Acute respiratory distress syndrome in a child with cerebral palsy

摘要: Background: We report a case of pulmonary edema following laryngospasm in child with cerebral palsy. Even though the initial presentation was suggestive negative pressure edema, diagnosis acute respiratory syndrome made later. discuss need to differentiate lung injury or distress from simple edema.Case report: An 8-year-old-girl palsy developed shortly after extubation. Serious oxygen desaturation ensued, treated 100% Oxygen and continuous positive airway pressure. Within minutes patient clinical features resembling edema. Blood stained secretions appeared tracheal tube re-intubation. Chest X-ray showed bilateral ‘fluffy’ infiltrates normal heart size PaO2:FIO2 remained <200 for more than 24 hours, syndrome. Child recovered few days intensive management critical care unit.Conclusion: Differentiating will help initiate aggressive improve outcome.