Respiratory Therapy Peculiarities for Acute Respiratory Distress Syndrome in Children with Sepsis: A Narrative Review.

Respiratory therapy for acute respiratory distress syndrome (ARDS) is a crucial link to the positive outcome of treatment in patients in the intensive care unit (ICU). A particular category of patients is children with ARDS and concomitant septic processes in the body. Difficulties arise in the successful intensive care of such patients due to the peculiarities of formulating clear diagnostic criteria for co-occurring pathological processes and the anatomical and physiological features of the respiratory system in children. It should be emphasized that artificial lung ventilation (ALV) in children with ARDS is not entirely unambiguous, and the currently available protocol for "protective" ventilation in children with ARDS entails many complications that aggravate the course of sepsis. This review aims to study current recommendations for diagnosing sepsis and acute respiratory distress syndrome in children, the features of the generally accepted mechanical ventilation protocol in children with ARDS, and possible ways to improve its effectiveness. The article reflects the epidemiology, current definitions, and diagnostic methods of pediatric sepsis and ARDS, as well as the peculiarities of ventilation in children with ARDS.