Severe acute respiratory distress syndrome in a child with malaria: favorable response to prone positioning.
نویسندگان
چکیده
We present the case of a 4-year-old boy with malaria who developed acute respiratory distress syndrome with severe hypoxemia refractory to mechanical ventilation and inhaled nitric oxide. Placing the patient in prone position immediately and persistently improved oxygenation: the ratio of P(aO(2)) to fraction of inspired oxygen rose from 47 to 180 mm Hg and the oxygenation index decreased from 40 to 11. The patient survived, with no respiratory sequelae.
منابع مشابه
بررسی‌مقایسه‌ای‌میزان‌اشباع‌اکسیژن‌خون‌شریانی‌نوزادان‌نارس‌دچار سندرم‌دیسترس‌تنفسی‌در دو وضعیت‌دمر و طاقباز
Background : Neonatal period is one of the most important periods in human's life. Low birth weight and immaturity is often the cause of death. (weight less them 1000grm and pregnancy less than 30 weeks). One of the main cause of death in this period is respiratory distress syndrome. Objective : To determine the effect of prone and supine positioning oxygenation in preterm infants with resp...
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A study published in the previous issue of Critical Care demonstrates that measurement of the pulmonary dead-space fraction is superior to hypoxemia as an indicator of a favorable physiologic response to prone positioning in patients with severe acute respiratory distress syndrome. These results add to the growing evidence supporting the clinical and research value of measuring pulmonary dead s...
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Prone positioning has been used as a treatment option for patients with acute lung injury or acute respiratory distress syndrome (ARDS) since the early 1970s. Prone position and extended prone position ventilation have been shown to increase end-expiratory lung volume, alveolar recruitment, and oxygenation in patients with severe hypoxemic and acute respiratory failure. Prone positioning is not...
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BACKGROUND Implementation of lung protective strategy in the treatment of severe Acute Respiratory Distress Syndrome (ARDS) has been reported to be associated with improved outcome. To fulfil this approach, sedation, neuromuscular blocking agents and full mechanical ventilatory support are often used in critical failure of gas exchange. CASE REPORT We present a patient who developed multiple ...
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عنوان ژورنال:
- Respiratory care
دوره 49 3 شماره
صفحات -
تاریخ انتشار 2004