Surfactant treatment of an infant with acute idiopathic pulmonary hemorrhage

Tara M. Neumayr, Andrea M. Watson, Mark E. Wylam, Yves Ouellette

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

OBJECTIVE: 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. DESIGN: Case report. SETTING: Tertiary care center pediatric intensive care unit. PATIENT: Four-week-old infant. MAIN RESULT: Clinical improvement of respiratory distress as evidenced by 50% reduction in oxygenation index and subsequent extubation. CONCLUSION: 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.

Original languageEnglish (US)
Pages (from-to)e4-e6
JournalPediatric Critical Care Medicine
Volume9
Issue number1
DOIs
StatePublished - Jan 2008

Keywords

  • Hemoptysis
  • Pulmonary hemorrhage
  • Respiratory distress
  • Surfactant

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Critical Care and Intensive Care Medicine

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