The Preventive and Treatment Strategy in Pediatric Patients withAcute Respiratory Distress Syndrome after Open Heart Surgery
Abstract：To sum up the clinical course and treatment strategy of pediatricpatients with acute respiratory, distress syndrome (ARDS) after open heart surgery, we studied 23 pediatric ARDS patients including early episode in 8 cases and late episode in 15 cases. The maneuvers we performed were as follow:①Applying low peak inspiratory pressure ≤35 cm H2O; ②Using PEEP 8～12 cm H2O in the early period; ③Repeated lateral positioning.Results:1 case (1/23) died because of infection and acute renal failure, 2 cases (2/23) complicated with pneumothorax, 3 cases (3/23) with serious atelectasis and 5 cases (5/23) with positive sputum culture. Conclusion : We consider that choosing early extubation with discretion and applying low-volume pressure-limited ventilation combined with repeated lateral positioning can lower the Complications and mortality in the treatment of ARDS.
Keywords：Acute respiratory distress syndromeLow-volume pressure-limitedventilationRepeated lateral positioning
Publication Date：2001-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 14-16 )