Physiological and Pathological basis of Neonatal Aerodigestive Difficulties in Chronic Lung Disease
Clinics in Perinatology(2020)
摘要
In the United States, preterm birth rates have steadily increased since 2014. Despite the recent advances in neonatal-perinatal care, more than 40% of very low-birth-weight infants develop chronic lung disease (CLD) and almost 25% have feeding difficulties resulting in delayed achievement of full oral feeds and longer hospital stay. Establishment of full oral feeds, a major challenge for preterm infants, becomes magnified among those on respiratory support and/or with CLD. The strategies to minimize aerodigestive disorders include supporting nonnutritive sucking, developing infant-directed feeding protocols, sensory oromotor stimulation, and early introduction of oral feeds.
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关键词
Respiratory rhythmogenesis,Central swallow pattern generator,Suck-swallow-breathe coordination,Preterm infants,Chronic lung disease,Oromotor skills,Oral feeding,Noninvasive ventilation
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