Abstract
OBJECTIVE: To describe the successful use of surfactant for treatment of respiratory distress refractory to conventional mechanical ventilation in a 4-wk-old with pulmonary hemorrhage. DESIGN: Case report. SETTING: Tertiary care center pediatric intensive care unit. PATIENT: Four-week-old infant. MAIN RESULT: Clinical improvement of respiratory distress as evidenced by 50% reduction in oxygenation index and subsequent extubation. CONCLUSION: Pulmonary hemorrhage is a rare but potentially fatal condition in children. Previously described therapeutic approaches include high-frequency oscillation ventilation and extracorporeal membrane oxygenation. Infants with pulmonary hemorrhage and respiratory distress may benefit from a trial of surfactant before escalating care.
Original language | English |
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Pages (from-to) | e4-e6 |
Journal | Pediatric Critical Care Medicine |
Volume | 9 |
Issue number | 1 |
DOIs | |
State | Published - Jan 2008 |
Keywords
- Hemoptysis
- Pulmonary hemorrhage
- Respiratory distress
- Surfactant