RESUMEN
We report successful use of methyl-prednisolone in a 21-month old child with ARDS that did not improve with conventional therapy. The child improved and could be extubated after 10 days of methylprednisolone therapy. Subsequently, the child was weaned off supplementary oxygen. Methylprednisolone appeared to be safe and effective in a child with unresolving ARDS.
Asunto(s)
Antiinflamatorios/uso terapéutico , Humanos , Lactante , Masculino , Metilprednisolona/uso terapéutico , Síndrome de Dificultad Respiratoria/tratamiento farmacológico , Insuficiencia del Tratamiento , Resultado del TratamientoRESUMEN
We present here a 4 year old child with severe tracheal stenosis and respiratory failure. The patient was not responding to conventional ventilation settings and had significant hypercarbia. The difficulty in mechanical ventilation was handled successfully with specific ventilatory strategy: use of low respiratory rate, long inspiratory time and normal inspiratory time: expiratory time ratio. Thereafter the child was managed surgically and the stenosis was corrected. The child was discharged after a Montgomery T-tube placement.