A 4-year-old child with severe pneumonia is mechanically ventilated for hypoxemic respiratory failure. On day 3, oxygen requirement increases (FiO₂ 0.75), PEEP is 8 cmH₂O, and plateau pressures are rising. The child develops tachycardia, increasing ventilator asynchrony, and decreased right-sided breath sounds. Bedside lung ultrasound is performed. The image above is obtained from the right … Read more

A 2-day-old term neonate, birth weight 3.2 kg, is admitted urgently to the Pediatric Cardiac ICU for profound cyanosis noted shortly after birth. Pregnancy and delivery were uncomplicated, and Apgar scores were reassuring. However, within hours, the infant developed persistent hypoxemia with oxygen saturations in the 60s despite 100% oxygen.The infant is tachypneic but not … Read more

A 3-month-old infant, weight 4.5 kg, is admitted to the Pediatric Cardiac ICU from the emergency department for worsening cyanosis and episodic desaturations, particularly during agitation and feeding. The infant was born at term, has had poor weight gain, and has not undergone prior cardiac surgery.On arrival to the ICU, the child is tachypneic with … Read more