Pediatr Allergy Respir Dis.  1997 Mar;7(1):106-112.

Treatment of Acute RespiratoIY Distress Syndrome in an Infant with Respiratory Syncytial Virus Pneumonia using High Frequency Oscinatory Ventnation

• Kim JH
• Chang YS
• Park WS
• Lee SI

Abstract

Respiratory syncytial virus pneumonia in a 6-month-old male infant progressed to acute respiratory distress syndrome. He had an acute and rapidly progressive Pulmonary disease, in association with progressive, diffuse, bilateral pulmonary infiltrates on the chest radiograph, and hypoxemia(PaO2/FiO2 ratio of 98.2 with PEEP) without evidence of cardiac disease. High frequency oscillatory ventilation(HFOV) was instituted after worsening of oxygenation with conventional ventilation. High frequency oscillatory ventilation improved oxygenation without any complications-After 8 days of HFOV, conventional ventilation was instituted with- out impairment of oxygenation-After 13 days of total mechanical ventilation, he was extubated and soon after discharged home. High frequency oscillatory ventilation provide good results of oxygenation and ventilation in infants with ARDS. Further evaluation of safety and efficacy of HFOV will Fequire carefully designed, randomized, controlled studies of patients with acute respiratory distress syndrome.

Keyword

Acute respiratory distress syndrome; High frequency oscillatory ventilation

MeSH Terms

Heart Diseases
Humans
Infant*
Lung Diseases
Male
Oxygen
Pneumonia*
Radiography, Thoracic
Respiration, Artificial
Respiratory Distress Syndrome, Adult
Respiratory Syncytial Viruses*
Ventilation
Oxygen