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Adult Respiratory Distress Syndrome in a Pediatric Intensive Care Unit: Predisposing Conditions, Clinical Course, and Outcome
104
Citations
0
References
1981
Year
Clinical CourseDrowningRespiratory Distress Syndrome (Pulmonary Critical Care)Pediatric Intensive CareVentilationAcute CarePatient SafetyPediatricsPediatric Lung DiseaseSepsisRespiratory Distress Syndrome (Neonatal Medicine)Pulmonary MedicineAir LeakRelative IncidenceAcute MedicineMedicineRetrospective Chart ReviewPulmonary Disease
Adult respiratory distress syndrome, commonly seen in adults, is not well recognized in children. A retrospective chart review was carried out to determine the relative incidence, predisposing conditions, clinical course, and outcome of children with adult respiratory distress syndrome. fifteen patients were identified. The most common predisposing conditions were near-drowning and near-strangulation with a noticeable absence of major trauma. Mortality was 60%. Death was most often secondary to central nervous system complications. Air leak was the most common complication of treatment. Two of six survivors suffered major neurologic handicaps. Long-term pulmonary sequelae were minimal.