Treatment of Acute RespiratoIY Distress Syndrome in an Infant with Respiratory Syncytial Virus Pneumonia using High Frequency Oscinatory Ventnation.
- Author:
Jeong Hee KIM
1
;
Yun Sil CHANG
;
Weon Sun PARK
;
Sang Il LEE
Author Information
1. Department of Pediatrics, Inha Hospital, College cf Medicine, Inha University, Seongnam, Korea.
- Publication Type:Case Report
- Keywords:
Acute respiratory distress syndrome;
High frequency oscillatory ventilation
- MeSH:
Heart Diseases;
Humans;
Infant*;
Lung Diseases;
Male;
Oxygen;
Pneumonia*;
Radiography, Thoracic;
Respiration, Artificial;
Respiratory Distress Syndrome, Adult;
Respiratory Syncytial Viruses*;
Ventilation
- From:Pediatric Allergy and Respiratory Disease
1997;7(1):106-112
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Respiratory syncytial virus pneumonia in a 6-month-old male infant progressed to acute respiratory distress syndrome. He had an acute and rapidly progressive Pulmonary disease, in association with progressive, diffuse, bilateral pulmonary infiltrates on the chest radiograph, and hypoxemia(PaO2/FiO2 ratio of 98.2 with PEEP) without evidence of cardiac disease. High frequency oscillatory ventilation(HFOV) was instituted after worsening of oxygenation with conventional ventilation. High frequency oscillatory ventilation improved oxygenation without any complications-After 8 days of HFOV, conventional ventilation was instituted with- out impairment of oxygenation-After 13 days of total mechanical ventilation, he was extubated and soon after discharged home. High frequency oscillatory ventilation provide good results of oxygenation and ventilation in infants with ARDS. Further evaluation of safety and efficacy of HFOV will Fequire carefully designed, randomized, controlled studies of patients with acute respiratory distress syndrome.
