Assessing the role of tracheostomy placement in bronchopulmonary dysplasia with pulmonary hypertension - PubMed (original) (raw)

. 2024 Jul;44(7):988-994.

doi: 10.1038/s41372-024-01881-y. Epub 2024 Feb 5.

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Assessing the role of tracheostomy placement in bronchopulmonary dysplasia with pulmonary hypertension

Timothy D Hicks et al. J Perinatol. 2024 Jul.

Abstract

Objective: Bronchopulmonary dysplasia (BPD) is a common complication of preterm birth and is associated with abnormal vasculature that contributes to pulmonary hypertension (PH). We evaluated how a tracheostomy may alter PH in these patients.

Methods: A retrospective chart review over 15-years identified 17 patients with BPD and PH who underwent tracheostomy. Each patient had four echocardiograms re-reviewed and scored for tricuspid valve regurgitation velocity (TR), tricuspid annular plane systolic excursion (TAPSE), right atrial cross-sectional area (RACA), and left ventricle eccentricity indices (EI).

Result: There was improvement in TR, TAPSE, RACA, and left ventricle EI indicating reduction in PH after tracheostomy.

Conclusion: PH improves over time though role of tracheostomy in PH needs to be further defined. The EI may be a sensitive marker to follow over time in these patients.

© 2024. The Author(s), under exclusive licence to Springer Nature America, Inc.

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References

    1. Northway WH Jr, Rosan RC, Porter DY. Pulmonary disease following respirator therapy of hyaline-membrane disease. Bronchopulmonary dysplasia. N Engl J Med. 1967;276:357–68. -PubMed -DOI
    1. Stoll BJ, Hansen NI, Bell EF, Shankaran S, Laptook AR, Walsh MC, et al. Neonatal outcomes of extremely preterm infants from the NICHD Neonatal Research Network. Pediatrics. 2010;126:443–56. -PubMed -DOI
    1. Kinsella JP, Greenough A, Abman SH. Bronchopulmonary dysplasia. Lancet. 2006;367:1421–31. -PubMed -DOI
    1. Latham GJ, Yung D. Current understanding and perioperative management of pediatric pulmonary hypertension. Paediatr Anaesth. 2019;29:441–56. -PubMed -DOI
    1. Jensen EA, Dysart K, Gantz MG, McDonald S, Bamat NA, Keszler M, et al. The diagnosis of bronchopulmonary dysplasia in very preterm infants. an evidence-based approach. Am J Respir Crit Care Med. 2019;200:751–9. -PubMed -PMC -DOI

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