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Critical treatment strategies for acute pulmonary hypertension in infants and children: Pediatric Cardiac Intensive Care Society Scientific Statement

2010; Lippincott Williams & Wilkins; Volume: 11; Linguagem: Inglês

10.1097/pcc.0b013e3181d10d87

1947-3893

Therese M. Giglia, Ronald A. Bronicki, Paul A. Checchia, Peter C. Laussen,

Mechanical Circulatory Support Devices

The Pediatric Cardiac Intensive Care Society (PCICS) dedicates a half-day symposium of each International Conference to a topic of important and timely interest. Critical Treatment Strategies for Acute Pulmonary Hypertension in Infants and Children was chosen as the Scientific Statement for the PCICS 7th International Conference in December 2008 in Miami, Florida. The goal of the PCICS symposium and this subsequent supplement to Pediatric Critical Care Medicine was to critically review the available data on the state-of-the-art management of acute pulmonary hypertension in children. Veteran experts in the field, along with newer investigators, were chosen to review and summarize data from human studies, including relevant adult studies, and generate recommendations as appropriate. The authors were asked to apply classifications to all recommendations and assign levels of evidence as outlined by Gibbons et al (1–3). The results were presented as a half-day symposium of the PCICS 7th International Conference for discussion, debate, and revision. The guest editors, along with a scientific editorial committee of PCICS, generated final recommendations in conjunction with the individual authors. This supplement is the culmination of that work and, as such, represents a summary of the latest clinical advances in treating acute pulmonary hypertension in children. It is, however, tempered by the editorial of Macrae and Wessel, which serves as a sobering reminder of the limitations of current knowledge and the challenges that lie ahead. It is the belief of PCICS that it is only through such rigorous analysis of the available data that knowledge generated in the laboratory and from clinical studies will translate into both subsequent investigation and helpful ways to care for the complex patients who depend on our care. Therese M. Giglia, MD Cardiac Intensive Care Unit and Cardiac Care Unit Division of Cardiology The Children's Hospital of Philadelphia Philadelphia, PA Ronald Bronicki, MD Liaison to the Board of Directors Pediatric Cardiac Intensive Care Society Orange County, CA Paul A. Checchia, MD St. Louis, MO Vice-President, North America Pediatric Cardiac Intensive Care Society Peter C. Laussen, MBBS Board of Directors Pediatric Cardiac Intensive Care Society