Current Concepts in Pediatric Critical Care-Panel Discussion II

Video Transcription

Video Summary

The discussion centered around the complexities and controversial aspects of treatment strategies for pediatric acute respiratory distress syndrome (ARDS) and hyper-inflammatory responses in oncocritical care. Dr. Cromwell noted that there is limited evidence supporting the efficacy of prone or supine positioning in severe ARDS, with ongoing trials exploring different ventilation strategies. Dr. Haines shared insights into hyper-inflammation in oncocritical care, highlighting the role of inadequate antigen clearance in immunocompromised patients. She mentioned using steroids and immunomodulators like anikinra in severe or rapidly deteriorating cases, emphasizing individualized treatment based on the patient’s clinical presentation and contraindications. Discussions also touched on the risks and benefits of GM-CSF in managing immune responses, with concerns about IRIS and the potential for exacerbating conditions like ARDS. There was also mention of the need for precision in administering immunosuppressants, taking into account infection management and balancing the inflammatory response.

Keywords

pediatric ARDS

hyper-inflammatory responses

ventilation strategies

immunocompromised patients

immunomodulators

oncocritical care

	Society of Critical Care Medicine 500 Midway Drive Mount Prospect, IL 60056 USA Phone: +1 847 827-6888 Fax: +1 847 439-7226 Email: support@sccm.org	Contact Us About SCCM Newsroom Advertising & Sponsorship DONATE	MySCCM LearnICU Patients & Families Surviving Sepsis Campaign Critical Care Societies Collaborative	GET OUR NEWSLETTER
© Society of Critical Care Medicine. All rights reserved. \| Privacy Statement \| Terms & Conditions The Society of Critical Care Medicine, SCCM, and Critical Care Congress are registered trademarks of the Society of Critical Care Medicine.