Combination therapy with high-frequency oscillatory ventilation, inhaled nitric oxide and 24 prone position in pediatric acute respiratory distress syndrome: a case report
DOI:
https://doi.org/10.61651/rped.2020v72n1p24-29Keywords:
High-Frequency Ventilation, Prone Position, Nitric Oxide, Respiratory Distress SyndromeAbstract
Objective: To show an integrated therapeutic approach in a severe case of pediatric acute respiratory distress syndrome (PARDS) under maximized ventilatory settings.
Patient and methods: Case report of a patient with severe PARDS at Pediatric Intensive Care Unit (PICU), undergoing cardiopulmonary resuscitation (CPR), High frequency ventilation (HFVO) nitric oxide (NO) inhalation therapy.
Case report: A 1-year-old girl, Down Syndrome, with pneumonia who shortly after presentation developed therapy-refractory respiratory failure. The patient was successfully treated with HFVO and NO therapy and other standard intensive care regimens. 20 days after the patient was discharged, nearly fully recovered.
Conclusions: In a patient with severe PARDS with oxy- genation failure under maximized ventilatory settings and NO therapy may improve the surviving rate.
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