eMedicine Specialties > Emergency Medicine > Pediatric

Pediatrics, Respiratory Distress Syndrome: Multimedia

Author: Andrew K Feng, MD, Attending Physician, Division of Pediatric Critical Care, Kapiolani Medical Center for Women and Children, Honolulu
Coauthor(s): Dale Steele, MD, Division of Pediatric Emergency Medicine, Assistant Professor, Department of Emergency Medicine, Brown University School of Medicine and Hasbro Children's Hospital
Contributor Information and Disclosures

Updated: Sep 18, 2009

Multimedia

An 8-year-old girl with a diagnosis of pneumonia....Media file 1: An 8-year-old girl with a diagnosis of pneumonia. Chest radiograph on the day of admission.
An 8-year-old girl with a diagnosis of pneumonia....

An 8-year-old girl with a diagnosis of pneumonia. Chest radiograph on the day of admission.

A 14-month-old boy with a diagnosis of exacerbati...Media file 2: A 14-month-old boy with a diagnosis of exacerbation of bronchopulmonary dysplasia (BPD). Chest radiograph on the day of admission.
A 14-month-old boy with a diagnosis of exacerbati...

A 14-month-old boy with a diagnosis of exacerbation of bronchopulmonary dysplasia (BPD). Chest radiograph on the day of admission.

An 8-year-old girl with pneumonia and impending r...Media file 3: An 8-year-old girl with pneumonia and impending respiratory failure. Chest radiograph on day 2.
An 8-year-old girl with pneumonia and impending r...

An 8-year-old girl with pneumonia and impending respiratory failure. Chest radiograph on day 2.

A 14-month-old boy with bronchopulmonary dysplasi...Media file 4: A 14-month-old boy with bronchopulmonary dysplasia (BPD) exacerbation and impending respiratory failure. Chest radiograph on day 2 in the morning.
A 14-month-old boy with bronchopulmonary dysplasi...

A 14-month-old boy with bronchopulmonary dysplasia (BPD) exacerbation and impending respiratory failure. Chest radiograph on day 2 in the morning.

A 14-month-old boy with bronchopulmonary dysplasi...Media file 5: A 14-month-old boy with bronchopulmonary dysplasia (BPD) exacerbation and respiratory failure. Chest radiograph on day 2 in the afternoon.
A 14-month-old boy with bronchopulmonary dysplasi...

A 14-month-old boy with bronchopulmonary dysplasia (BPD) exacerbation and respiratory failure. Chest radiograph on day 2 in the afternoon.

A 14-month-old boy with bronchopulmonary dysplasi...Media file 6: A 14-month-old boy with bronchopulmonary dysplasia (BPD) exacerbation, respiratory failure, and severe hypoxemia. Chest radiograph on day 2 in the evening.
A 14-month-old boy with bronchopulmonary dysplasi...

A 14-month-old boy with bronchopulmonary dysplasia (BPD) exacerbation, respiratory failure, and severe hypoxemia. Chest radiograph on day 2 in the evening.

More on Pediatrics, Respiratory Distress Syndrome

Overview: Pediatrics, Respiratory Distress Syndrome
Differential Diagnoses & Workup: Pediatrics, Respiratory Distress Syndrome
Treatment & Medication: Pediatrics, Respiratory Distress Syndrome
Follow-up: Pediatrics, Respiratory Distress Syndrome
Multimedia: Pediatrics, Respiratory Distress Syndrome
References

References

  1. Flori HR, Glidden DV, Rutherford GW, Matthay MA. Pediatric acute lung injury: prospective evaluation of risk factors associated with mortality. Am J Respir Crit Care Med. May 1 2005;171(9):995-1001. [Medline].

  2. Meduri GU, Headley AS, Golden E, et al. Effect of prolonged methylprednisolone therapy in unresolving acute respiratory distress syndrome: a randomized controlled trial. JAMA. Jul 8 1998;280(2):159-65. [Medline].

  3. [Best Evidence] Steinberg KP, Hudson LD, Goodman RB, Hough CL, Lanken PN, Hyzy R. Efficacy and safety of corticosteroids for persistent acute respiratory distress syndrome. N Engl J Med. Apr 20 2006;354(16):1671-84. [Medline].

  4. [Best Evidence] Curley MA, Hibberd PL, Fineman LD, Wypij D, Shih MC, Thompson JE. Effect of prone positioning on clinical outcomes in children with acute lung injury: a randomized controlled trial. JAMA. Jul 13 2005;294(2):229-37. [Medline].

  5. Willson DF, Thomas NJ, Markovitz BP, et al. Effect of exogenous surfactant (calfactant) in pediatric acute lung injury: a randomized controlled trial. JAMA. Jan 26 2005;293(4):470-6. [Medline].

  6. Goldman AP, Tasker RC, Hosiasson S, et al. Early response to inhaled nitric oxide and its relationship to outcome in children with severe hypoxemic respiratory failure. Chest. Sep 1997;112(3):752-8. [Medline].

  7. Green TP, Timmons OD, Fackler JC, et al. The impact of extracorporeal membrane oxygenation on survival in pediatric patients with acute respiratory failure. Pediatric Critical Care Study Group. Crit Care Med. Feb 1996;24(2):323-9. [Medline].

  8. Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med. May 4 2000;342(18):1301-8. [Medline].

  9. Antonelli M, Conti G, Rocco M, et al. A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure. N Engl J Med. Aug 13 1998;339(7):429-35. [Medline].

  10. Beaufils F, Mercier JC, Farnoux C, et al. Acute respiratory distress syndrome in children. Curr Opin Pediatr. Jun 1997;9(3):207-12. [Medline].

  11. Brower RG, Ware LB, Berthiaume Y, Matthay MA. Treatment of ARDS. Chest. Oct 2001;120(4):1347-67. [Medline].

  12. Davis SL, Furman DP, Costarino AT Jr. Adult respiratory distress syndrome in children: associated disease, clinical course, and predictors of death. J Pediatr. Jul 1993;123(1):35-45. [Medline].

  13. Fackler JC, Arnold JH, Nichols DG. Acute respiratory distress syndrome. In: Rogers M, Williams, Wilkins, eds Textbook. 1996:197-233.

  14. Flori HR, Pittet JF. Biological markers of acute lung injury: prognostic and pathogenetic significance. New Horiz. 1999;7:287-311.

  15. Levitzky MG. Pulmonary Physiology. New York: McGraw-Hill Health Professions Division; 1999:131.

  16. Nichols DG, McCloskey JJ, Rogers MC. Adult respiratory distress syndrome. In: Rogers MC, ed. Textbook of Pediatric Intensive Care. Baltimore, Md: Williams & Wilkins; 1992:296.

  17. Paulson TE, Spear RM, Peterson BM. New concepts in the treatment of children with acute respiratory distress syndrome. J Pediatr. Aug 1995;127(2):163-75. [Medline].

  18. Poponick JM, Renston JP, Bennett RP, Emerman CL. Use of a ventilatory support system (BiPAP) for acute respiratory failure in the emergency department. Chest. Jul 1999;116(1):166-71. [Medline].

  19. Taylor RW, Zimmerman JL, Dellinger RP. Low-dose inhaled nitric oxide in patients with acute lung injury: a randomized controlled trial. JAMA. Apr 7 2004;291(13):1603-9. [Medline].

Further Reading

Keywords

acute respiratory distress syndrome, ARDS, severe acute respiratory syndrome, SARS, acute lung injury, ALI, multiple organ failure syndrome, MOFS, respiratory distress syndrome in children

Contributor Information and Disclosures

Author

Andrew K Feng, MD, Attending Physician, Division of Pediatric Critical Care, Kapiolani Medical Center for Women and Children, Honolulu
Andrew K Feng, MD is a member of the following medical societies: Society of Critical Care Medicine
Disclosure: Nothing to disclose.

Coauthor(s)

Dale Steele, MD, Division of Pediatric Emergency Medicine, Assistant Professor, Department of Emergency Medicine, Brown University School of Medicine and Hasbro Children's Hospital
Dale Steele, MD is a member of the following medical societies: Ambulatory Pediatric Association, American Academy of Pediatrics, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Medical Editor

Garry Wilkes, MBBS, FACEM, Director of Emergency Medicine, Bunbury Hospital, Western Australia; Medical Director, St John Ambulance, WA Ambulance Service; Adjunct Associate Professor, Edith Cowan University; Clinical Associate Professor, Rural Clinical School, University of Western Australia, Australia.
Disclosure: Nothing to disclose.

Pharmacy Editor

Mary L Windle, PharmD, Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy, Pharmacy Editor, eMedicine
Disclosure: Pfizer Inc Stock Investment from financial planner; Avanir Pharma Stock Investment from financial planner ; WebMD Salary and stock Employment and investment from financial planner

Managing Editor

Grace M Young, MD, Associate Professor, Department of Pediatrics, University of Maryland Medical Center
Grace M Young, MD is a member of the following medical societies: American Academy of Pediatrics and American College of Emergency Physicians
Disclosure: Nothing to disclose.

CME Editor

John D Halamka, MD, MS, Associate Professor of Medicine, Harvard Medical School, Beth Israel Deaconess Medical Center; Chief Information Officer, CareGroup Healthcare System and Harvard Medical School; Attending Physician, Division of Emergency Medicine, Beth Israel Deaconess Medical Center
John D Halamka, MD, MS is a member of the following medical societies: American College of Emergency Physicians, American Medical Informatics Association, Phi Beta Kappa, and Society for Academic Emergency Medicine
Disclosure: Nothing to disclose.

Chief Editor

Richard G Bachur, MD, Associate Professor of Pediatrics, Harvard Medical School; Associate Chief and Fellowship Director, Attending Physician, Division of Emergency Medicine, Children's Hospital of Boston
Richard G Bachur, MD is a member of the following medical societies: American Academy of Pediatrics, Society for Academic Emergency Medicine, and Society for Pediatric Research
Disclosure: Nothing to disclose.

 
 
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