiology
Confounding Factors (Epidemiology)
Disease
Germany
Humans
Infant, Newborn
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal
Intermittent Positive-Pressure Ventilation - adverse effects
Intubation, Intratracheal - adverse effects
Mechanical ventilation
Pediatrics
Prevention
Research Design
Retrospective Studies
Weight
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Summary:The report by Poets and Sens1 in this issue clearly shows that raising the criteria required for endotracheal intubation and intermittent mandatory ventilation (ET/IMV) in an entire community population of vulnerable, very low birth weight (VLBW) infants reduces bronchopulmonary dysplasia (BPD). Outcomes in all live-born infants with birth weights of between 500 and 1499 g from the German state of Lower Saxony, cared for in tertiary centers (comparable to level III neonatal intensive care units [NICUs] in this country) as well as in community centers (level II NICUs), from 1992 through 1994 were examined. No apparent price was paid for this improvement in pulmonary outcome.
ISSN:0031-4005
1098-4275
DOI:10.1542/peds.98.1.125