CRDAMC Homepage | CRDAMC Library Phone #: (254) 288-8366 | CRDAMC Library Fax #: (254) 288-8368

Search Health Library

Bronchopulmonary Dysplasia

(BPD)

Pronounced: Brong-ko-PUL-mo-ner-ee Dis-PLAY-se-ah

Definition

Bronchopulmonary dysplasia (BPD) is abnormal development of the lungs in infants. It is considered a chronic lung disease. BPD can make it difficult for the infant to breathe. The condition usually develops in the first 4 weeks after birth.

Infant Airway and Lungs

Copyright © Nucleus Medical Media, Inc.

Causes    TOP

The exact cause of BPD is unknown. It is most often associated with complication of early lung disease or their treatments. These conditions or treatments can cause irritation and swelling of lungs and airways. This can lead to BPD.

Risk Factors    TOP

Factors that increase your infant’s risk of developing BPD include:

  • Any severe illness requiring oxygen therapy and/or the use of a ventilator for an extended time
  • Respiratory distress syndrome (RDS)—a lung disorder often affecting premature babies that causes difficulty with breathing
  • Collapsed lung
  • Premature birth
  • Immature lungs
  • High blood pressure
  • Congenital heart diseases that cause excess blood flow through the lungs such as patent ductus arteriosus
  • Tracheomalacia
  • Subglottic stenosis
  • Infections
  • Pneumonia

Symptoms    TOP

Symptoms may include:

  • Rapid, shallow breathing
  • Difficulty breathing
  • Retractions—with each breath, the chest appears to sink in between the ribs or under the ribcage
  • Cough
  • See-saw breathing–movement of the chest and stomach in opposite directions with each breath
  • Wheezing or noisy breathing
  • Raising or stretching the neck to push more air into the lungs
  • Poor posture of the trunk, shoulders, and neck
  • Bluish color to the skin

Diagnosis    TOP

Your infant’s medical history will be taken. A physical exam will be done.

Your infant’s bodily fluids may be tested. This can be done with blood tests.

Your infant’s lung function may be tested. This can be done with pulse oximetry monitoring.

Images may be taken of your infants bodily structures. This can be done with:

Treatment    TOP

There is no specific treatment for BPD. The main focus is to treat any symptoms. If needed, treatment may include support for the infant's breathing. This will help the infant get strong and allow the lungs to mature.

An extended hospital stay may be needed. Treatment options include the following:

Ventilator Support

A breathing machine is used to move air in and out of lungs. It can support an infant's breathing until he or she is stronger and can breathe well enough without help.

Supplemental Oxygen

Oxygen may be delivered through a mask or nasal tube. It may be done by itself or after the ventilator is no longer needed. This treatment could continue for weeks or months. The infant may still need oxygen after coming home from the hospital.

Medication    TOP

Medication will be chosen based on the infant's needs. Medications may include:

  • Surfactants—may be given soon after birth to help the infant’s lungs expand the way they should
  • Antibiotics—to control infections
  • Bronchodilators—to make it easier for air to get in and out of the lungs
  • Corticosteroids—to reduce swelling and inflammation of the airways
  • Diuretics—to help remove extra fluid from the lungs

Supplemental Feedings    TOP

Lung problems can make feeding difficult. Nutrition therapy can help the infant get stronger and healthier. It may include:

  • An IV line that connects directly to a vein
  • A feeding tube that is inserted into the stomach
  • Special formula for bottlefeeding

Early Intervention Therapy    TOP

Early intervention therapy may include several types of therapy. They will help improve the infant's development. It may include special exercises to improve muscle strength and clear mucus from the lungs.

Prevention    TOP

There are no set guidelines for preventing BPD. However, there are some things you can do to decrease the risk of a premature birth and ensure you will give birth to a healthy infant such as:

  • Eat a healthful diet. Choose foods low in saturated fat and rich in low-fat dairy. Choose lean protein sources. Include plenty of whole grains, fruits, and vegetables in your diet.
  • Have early and regular prenatal check-ups.
  • Don’t smoke. If you smoke, quit.
  • Avoid drugs and alcohol.

RESOURCES:

American Lung Association
http://www.lung.org
Healthy Children—American Academy of Pediatrics
http://www.healthychildren.org

CANADIAN RESOURCES:

The Lung Association
http://www.lung.ca

References:

Bancalari E, Claure N: Definitions and diagnostic criteria for bronchopulmonary dysplasia. Semin Perinatol. 2006;30:164-70.
Baveja R, Christou H: Pharmacological strategies in the prevention and management of bronchopulmonary dysplasia. Semin Perinatol. 2006;30:209-18.
Bronchopulmonary dysplasia. American Lung Association website. Available at:
...(Click grey area to select URL)
Accessed September 21, 2017.
Bronchopulmonary dysplasia. EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated June 26, 2017. Accessed September 21, 2017.
Respiratory distress syndrome (RDS) of the newborn . EBSCO DynaMed Plus website. Available at: http://www.dynamed.... Updated June 26, 2017. Accessed September 21, 2017.
Short EJ, Kirchner HL, Asaad GR, et al. Developmental sequelae in preterm infants having a diagnosis of bronchopulmonary dysplasia: analysis using a severity-based classification system. Arch Ped adolesc Med. 2007;16:1082-7.
4/1/2014 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T905359/Choosing-Wisely: Choosing wisely. EBSCO DynaMed website. Available at:
...(Click grey area to select URL)
Updated July 23, 2015. Accessed September 29, 2016.
Last reviewed September 2017 by EBSCO Medical Review Board Kari Kassir, MD
Last Updated: 9/8/2014

EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

To send comments or feedback to our Editorial Team regarding the content please email us at healthlibrarysupport@ebsco.com. Our Health Library Support team will respond to your email request within 2 business days.

Health Library: Editorial Policy | Privacy Policy | Terms and Conditions | Support
36000 Darnall Loop Fort Hood, Texas 76544-4752 | Phone: (254) 288-8000