Bronchopulmonary dysplasia (BPD) is a multifaceted disease that affects both premature and low birth weight infants who spend longer periods of time on oxygen and mechanical ventilation. BPD encompasses all of the medical problems associated with impaired lung function, as well as the growth, development, and social functioning of the patient and family. In 2009, Nationwide Children’s Hospital led a roundtable discussion with national experts to share their outcomes and current practices in managing these patients.
Watch Stephen Welty, MD, and several Neonatology experts from across the country discuss efforts to develop new treatment strategies for premature infants with BPD.
Dr. Stephen Welty
Dr. Susan Lynch
Dr. T. Michael O’Shea
Dr. William Malcolm
Dr. Suhas Kallapur
Dr. Richard Auten
Dr. Richard Martin
Dr. William Truog
Dr. Leif Nelin
Dr. Lawrence Nogee
Dr. Richard Parad
Dr. Steve Abman
Dr. Eduardo Bancalari
Dr. Michele Walsh
The BPD roundtable took place in the spring of 2009. The discussion begins with Dr. Stephen Welty, division chief of Neonatology, explaining the current structure of the BPD service line at Nationwide Children’s Hospital and how their multidisciplinary approach to caring for these babies has been a successful model.
Dr. Stephen Welty provides further details into how Nationwide Children’s Hospital has a team solely dedicated to BPD patients and how the team’s ultimate goal of discharge and follow-up care is primarily driven by the baby’s pace of recovery.
Roundtable participants discuss how they have worked toward defining what may be the most appropriate method of care and management for BPD patients, and how more research and work needs to be done.
Roundtable participants discuss how previous approaches to research, such as exploring how to prevent BPD, have been attempted with little success and how additional data about managing these patients needs to be collected.
As the discussion progressed, roundtable participants began to share processes that others had successfully implemented to help with various research efforts. Collecting data and sharing what has worked and what has not will be imperative to establishing a standard for managing BPD patients.
At the conclusion of the roundtable, it was apparent more discussion and sharing of information needed to occur in order to move forward. Participants agreed to return to their respective hospitals and health systems to explore the options for data collection regarding this particular population of patients, and to work towards a future consensus conference to share what each had found.