Use of esophageal balloon manometry in the management of pediatric acute respiratory distress syndrome.
Acute respiratory distress syndrome
Esophageal balloon
Esophageal manometry
Pediatric
Pediatric acute respiratory distress syndrome
Journal
Respiratory medicine case reports
ISSN: 2213-0071
Titre abrégé: Respir Med Case Rep
Pays: England
ID NLM: 101604463
Informations de publication
Date de publication:
2020
2020
Historique:
received:
25
02
2020
revised:
03
04
2020
accepted:
11
04
2020
entrez:
24
4
2020
pubmed:
24
4
2020
medline:
24
4
2020
Statut:
epublish
Résumé
There is paucity of literature regarding the use of esophageal balloon manometry in the management of Pediatric Acute Respiratory Distress Syndrome. We describe our first ever experience of successful usage of esophageal balloon pressure manometry in a child with acute respiratory distress syndrome. This is a six-year-old girl who presented with shortness of breath and fever and was found to be in severe acute respiratory distress syndrome due to septic shock secondary to group A streptococcus. The patient was managed using an esophageal balloon manometry for positive end-expiratory pressure titration. She was liberated from invasive mechanical ventilation on day 7 of hospital course. Esophageal balloon manometry guided positive end-expiratory pressure for 103 out of 155 hours of ventilation with no obvious sequelae. Our case shows the feasibility of transpulmonary pressure measurements in pediatric patients. This practice may be useful to optimize management in pediatric acute respiratory distress syndrome to improve outcomes.
Identifiants
pubmed: 32322480
doi: 10.1016/j.rmcr.2020.101058
pii: S2213-0071(20)30057-5
pii: 101058
pmc: PMC7168762
doi:
Types de publication
Case Reports
Langues
eng
Pagination
101058Informations de copyright
© 2020 The Authors.
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