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Revista Cubana de Pediatría
versão On-line ISSN 1561-3119
Resumo
RODRIGUEZ MOYA, Valentín Santiago et al. Particularities of the acute respiratory distress syndrome at pediatric ages. Rev Cubana Pediatr [online]. 2016, vol.88, n.4, pp. 519-535. ISSN 1561-3119.
Since the first descriptions of the acute respiratory distress syndrome, the intensive service pediatrician admitted that it has some particularities that make it different in the pediatric population. The objective of this paper was to explain the specific definition in the infant model despite the similarities in the physiopathology of this syndrome in adults and children. The current concepts about the acute respiratory distress syndrome from its first description through the various consensuses about it (1994 to 2915) were reviewed, and the recommendations in terms of treatment and follow-up were also pointed out. The addressed topics were concept, prevalence and epidemiology, physiopathology, severity and associated diseases; ventilatory support, specific secondary treatments for the lung, concomitant treatments, general and pulmonary monitoring, non-invasive ventilatory support, extracorporeal therapy and long-term follow-up. The recommendations for the treatment of the respiratory distress syndrome at pediatric ages suggested by the last consensus conference allow optimizing the treatment and identifying future requirements for research on this subject.
Palavras-chave : acute respiratory syndrome; acute pulmonary injure; pediatrics.