¿Puede el CPAP prevenir la progresión del síndrome de distrés respiratorio agudo pediátrico? Experiencia de una década en un Centro de Referencia

Translated title of the contribution: Can CPAP prevent the progression of pediatric acute respiratory distress syndrome? A decade of experience in a Reference Center

Marcos González, Pablo Cruces

Research output: Contribution to journalArticle in an indexed scientific journalpeer-review

Abstract

Viral infections are the main cause of acute respiratory failure in infants, which can progress to acute respiratory distress syndrome (ARDS), with high morbidity and mortality, so it is essential to imple-ment strategies that prevent this progression. Recently, it has been proposed that increased work of breathing would not only be a warning symptom during the evolution of acute respiratory failure, but also a mechanism for the progression of injury, both lungs and diaphragm, coining the concept of patient self-inflicted lung injury. Since the first reports of ARDS, the usefulness of the use of continuous positive airway pressure (CPAP) has been raised, a non-invasive respiratory support therapy with wide access and low cost, capable of improving oxygenation and work of breathing. In this re-view, we summarize the current concepts of physiological bases, preclinical and clinical studies that support the theoretical capacity of CPAP to prevent ARDS progression, and the clinical experience of early implementation of bubble CPAP in the Pediatric Ward of the Hospital Dr. Franco Ravera Zunino, allowing a marked reduction in pediatric ICU admissions and the use of invasive mechanical ventilation.

Translated title of the contributionCan CPAP prevent the progression of pediatric acute respiratory distress syndrome? A decade of experience in a Reference Center
Original languageSpanish
Pages (from-to)506-514
Number of pages9
JournalAndes Pediatrica
Volume95
Issue number5
DOIs
StatePublished - 1 Sep 2024
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2024, Sociedad Chilena de Pediatria. All rights reserved.

Fingerprint

Dive into the research topics of 'Can CPAP prevent the progression of pediatric acute respiratory distress syndrome? A decade of experience in a Reference Center'. Together they form a unique fingerprint.

Cite this