Mortality due to ARDS of all etiologies is at least 50%. However, mortality due to ARDS induced by pulmonary aspiration of gastric contents is reportedly greater than 90%. We report the cases of 3 children who aspirated gastric contents and who were subsequently treated with intratracheal surfactant in the hope of reversing the pulmonary dysfunction-hypoxemia and low compliance-associated with their ARDS. All 3 patients demonstrated improvement in oxygenation and compliance after the first dose of surfactant and 2 survived without apparent pulmonary morbidity; 1 patient did not survive but did show transient improvement. Well-controlled clinical trials are needed to expose the therapeutic benefit of surfactant therapy in ARDS from aspiration of gastric contents.
|Original language||English (US)|
|Number of pages||5|
|State||Published - Jan 1 1994|
All Science Journal Classification (ASJC) codes
- Pulmonary and Respiratory Medicine
- Critical Care and Intensive Care Medicine