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Use of esophageal balloon manometry in the management of pediatric acute respiratory distress syndrome

There is paucity of literature regarding the use of esophageal balloon manometry in the management of Pediatric Acute Respiratory Distress Syndrome. We describe our first ever experience of successful usage of esophageal balloon pressure manometry in a child with acute respiratory distress syndrome....

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Autores principales: Insley, Elena, Pezzano, Chad, Ambati, Shashikanth, Lydon, Darren, Walker, Don, Barry, Suzanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7168762/
https://www.ncbi.nlm.nih.gov/pubmed/32322480
http://dx.doi.org/10.1016/j.rmcr.2020.101058
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author Insley, Elena
Pezzano, Chad
Ambati, Shashikanth
Lydon, Darren
Walker, Don
Barry, Suzanne
author_facet Insley, Elena
Pezzano, Chad
Ambati, Shashikanth
Lydon, Darren
Walker, Don
Barry, Suzanne
author_sort Insley, Elena
collection PubMed
description There is paucity of literature regarding the use of esophageal balloon manometry in the management of Pediatric Acute Respiratory Distress Syndrome. We describe our first ever experience of successful usage of esophageal balloon pressure manometry in a child with acute respiratory distress syndrome. This is a six-year-old girl who presented with shortness of breath and fever and was found to be in severe acute respiratory distress syndrome due to septic shock secondary to group A streptococcus. The patient was managed using an esophageal balloon manometry for positive end-expiratory pressure titration. She was liberated from invasive mechanical ventilation on day 7 of hospital course. Esophageal balloon manometry guided positive end-expiratory pressure for 103 out of 155 hours of ventilation with no obvious sequelae. Our case shows the feasibility of transpulmonary pressure measurements in pediatric patients. This practice may be useful to optimize management in pediatric acute respiratory distress syndrome to improve outcomes.
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spelling pubmed-71687622020-04-22 Use of esophageal balloon manometry in the management of pediatric acute respiratory distress syndrome Insley, Elena Pezzano, Chad Ambati, Shashikanth Lydon, Darren Walker, Don Barry, Suzanne Respir Med Case Rep Case Report There is paucity of literature regarding the use of esophageal balloon manometry in the management of Pediatric Acute Respiratory Distress Syndrome. We describe our first ever experience of successful usage of esophageal balloon pressure manometry in a child with acute respiratory distress syndrome. This is a six-year-old girl who presented with shortness of breath and fever and was found to be in severe acute respiratory distress syndrome due to septic shock secondary to group A streptococcus. The patient was managed using an esophageal balloon manometry for positive end-expiratory pressure titration. She was liberated from invasive mechanical ventilation on day 7 of hospital course. Esophageal balloon manometry guided positive end-expiratory pressure for 103 out of 155 hours of ventilation with no obvious sequelae. Our case shows the feasibility of transpulmonary pressure measurements in pediatric patients. This practice may be useful to optimize management in pediatric acute respiratory distress syndrome to improve outcomes. Elsevier 2020-04-12 /pmc/articles/PMC7168762/ /pubmed/32322480 http://dx.doi.org/10.1016/j.rmcr.2020.101058 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Insley, Elena
Pezzano, Chad
Ambati, Shashikanth
Lydon, Darren
Walker, Don
Barry, Suzanne
Use of esophageal balloon manometry in the management of pediatric acute respiratory distress syndrome
title Use of esophageal balloon manometry in the management of pediatric acute respiratory distress syndrome
title_full Use of esophageal balloon manometry in the management of pediatric acute respiratory distress syndrome
title_fullStr Use of esophageal balloon manometry in the management of pediatric acute respiratory distress syndrome
title_full_unstemmed Use of esophageal balloon manometry in the management of pediatric acute respiratory distress syndrome
title_short Use of esophageal balloon manometry in the management of pediatric acute respiratory distress syndrome
title_sort use of esophageal balloon manometry in the management of pediatric acute respiratory distress syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7168762/
https://www.ncbi.nlm.nih.gov/pubmed/32322480
http://dx.doi.org/10.1016/j.rmcr.2020.101058
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