PT - JOURNAL ARTICLE AU - Michael R Anderson TI - Update on Pediatric Acute Respiratory Distress Syndrome DP - 2003 Mar 01 TA - Respiratory Care PG - 261--278 VI - 48 IP - 3 4099 - http://rc.rcjournal.com/content/48/3/261.short 4100 - http://rc.rcjournal.com/content/48/3/261.full AB - Pediatric acute respiratory distress syndrome (ARDS) remains an important challenge for the intensive care clinician. ARDS, which can result from either direct lung injury or from a “down-stream” inflammatory process, is manifested by profound hypoxemia and respiratory failure. The care of pediatric ARDS is based on a meticulous, multidisciplinary, intensive care team approach. This review discusses the changing definition of ARDS and available intensive care treatment modalities, including newer lung-protective mechanical ventilation strategies and adjunct therapies. The prognosis of children suffering pediatric ARDS is examined with a look toward areas of potential future intervention in this often deadly disease.