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Trial Luchetti 1998 Willson 1999 Inclusion criteria severe bronchiolitis , vented for 24 h without significant improvement PaO2/FiO2 <21 kpa and FiO2>60 on admission and at 24h PaCO2>5.6 kpa PIP >35 clinical and radiographic evidence of diffuse parenchymal lung injury less than 24 hours mechanical vented oxygenation index >7 term infants >1 day to 18 yrs infants RSV induced respiratory failure Exclusion criteria not reported Tibby 2000 Luchetti 2002 1 wk to 2 yrs resp failure due to RSV bronchilitis PaO2/FiO2 <150 and PaCO2 >40 PIP >35 on CMV at PEEP =0 Moller 2003 Willson 2005 ARDS Consensus Conference criteria lung injury score at least 2 ventilation between 12 and 120 hrs age between 44th postconceptual week and 14 years admission for at least 4 hours no echocardiographically detectable left heart failure PaO2/FiO2 ratio < 100 age 1 week to 21 years respiratory failure due to radiographic evidence of bilateral parenchymal lung disease within 24 hrs of initiation of mechanical ventilation (extended to 48 hrs after initial 50 patients) oxygenation index > 7 chronic lung disease status asthmaticus cardiogenic pulmonary edema or congestive heart failure or uncorrected congenital heart disease lethal brain injury neuromuscular disease uncorrected congenital heart disease pneumothorax ventilation >24h oxygenation index <5 ventilation index <20 head injury with GCS <8 brain death, imminent risk of death or terminal disease chronic lung disease preexisting airway disease congenital heart diseases neuromuscular diseases NO, HFO, ECMO, liquid ventilation or steroids for ARDS prostaglandins chronic lung disease participation in other clinical trials except treatment protocols and trials for oncological diseases severe hypoxemia prematurity status epilepticus head injury with GCS < 8 chronic lung disease defined by home O2 or diuretic use brain death DNR orders ongoing cardiopulmonary resuscitation limitation of life support significant airway disease that may delay extubation uncorrected congenital heart disease preexisting myocardial dysfunction cardiogenic pulmonary edema RSV: ARDS: HFO: ECMO: PaO2 : FiO2: Respiratory Syncytial Virus Acute Respiratory Distress Syndrome High Frequency Oscillatory ventilation Extracorporeal Membrane Oxygenation Arterial oxygen tension Fractional inspired oxygen

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