The reversal of lung collapse is one of the challenges of lung injury prevention in pediatric acute respiratory distress syndrome. In this case, lung recruitment maneuver (RM) with positive end-expiratory pressure under computed tomography guidance is the procedure of choice, but cumulative ionizing radiation exposure is a major radiologic concern, especially in infants. Real-time guidance of lung recruitment under bedside lung ultrasound (US) assessment in adults has shown to be an effective procedure for performing RM that avoids ionizing radiation overexposure. We report a case of US-guided lung recruitment procedure applied in an infant with severe acute respiratory distress syndrome and advocate that the lung US-guided RM in infants is a feasible and safe procedure.
*Pediatric Radiology, †Pediatric Intensive Care Unit, and ‡Diagnostic Imaging Department, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Received for publication October 9, 2013; accepted February 6, 2014.
The authors declare no conflict of interest.
Reprints: Yoshino Tamaki Sameshima, MD, Diagnostic Imaging Department, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, São Paulo, SP, Brazil (e-mail: email@example.com).
All authors participated in writing the case report.