Abstract
Led by the work of the Pediatric Acute Lung Injury Consensus Conference, much was published on the topic of pediatric ARDS in 2015. Although the availability of definitive data to the pediatric practitioner for the management of infants and children with pediatric ARDS continues to lag behind that for the adult clinician, 2015 augmented the available medical literature with more information than had been seen for years. This article will review key pediatric ARDS publications with a focus on the Pediatric Acute Lung Injury Consensus Conference consensus definition, sedation management, use of high-frequency oscillatory ventilation, diagnosis of delirium, noninvasive respiratory support, lung-protective ventilation, and adjunct management therapies. Despite the recent progress, additional investigation in each of these areas is essential to the continued advancement of our knowledge and, more importantly, improvements in the outcome for pediatric patients with ARDS.
- ARDS
- mechanical ventilation
- pediatric
- surfactant
- high-flow oxygen
- delirium
- sedation
- high-frequency ventilation
- noninvasive ventilation
- corticosteroids
Footnotes
- Correspondence: Ira M Cheifetz MD FAARC, Division of Pediatric Critical Care Medicine, 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 Year in Review of the AARC Congress 2015, held November 7-10, 2015, in Tampa, Florida.
Dr Cheifetz has disclosed relationships with Philips and Ikaria.
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