ARDS definitions in children: one step forward

Fioretto, José Roberto; Carvalho, Werther Brunow de

doi:10.1016/j.jped.2013.12.004

Cited by 1 publication

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Newer, so-called Berlin Definition from 2012 divided ARDS into three categories according to severity of hypoxemia to: mild (PaO 2 /FiO 2 200–300 mmHg), moderate (PaO 2 /FiO 2 100–200 mmHg) and severe (PaO 2 /FiO 2 < 100 mmHg) forms of ARDS [4,5], while a value of PaO 2 /FiO 2 was considered with a value of positive end-expiratory pressure (PEEP) of at least 5 cmH 2 O (0.5 kPa). The term “acute lung injury” used for the milder form of the lung damage in the older definition was omitted from the newer definition.…”

Section: Acute Lung Injurymentioning

confidence: 99%

Corticosteroids in Acute Lung Injury: The Dilemma Continues

Mokrá

Mikolka

Kosutova

et al. 2019

IJMS

101

View full text Add to dashboard Cite

Acute lung injury (ALI) represents a serious heterogenous pulmonary disorder with high mortality. Despite improved understanding of the pathophysiology, the efficacy of standard therapies such as lung-protective mechanical ventilation, prone positioning and administration of neuromuscular blocking agents is limited. Recent studies have shown some benefits of corticosteroids (CS). Prolonged use of CS can shorten duration of mechanical ventilation, duration of hospitalization or improve oxygenation, probably because of a wide spectrum of potentially desired actions including anti-inflammatory, antioxidant, pulmonary vasodilator and anti-oedematous effects. However, the results from experimental vs. clinical studies as well as among the clinical trials are often controversial, probably due to differences in the designs of the trials. Thus, before the use of CS in ARDS can be definitively confirmed or refused, the additional studies should be carried on to determine the most appropriate dosing, timing and choice of CS and to analyse the potential risks of CS administration in various groups of patients with ARDS.

show abstract

Section: Acute Lung Injurymentioning

confidence: 99%