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Pediatric pulmonology · Aug 2015
Case ReportsSurvival of a child with spinal muscular atrophy and acute respiratory distress syndrome.
- Anthony Wampole, Mary Schroth, and Juan Boriosi.
- Department of Pediatrics, University of Wisconsin Hospital and Clinics, American Family Children's Hospital, Madison, Wisconsin.
- Pediatr. Pulmonol. 2015 Aug 1;50(8):E29-31.
AbstractSpinal muscular atrophy (SMA), a lower motor neuron anterior horn cell disease, causes significant respiratory morbidity and mortality in children. Acute respiratory distress syndrome (ARDS) accounts for 1-4% of all Pediatric Intensive Care Unit (PICU) admissions. Management outcomes for ARDS in patients with SMA have not been described. We present the case of a 5-year-old boy with Type II SMA and ARDS requiring invasive mechanical ventilation. He improved with meticulous management of mechanical ventilation, airway clearance, fluid/nutrition, and sedation/analgesia. He was successfully extubated after 14 days of invasive mechanical ventilation and discharged home after a 20 day hospitalization.© 2015 Wiley Periodicals, Inc.
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