Adjunctive treatments in pediatric acute respiratory distress syndrome

作者：Mok Yee Hui; Lee Jan Hau^*; Rehder Kyle J; Turner David A

来源：Expert Review of Respiratory Medicine, 2014, 8(6): 703-716.

DOI：10.1586/17476348.2014.948854

• acute respiratory distress syndrome
• children
• nitric oxide
• pediatric
• prone positioning
• prostaglandin
• pulmonary hypertension
• steroid
• surfactant

Acute respiratory distress syndrome (ARDS) is a devastating process that involves pulmonary inflammation, alveolar damage and hypoxemic respiratory failure. Although advances in management approaches over the past two decades have resulted in significantly improved outcomes, death from pediatric ARDS may still occur in up to 35% of patients. While invasive mechanical ventilation is an essential component of ARDS management, various adjuncts have been utilized as treatment for these patients. However, evidence-based data in infants and children in this area are lacking. In this article, the authors review the available evidence supporting (or not supporting) the use of non-ventilatory adjunctive strategies in the management of pediatric ARDS, including prone positioning, pulmonary vasodilators, beta-agonists, steroids and surfactant.

• 出版日期2014-12