[Acute respiratory distress syndrome in childhood: Changing definition and news from the Pediatric Consensus Conference].
Acute respiratory distress syndrome (ARDS) is a rapidly progressive hypoxemic respiratory insufficiency induced by alveolar filling mainly caused by alveolocapillary wall disruption, following direct or indirect pulmonary injury. Much less frequent in children than in adults, pediatric intensivists had long applied adult guidelines to their daily practice. In 2015, experts from the Pediatric Acute Lung Injury Consensus Conference (PALICC) published the first international guidelines specifically dedicated to pediatric ARDS. After a short summary of the history of the ARDS definition since its first report in 1967, we describe the main diagnostic and therapeutic guidelines for PALICC.
Service de réanimation et surveillance continue pédiatriques, pôle de pédiatrie médicale, et Inserm U1141, hôpital universitaire Robert-Debré, Assistance publique-Hôpitaux de Paris et Université Denis-Diderot, Paris VII, 48, boulevard Sérurier, 75019 Paris, France. Electronic address: stephane.dauger@aphp.fr.
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Dauger
Service de réanimation et surveillance continue pédiatriques, pôle de pédiatrie médicale, et Inserm U1141, hôpital universitaire Robert-Debré, Assistance publique-Hôpitaux de Paris et Université Denis-Diderot, Paris VII, 48, boulevard Sérurier, 75019 Paris, France.
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Le Bourgeois
Unité de réanimation pédiatrique, hôpital Pellegrin-Enfants, CHU Pellegrin, université Bordeaux II, place Amélie-Raba-Léon, 33076 Bordeaux, France.
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Guichoux
Unité de réanimation pédiatrique, hôpital Pellegrin-Enfants, CHU Pellegrin, université Bordeaux II, place Amélie-Raba-Léon, 33076 Bordeaux, France.
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Brissaud
D000293:Adolescent; D000328:Adult; D015824:Blood-Air Barrier / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011379:Prognosis; D012128:Respiratory Distress Syndrome / Q000175:diagnosis* / Q000401:mortality / Q000503:physiopathology / Q000628:therapy*; D012955:Societies, Medical; D015996:Survival Rate; D009626:Terminology as Topic; D055815:Young Adult