Which of the following strategies is used to prevent bronchopulmonary dysplasia in infants requiring mechanical ventilation?

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Multiple Choice

Which of the following strategies is used to prevent bronchopulmonary dysplasia in infants requiring mechanical ventilation?

Preventing bronchopulmonary dysplasia in infants who need mechanical ventilation hinges on minimizing lung injury from both ventilation and oxygen. The best approach is lung-protective ventilation: use gentler breaths with lower tidal volumes, limit peak inspiratory pressures, and maintain adequate PEEP to keep alveoli open, while carefully controlling the FiO2 to avoid oxygen toxicity. This combination reduces volutrauma, barotrauma, and oxygen-related injury that contribute to chronic lung disease. When feasible, earlier weaning from the ventilator or using noninvasive support further lowers risk. Delaying nutrition or not monitoring would not protect the lungs and can worsen outcomes, and exposing all infants to high FiO2 increases injury risk.

Preventing bronchopulmonary dysplasia in infants who need mechanical ventilation hinges on minimizing lung injury from both ventilation and oxygen. The best approach is lung-protective ventilation: use gentler breaths with lower tidal volumes, limit peak inspiratory pressures, and maintain adequate PEEP to keep alveoli open, while carefully controlling the FiO2 to avoid oxygen toxicity. This combination reduces volutrauma, barotrauma, and oxygen-related injury that contribute to chronic lung disease. When feasible, earlier weaning from the ventilator or using noninvasive support further lowers risk. Delaying nutrition or not monitoring would not protect the lungs and can worsen outcomes, and exposing all infants to high FiO2 increases injury risk.

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