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Update on pediatric acute respiratory distress syndrome Anderson MRRespir Care 2003[Mar]; 48 (3): 261-76; discussion 276-8Pediatric 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 "downstream" 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.|Acute Disease[MESH]|Humans[MESH]|Infant, Newborn[MESH]|Intensive Care, Neonatal/methods/*trends[MESH]|Prognosis[MESH]|Respiration, Artificial/methods/trends[MESH]|Respiratory Distress Syndrome, Newborn/drug therapy/*therapy[MESH]|Respiratory Therapy/methods/*trends[MESH]|Treatment Outcome[MESH]|United States[MESH] |
