• Klinische Pädiatrie · Mar 1999

    Case Reports

    [Combination therapy of high frequency oscillatory ventilation, NO inhalation and surfactant replacement in a child with acute respiratory distress syndrome].

    • U Merz, J Schefels, H Hendricks, and H Hörnchen.
    • Kinderklinik, Neonatologische Intensivemedizin Universitätsklinikums RWTH Aachen.
    • Klin Padiatr. 1999 Mar 1;211(2):83-5.

    AbstractWe report about a child with severe ARDS after burning trauma who did not respond to conventional treatment with controlled pressure ventilation under conditions of permissive hypercapnia and changing of the infants's body position. A combined treatment with high frequency oscillatory ventilation, inhalation of nitric oxide and surfactant replacement improved the pulmonary status. Twelve days after the accident the boy could be extubated and 5 weeks later he could be discharged without any pulmonary and neurologic handicap. The use of these therapeutic tools may help to avoid the necessity of the invasive extracorporeal life support.

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