Severe respiratory infection in a child

Prof. Petr Štourač, MD, PhD, MBA, FESAIC, Vladislav Nezval, MD, Pavel Brančík, Sylvia Šefčík
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Severe respiratory infection in a child

The airways are most often affected by infectious inflammatory diseases and these are usually not serious. A more severe course may be expected mostly in children, the elderly and patients with a compromised immune system. In this algorithm we encounter a severe course of infectious disease of the airways in a child and learn the therapy options.

2018
ECMO
HFOV
oxygen therapy
pneumonia
rescue maneuvers
Published at: 1.6.2018

Review

Václav Vobruba, MD, PhD
Václav Vobruba, MD, PhD
Chief Physician of Pediatric and newborn intensive and resuscitation care unit, Clinic of Pediatrics and Adolescent Medicine, General University Hospital, Prague, and 1st Faculty of Medicine, Charles University in Prague; Czech Republic, chief physician of ECMO centre and president of the section of Pediatric anesthesia and intensive care medicine of Czech Society of Anaesthesiology and Intensive Care Medicine

This algorithm deals with a current topic, discussed in the pediatric intensive care units when deciding the best course of treatment of acute respiratory distress syndrome in children. It’s necessary to remember that even today, severe respiratory disease can end fatally. The presented algorithm of treatment will surely contribute  to the education of the targeted group of professionals. 

Sources

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ŠEVČÍK, Pavel, ČERNÝ, Vladimír, VÍTOVEC, Jiří et al. Intenzívní medicína. 2nd edition. Praha: Galén, 2003. ISBN 80-7262-203-X

ŠEVČÍK, Pavel, SKŘIČKOVÁ, Jana, ŠRÁMEK, Vladimír et al. Záněty plic v intenzivní medicíně. Praha: Galén, 2004. ISBN 80-7262-278-1

MACLAREN, Graeme, Steve CONRAD a Giles PEEK. Indications for Pediatric Respiratory Extracorporeal Life Support [online]. 2015, , 8 [cit. 2018-03-04]. Available on: https://www.elso.org/Portals/0/Files/ELSO%20guidelines%20paeds%20resp_May2015.pdf

DÜNSER, Martin, Walter HASIBEDER, Michael RIEGER a Andreas J. MAYR. Successful therapy of severe pneumonia-associated ARDS after pneumonectomy with ECMO and steroids. 2004, , 3. DOI: 10.1016/S0003-4975(03)01264-5.

BĚLOHLÁVEK, Jan. Profil pacientů léčených extrakorporální membránovou oxygenací (ECMO) [online]. 2010, 9(3), 8 [cit. 2018-03-16]. Available on: https://www.iakardiologie.cz/pdfs/kar/2010/03/02.pdf

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