Management of Acute Lung Injury/ARDS

被引：0
作者：
Sunil Saharan
Rakesh Lodha
Sushil Kumar Kabra
机构：
[1] All India Institute of Medical Sciences,Division of Pulmonology and Critical Care, Department of Pediatrics
来源：
The Indian Journal of Pediatrics | 2010年 / 77卷
关键词：
Acute lung injury; Acute respiratory distress syndrome; Children; Hypoxia; Management;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) are disorders of pulmonary inflammation characterized by hypoxemia and respiratory failure. Children have varying incidence of ALI/ARDS from 2.2 to 16 per 100,000 pediatric population associated with high morbidity, mortality, and financial burden. The diagnostic criteria include: acute onset, severe arterial hypoxemia resistant to oxygen therapy alone (PaO2/FIO2 ratio ≤200 for ARDS and ≤300 for ALI), diffuse pulmonary inflammation (bilateral infiltrates on chest radiograph) and No evidence of left atrial hypertension. Management includes ventilatory therapy including lower tidal volume, relatively high PEEP and supportive care. Guidelines for diagnosis, ventilator management, rescue therapies and supportive care are being discussed in the protocol.
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页码：1296 / 1302
页数：6
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