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Pediatr Crit Care Me · May 2013
Acute lung injury in children--kids really aren't just "little adults".
- Philippe Jouvet, Neal J Thomas, and Douglas Willson.
- Division of Pediatric Critical Care Medicine, Department of Pediatrics, Pennsylvania State University College of Medicine, Penn State Hershey Children's Hospital, Hershey, PA, USA. nthomas@hmc.psu.edu
- Pediatr Crit Care Me. 2013 May 1;14(4):429-32.
ObjectiveTo describe the planned aims and methodology of the Pediatric Acute Lung Injury Consensus Conference.DesignConsensus conference of experts in pediatric acute lung injury.MethodsA panel of 26 experts in pediatric acute lung injury will meet over the course of one year to develop a better taxonomy to define pediatric acute lung injury, specifically predisposing factors, etiology, and pathophysiology. A modified Delphi approach that emphasizes strong professional agreement will be utilized.ResultsThe Pediatric Acute Lung Injury Consensus Conference will aim for consensus development on the following topics related to pediatric acute lung injury: 1) definition, incidence, and epidemiology; 2) comorbidities and severity; 3) ventilatory support; 4) pulmonary-specific ancillary treatment; 5) nonpulmonary treatment; 6) monitoring; 7) noninvasive support and ventilation; 8) extracorporeal support; and 9) morbidity and long-term outcomes.ConclusionsThe importance of this effort for improving care and guiding future research in pediatric acute lung injury is clear. Despite the many epidemiologic, interventional, and outcome studies undertaken by pediatric intensivists worldwide, our understanding of this disease process is limited, and morbidity and mortality remain unacceptably high. By consolidating the knowledge and expertise of the leaders of the field of pediatric acute lung injury, we hope to develop a framework for future progress.
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