Pediatric Acute Respiratory Distress Syndrome Updates in the Light of the PALICC-2 Guidelines.

Abstract

Acute respiratory distress syndrome (ARDS) was first described in adults. However, the risk factors for the development of ARDS, etiological causes, and the pathophysiology of the disease, as well as morbidity and mortality, are not the same in children and adults. Since adult definitions were used for many years and the definition of pediatric ARDS was not clear within these definitions, this situation caused the prevalence of pediatric ARDS to be underestimated. For the reasons stated above, the pediatric ARDS (PARDS) definition, which is made considering only children and is used today, was made by "The Pediatric Acute Lung Injury Consensus Conference (PALICC) Group" in 2015, and new updates were published in the PALICC-2 guideline in 2023. The aim of this review is to summarize the diagnostic and treatment approaches of PARDS according to the PALICC-2 guideline recommendations.