Document Detail


Surfactant treatment in a pediatric burn patient with respiratory failure.
MedLine Citation:
PMID:  10608328     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report describes surfactant treatment in a burned infant with severe respiratory failure. In this patient the instillation of surfactant rapidly improved compliance, oxygen index (OI), and alveolar-capillary oxygen gradient (AaDO2), while the need for oxygen supplementation and peak positive pressure drastically decreased. The treatment was repeated after 12 hours. Although the baby had severe clinical course complications as a Gram-negative sepsis and a subglottic stenosis, she was weaned from oxygen therapy and mechanical ventilation in few weeks. Surfactant dysfunctions seem to play a central role in the respiratory insufficiency of burned patients, and its exogenous replacements could improve their outcome.
Authors:
L Tortorolo; A Chiaretti; M Piastra; L Viola; G Polidori
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric emergency care     Volume:  15     ISSN:  0749-5161     ISO Abbreviation:  Pediatr Emerg Care     Publication Date:  1999 Dec 
Date Detail:
Created Date:  2000-01-19     Completed Date:  2000-01-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8507560     Medline TA:  Pediatr Emerg Care     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  410-1     Citation Subset:  IM    
Affiliation:
Pediatric Intensive Care Unit, Institute of Pediatrics, Catholic University of Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Burns, Inhalation / complications*,  therapy
Child, Preschool
Female
Humans
Pulmonary Surfactants / therapeutic use*
Respiration, Artificial
Respiratory Distress Syndrome, Adult / drug therapy*,  etiology,  physiopathology
Respiratory Insufficiency / drug therapy*,  etiology,  physiopathology
Chemical
Reg. No./Substance:
0/Pulmonary Surfactants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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