title: Ultrasound-guided lung recruitment in a 3-month-old infant with acute respiratory distress syndrome.
abstract: The reversal of lung collapse is one of the challenges of lung injury prevention in pediatric acute respiratory distress syndrome. In this case, lung recruitment maneuver (RM) with positive end-expiratory pressure under computed tomography guidance is the procedure of choice, but cumulative ionizing radiation exposure is a major radiologic concern, especially in infants. Real-time guidance of lung recruitment under bedside lung ultrasound (US) assessment in adults has shown to be an effective procedure for performing RM that avoids ionizing radiation overexposure. We report a case of US-guided lung recruitment procedure applied in an infant with severe acute respiratory distress syndrome and advocate that the lung US-guided RM in infants is a feasible and safe procedure.
authors.affiliation: *Pediatric Radiology, †Pediatric Intensive Care Unit, and ‡Diagnostic Imaging Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.
authors.forename: Yoshino Tamaki
authors.initials: YT
authors.lastname: Sameshima
authors.forename: João Fernando
authors.initials: JF
authors.lastname: Lourenço de Almeida
authors.forename: Murilo Marques Almeida
authors.initials: MM
authors.lastname: Silva
authors.forename: Renata
authors.initials: R
authors.lastname: Remondini
authors.forename: Luciana Branco
authors.initials: LB
authors.lastname: Haddad
authors.forename: Miguel José Francisco
authors.initials: MJ
authors.lastname: Neto
authors.forename: Marcelo
authors.initials: M
authors.lastname: Buarque de Gusmão Funari
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D011175:Positive-Pressure Respiration / Q000379:methods*; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging* / Q000628:therapy*; D012128:Respiratory Distress Syndrome / Q000000981:diagnostic imaging* / Q000628:therapy*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*