Abstract
The data available to guide clinical management of acute lung injury and acute respiratory distress syndrome are much more limited for infants and children than for adult patients. This paper reviews the available medical data and the pertinent physiology on the management of pediatric patients with acute lung injury. With the collaboration of multicenter investigation networks, definitive pediatric data may be on the horizon to better guide our clinical practice.
- pediatric
- acute respiratory distress syndrome
- ARDS
- acute lung injury
- ALI
- mechanical ventilation
- gas exchange
- lung protection
- oxygenation
- ventilation
- extracorporeal life support
- ECMO
- PEEP
- tidal volume
- high-frequency ventilation
- nitric oxide
- surfactant
Footnotes
- Correspondence: Ira M Cheifetz MD FAARC, Pediatric Critical Care Medicine, Duke Children's Hospital, Duke University Medical Center, Box 3046, Durham NC 27710. E-mail: ira.cheifetz{at}duke.edu.
Dr Cheifetz presented a version of this paper at the 26th New Horizons Symposium, “ARDS Update,” at the 56th International Respiratory Congress of the American Association for Respiratory Care, held December 6–9, 2010, in Las Vegas, Nevada.
Dr Cheifetz has disclosed relationships with Philips-Respironics, Covidien, Discovery Laboratories, and Teleflex.
- Copyright © 2011 by Daedalus Enterprises Inc.