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Surfactant treatment of an infant with acute idiopathic pulmonary hemorrhage.

Research paper by Tara M TM Neumayr, Andrea M AM Watson, Mark E ME Wylam, Yves Y Ouellette

Indexed on: 15 May '08Published on: 15 May '08Published in: Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies



Abstract

To describe the successful use of surfactant for treatment of respiratory distress refractory to conventional mechanical ventilation in a 4-wk-old with pulmonary hemorrhage.Case report.Tertiary care center pediatric intensive care unit.Four-week-old infant.Clinical improvement of respiratory distress as evidenced by 50% reduction in oxygenation index and subsequent extubation.Pulmonary hemorrhage is a rare but potentially fatal condition in children. Previously described therapeutic approaches include high-frequency oscillation ventilation and extracorporeal membrane oxygenation. Infants with pulmonary hemorrhage and respiratory distress may benefit from a trial of surfactant before escalating care.