SCCM Resource Library-Lessons Learned From Clinical Studies in Pediatric ARDS

Video Transcription

Video Summary

The speaker discusses the lessons learned from clinical studies in pediatric ARDS (acute respiratory distress syndrome). The Pediatric Acute Lung Injury Consensus Conference (PALICC) created a pediatric-specific definition for ARDS and made clinical recommendations related to its management. The speaker highlights the need for a pediatric-specific definition due to the differences between adult and pediatric ARDS. The PALICC Definition was based on consensus opinion and some older studies, but its performance in practice was unclear. The PARTY study attempted to understand the implications of the PALICC Definition and found that it identified patients with ARDS earlier than the Berlin Definition. Other lessons learned include the limited discrimination of mortality risk between mild and moderate ARDS, the use of non-invasive ventilation without increasing the risk of harm, the importance of tidal volume and PEEP management, the variation in ancillary therapies usage, the need to consider post-ICU outcomes, and the importance of considering resource availability in defining and treating pediatric ARDS. The speaker finishes by highlighting upcoming updates to the PALICC recommendations.

Asset Subtitle

Pulmonary, Pediatrics, 2022

Asset Caption

Pediatric acute respiratory distress syndrome (PARDS) is a manifestation of severe lung injury with a mortality rate of up to 35%. Despite this significance of PARDS in critically ill mechanically ventilated children, respiratory management remains largely supportive, with no data to support one approach over another. This session will highlight advances in the understanding of PARDS by relating experimental models to clinical experience and discussing recent advances in respiratory monitoring and management of PARDS and the identification of biomarkers that can be used for disease stratification and prognostication. Speakers will also discuss how to design clinical trials of PARDS, delivering much-needed scientific knowledge

Meta Tag

Content Type Presentation

Knowledge Area Pulmonary

Knowledge Area Pediatrics

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Acute Respiratory Distress Syndrome ARDS

Tag Pediatrics

Year 2022

Keywords

pediatric ARDS

PALICC Definition

PARTY study

mortality risk

non-invasive ventilation

resource availability

	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.