Adult respiratory distress syndrome in a child with acute epiglottitis

Intubation of a 23-month-old child suffering epiglottitis was complicated by pulmonary edema progressing to the adult respiratory distress syndrome. Increased pulmonary shunt and pulmonary hypertension required high levels of positive end-expiratory pressure and prolonged mechanical ventilation to c...

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Bibliographic Details
Published inCritical care medicine Vol. 14; no. 1; p. 74
Main Authors Musewe, N N, Frewen, T C, Cunningham, D
Format Journal Article
LanguageEnglish
Published United States 01.01.1986
Subjects
Acute Disease
Epiglottitis - complications
Humans
Infant
Laryngitis - complications
Male
Pulmonary Edema - complications
Respiratory Distress Syndrome, Adult - etiology
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Summary:Intubation of a 23-month-old child suffering epiglottitis was complicated by pulmonary edema progressing to the adult respiratory distress syndrome. Increased pulmonary shunt and pulmonary hypertension required high levels of positive end-expiratory pressure and prolonged mechanical ventilation to correct hypoxemia. A possible role for a cuffed endotracheal tube in epiglottitis is discussed.
ISSN:0090-3493
DOI:10.1097/00003246-198601000-00020