Combination therapy with high-frequency oscillatory ventilation, inhaled nitric oxide and 24 prone position in pediatric acute respiratory distress syndrome: a case report

Authors

  • Manuel Munaico-Abanto
  • Claudia Guerra-Rios
  • Gaudi Quispe-Flores
  • Liza Manchego-Rosado

DOI:

https://doi.org/10.61651/rped.2020v72n1p24-29

Keywords:

High-Frequency Ventilation, Prone Position, Nitric Oxide, Respiratory Distress Syndrome

Abstract

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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Published

2020-12-31

How to Cite

1.
Munaico-Abanto M, Guerra-Rios C, Quispe-Flores G, Manchego-Rosado L. Combination therapy with high-frequency oscillatory ventilation, inhaled nitric oxide and 24 prone position in pediatric acute respiratory distress syndrome: a case report. Rev Peru Pediatr [Internet]. 2020 Dec. 31 [cited 2024 Dec. 4];72(1):24-9. Available from: https://pediatria.pe/index.php/pedperu/article/view/316