Pediatric acute respiratory distress syndrome: consensus recommendations from the Pediatric Acute Lung Injury Consensus Conference.
Pediatric acute respiratory distress syndrome: consensus recommendations from the Pediatric Acute Lung Injury Consensus Conference.
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小儿急性呼吸窘迫综合征：来自小儿急性肺损伤共识会议的共识推荐意见
DOI：
10.1097/pcc.0000000000000350
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发表时间：
2015-06
期刊：
影响因子：
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通讯作者：
Pediatric Acute Lung Injury Consensus Conference Group
中科院分区：
文献类型：
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作者：
Pediatric Acute Lung Injury Consensus Conference Group
描述儿科急性肺损伤共识会议的最终建议。儿科急性肺损伤专家共识会议。不适用因有急性肺损伤或急性呼吸窘迫综合征证据的PICU患者。没有。一个由27名专家组成的小组在2年的时间里开会，制定一个分类法来定义儿科急性呼吸窘迫综合征，并就治疗和研究重点提出建议。发表时，数据缺乏一个修改后的德尔菲方法，强调使用强有力的专业协议。一个由27名专家组成的小组在2年的时间里开会，制定一个分类法来定义儿科急性呼吸窘迫综合征，并就治疗和研究重点提出建议。当发表的数据缺乏修改后的德尔菲方法强调强专业协议被使用。儿科急性肺损伤共识会议专家制定并投票表决了共151项建议，涉及以下与儿科急性呼吸窘迫综合征相关的主题：1）定义、患病率和流行病学; 2）病理生理学、合并症和严重程度; 3）通气支持; 4）肺部特异性辅助治疗; 5）非肺部治疗; 6）监测; 7）无创支持和通气; 8）体外支持; 9）死亡率和长期结局。有132项建议得到很大同意，19项建议得到较弱同意。一旦重述，最后一次提出的建议没有一项是平衡的或不同意的。共识会议制定了急性呼吸窘迫综合征的儿科特定定义，并就治疗和未来研究重点提出了建议。这些旨在促进对儿科急性呼吸窘迫综合征儿童护理的优化和一致性，并确定需要进一步调查的不确定性领域。
To describe the final recommendations of the Pediatric Acute Lung Injury Consensus Conference. Consensus conference of experts in pediatric acute lung injury. Not applicable. PICU patients with evidence of acute lung injury or acute respiratory distress syndrome. None. A panel of 27 experts met over the course of 2 years to develop a taxonomy to define pediatric acute respiratory distress syndrome and to make recommendations regarding treatment and research priorities. When published, data were lacking a modified Delphi approach emphasizing strong professional agreement was used. A panel of 27 experts met over the course of 2 years to develop a taxonomy to define pediatric acute respiratory distress syndrome and to make recommendations regarding treatment and research priorities. When published data were lacking a modified Delphi approach emphasizing strong professional agreement was used. The Pediatric Acute Lung Injury Consensus Conference experts developed and voted on a total of 151 recommendations addressing the following topics related to pediatric acute respiratory distress syndrome: 1) Definition, prevalence, and epidemiology; 2) Pathophysiology, comorbidities, and severity; 3) Ventilatory support; 4) Pulmonary-specific ancillary treatment; 5) Nonpulmonary treatment; 6) Monitoring; 7) Noninvasive support and ventilation; 8) Extracorporeal support; and 9) Morbidity and long-term outcomes. There were 132 recommendations with strong agreement and 19 recommendations with weak agreement. Once restated, the final iteration of the recommendations had none with equipoise or disagreement. The Consensus Conference developed pediatric-specific definitions for acute respiratory distress syndrome and recommendations regarding treatment and future research priorities. These are intended to promote optimization and consistency of care for children with pediatric acute respiratory distress syndrome and identify areas of uncertainty requiring further investigation.