Eight babies with severe bronchopulmonary dysplasia (BPD) were discharged from a private hospital at Santiago, Chile, on a program that provided oxygen therapy at home. Mean gestational age was 27 ± 2 weeks and mean birth weight was 1,181 ±353 g. Discharge was decided after stabilization of arterial POs orO 2 Sat, PC02 <50 mmHg and adequate weight gain. Prior to discharge parents were trained in O 2 administration and cardiopulmonary resucitatk>n. Oxygen was given at home for a mean of 71 days (range 7 to 339). There were no complications secondary to oxygen therapy. At follow up in only two cases additional hospitalizations were needed, in both instances because of intercurrent respiratory infections. Weight gain between 3 m and 50 tn percentile were seen in all cases. Oxygen therapy at home appears to be a good alternative in the treatment of infants with BPD, and it reduces significantly hospital stay and costs. Both optimal family conditions and adequate support at home are needed. (Key words: bronchopulmonary dysplasia, oxygen therapy at home, on a program for oxygen therapy at home.) La displasia broncopulmonar (DBF) o enfer-nacional, en la cual, si bien ha habido escasas medad pulmonar cronica es una afeccion propia publicaciones 4 ' 6 , los casos han aumentado en de los recie"n nacidos de bajo peso, sometidos a niimero en casi todas las unidades de neonatoloventHacion mecanica, atribuida a multiples gia en los ultimos anos. Los niflos mas graves factores; entre los que destacan la inmadu-requieren largas hospitalizaciones, debidas a la rez pulmonar, el barotrauma, causado por los prolongada dependencia de oxi'geno, que puede respiradores y el efecto toxico del oxi'geno en durar varies meses, como a las frecuentes enferel pulmon. Su incidencia aumenta, a pesar de medades intercurrentes. los multiples esfuerzos de prevention, a medida Con el objeto de evaluar la factibilidad, venque aumenta la sobrevida de recien nacidos de tajas y eventuates complicaciones de la oxigenomenor peso y menor edad gestacional 1 ' 3 . Esta terapia en domicilio como parte del tratamiento ha sido la experiencia tanto extranjera como de la DBF, se estudio retrospectivamente ungrupo de niflos afectados que fueron dados de alta con oxigenoterapia en su domicilio con el fin de 1. Servicio de Neonatologia, Clinica Alemana. abreviar la ho sp realization y favorecer la vida 2. Kinesiologo.familiar.
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