Adult respiratory distress syndrome in a child with acute epiglottitis

Intubation of a 23-month-old child suffering epiglottitis was complicated by pulmonary edema progressing to the adult respiratory distress syndrome. Increased pulmonary shunt and pulmonary hypertension required high levels of positive end-expiratory pressure and prolonged mechanical ventilation to c...

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Veröffentlicht in:	Critical care medicine 1986-01, Vol.14 (1), p.74-75
Hauptverfasser:	MUSEWE, NORMAN N, FREWEN, TIMOTHY C, CUNNINGHAM, DAVID
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Emergency and intensive respiratory care Epiglottitis - complications Humans Infant Intensive care medicine Laryngitis - complications Male Medical sciences Pulmonary Edema - complications Respiratory Distress Syndrome, Adult - etiology
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Zusammenfassung:	Intubation of a 23-month-old child suffering epiglottitis was complicated by pulmonary edema progressing to the adult respiratory distress syndrome. Increased pulmonary shunt and pulmonary hypertension required high levels of positive end-expiratory pressure and prolonged mechanical ventilation to correct hypoxemia. A possible role for a cuffed endotracheal tube in epiglottitis is discussed.
ISSN:	0090-3493 1530-0293
DOI:	10.1097/00003246-198601000-00020