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Mechanical ventilation of children with the adult respiratory distress syndrome
Author(s) -
Rosenberg Robert B.,
Anglin David L.
Publication year - 1995
Publication title -
pediatric pulmonology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.866
H-Index - 106
eISSN - 1099-0496
pISSN - 8755-6863
DOI - 10.1002/ppul.1950191153
Subject(s) - ards , medicine , respiratory distress , intensive care medicine , mechanical ventilation , intensive care unit , intensive care , pediatric intensive care unit , ventilation (architecture) , pediatrics , emergency medicine , lung , anesthesia , mechanical engineering , engineering
Approximately 2–5% of admissions to pediatric intensive care units are due to diseases which develop into the adult respiratory distress syndrome (ARDS). 1,2 About 8% of intensive care patient days are involved in treating patients with ARDS. ARDS is associated with approximately a third of deaths in the pediatric intensive care unit. Overall mortality is 50–70%. Frustratingly, little improvement in outcome has occurred over the past decade. The outcome predictors which have been developed to date have been unreliable for individual patients who may have been treated with alternative respiratory support modalities. The following is a review of current ventilatory management of ARDS, including the promising new modality of high‐frequency oscillatory ventilation. © 1995 Wiley‐Liss, Inc.