Open AccessThe Changing Pattern of Post-traumatic Respiratory Distress Syndrome
Author(s) -
Lori A. Walker,
Ben Eiseman
Publication year - 1975
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197505000-00025
Subject(s) - medicine , respiratory distress , mechanical ventilation , resuscitation , ventilation (architecture) , pediatrics , acute respiratory distress , intensive care medicine , anesthesia , lung , mechanical engineering , engineering
During a one year period, 78 patients at the Denver General Hospital required mechanical ventilation following injury. Thirteen patients were judged to have Respiratory Distress Syndrome. Of these, 9 had classic early onset RDS but, with intravenous fluid restriction following resuscitation, diuretics and careful mechanical ventilation, all recovered. Six patients, all of whom were septic, developed late onset RDS 5 or more days after injury; 5 died. Disparity between early and late onset of RDS is emphasized; the one with good, the other with dismal prognosis. The current need is to improve treatment of late onset RDS, which frequently is associated with bacterial infection.