Special considerations for the management of pediatric acute respiratory distress syndrome.


Journal Article (Review)

Pediatric acute respiratory distress syndrome (ARDS) remains a diagnostic and therapeutic challenge with significant mortality and morbidity. There are limited data to guide identification and management.The Pediatric Acute Lung Injury Consensus Conference recently proposed pediatric-specific definitions for ARDS and management recommendations. In this review, we discuss aspects of pediatric ARDS that have received more attention over the past few years: high frequency oscillatory ventilation, administration of corticosteroids and functional outcomes. We conducted searches on PubMed, ClinicalKey and Google Scholar using medical subject heading terms and text words related to acute lung injury and ARDS. Expert commentary: The newly proposed definition for pediatric ARDS requires validation for efficacy in diagnosis and risk stratification. At present, there is insufficient evidence to support routine use of high frequency oscillatory ventilation or corticosteroids in pediatric ARDS. Further studies are required to determine the impact of pediatric ARDS on functional outcomes.

Full Text

Duke Authors

Cited Authors

  • Lim, JKB; Lee, JH; Cheifetz, IM

Published Date

  • October 2016

Published In

Volume / Issue

  • 10 / 10

Start / End Page

  • 1133 - 1145

PubMed ID

  • 27500964

Pubmed Central ID

  • 27500964

Electronic International Standard Serial Number (EISSN)

  • 1747-6356

International Standard Serial Number (ISSN)

  • 1747-6348

Digital Object Identifier (DOI)

  • 10.1080/17476348.2016.1219656


  • eng