2016, Number 4
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Rev Cubana Pediatr 2016; 88 (4)
Particularities of the acute respiratory distress syndrome at pediatric ages
Rodríguez MVS, Díaz CE, López GLR, Acevedo CBL, López-Herce CJ, Ruza TF
Language: Spanish
References: 50
Page: 519-535
PDF size: 233.71 Kb.
ABSTRACT
Since the first descriptions of the acute respiratory distress syndrome, the intensive
service pediatrician admitted that it has some particularities that make it different in
the pediatric population. The objective of this paper was to explain the specific
definition in the infant model despite the similarities in the physiopathology of this
syndrome in adults and children. The current concepts about the acute respiratory
distress syndrome from its first description through the various consensuses about it
(1994 to 2915) were reviewed, and the recommendations in terms of treatment and
follow-up were also pointed out. The addressed topics were concept, prevalence and
epidemiology, physiopathology, severity and associated diseases; ventilatory support,
specific secondary treatments for the lung, concomitant treatments, general and
pulmonary monitoring, non-invasive ventilatory support, extracorporeal therapy and
long-term follow-up. The recommendations for the treatment of the respiratory
distress syndrome at pediatric ages suggested by the last consensus conference allow
optimizing the treatment and identifying future requirements for research on this
subject.
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