• Alexandre Tellechea Rotta, Jefferson Pedro Piva, Cinara Andreolio, Werther Brunow de Carvalho, and Pedro Celiny Ramos Garcia.
• School of Medicine, Case Western Reserve University, Cleveland, OH, US.
• Rev Bras Ter Intensiva. 2015 Jul 1; 27 (3): 266-73.

AbstractAcute respiratory distress syndrome is a disease of acute onset characterized by hypoxemia and infiltrates on chest radiographs that affects both adults and children of all ages. It is an important cause of respiratory failure in pediatric intensive care units and is associated with significant morbidity and mortality. Nevertheless, until recently, the definitions and diagnostic criteria for acute respiratory distress syndrome have focused on the adult population. In this article, we review the evolution of the definition of acute respiratory distress syndrome over nearly five decades, with a special focus on the new pediatric definition. We also discuss recommendations for the implementation of mechanical ventilation strategies in the treatment of acute respiratory distress syndrome in children and the use of adjuvant therapies.

18 keywords...

hide…