[Therapeutic bilateral lung lavage in an adolescent with pulmonary alveolar proteinosis. Case report].

Pulmonary alveolar proteinosis is an unusual diffuse lung disease characterized by abnormal accumulation of pulmonary surfactant and lipoproteins in the alveolar space, which impairs gas exchange with a variable clinical course, ranging from an asymptomatic clinical presentation to severely affected respiratory failure. A 16-year-old girl with diagnosis of pulmonary alveolar proteinosis presented to our hospital for therapeutic lung lavage after a recent history of progressive dyspnea, respiratory distress, declining lung function measurements, and worsening radiographic abnormalities. We obtained baseline pulmonary function tests and laboratory measurements before and after therapeutic bilateral lung lavage.

Post-extubation non-invasive ventilation in the pediatric intensive care unit: a multicenter study.

Introduction: Extubation failure is a complication that increases morbidity and mortality. Noninvasive ventilation (NIV) has demonstrated to be effective as ventilatory support therapy.

Objective: To determine the rate of postextubation NIV success and the factors associated with procedural failure or success.

Implementation of a Ventilator-Associated Pneumonia Prevention Bundle in a Single PICU.

Objective: Ventilator-associated pneumonia is considered the second most frequent infection in pediatric intensive care, and there is agreement on its association with higher morbidity and increased healthcare costs. The goal of this study was to apply a bundle for ventilator-associated pneumonia prevention as a process for quality improvement in the PICU of Hospital Italiano de Buenos Aires, Argentina, aiming to decrease baseline ventilator-associated pneumonia rate by 25% every 6 months over a period of 2 years.

Design: Quasi-experimental uninterrupted time series.