Related Experiment Video
Updated: May 13, 2026

Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs
Published on: October 31, 2025
Acute lung injury in children--kids really aren't just "little adults"
Neal J Thomas1, Philippe Jouvet, Douglas Willson
1Division of Pediatric Critical Care Medicine, Department of Pediatrics, Pennsylvania State University College of Medicine, Penn State Hershey Children's Hospital, Hershey, PA, USA. nthomas@hmc.psu.edu
Insights
Experts will convene to establish a consensus on pediatric acute lung injury (ALI) definitions, treatments, and outcomes. This aims to improve care and guide future research for better patient outcomes in pediatric ALI.
Area of Science:
- Pediatric critical care medicine
- Respiratory medicine
- Lung injury research
Background:
- Pediatric acute lung injury (ALI) remains a significant challenge with high morbidity and mortality.
- Current understanding of pediatric ALI is limited despite extensive research.
- There is a need for standardized definitions and treatment protocols.
Purpose of the Study:
- To outline the objectives and methods of the Pediatric Acute Lung Injury Consensus Conference.
- To develop a refined taxonomy for defining pediatric ALI, including predisposing factors, etiology, and pathophysiology.
- To foster expert consensus on key aspects of pediatric ALI management and outcomes.
Main Methods:
- A one-year consensus conference involving 26 pediatric acute lung injury experts.
- Utilizing a modified Delphi approach to achieve strong professional agreement.
- Systematic review and discussion of critical pediatric ALI topics.
Main Results:
- The conference will focus on achieving consensus in nine critical areas of pediatric ALI.
- These areas include definition, epidemiology, comorbidities, severity, ventilatory support, ancillary treatments, monitoring, noninvasive and extracorporeal support, and long-term outcomes.
- The goal is to establish a unified framework for pediatric ALI.
Conclusions:
- This consensus effort is crucial for advancing the care and research of pediatric ALI.
- Standardizing knowledge and expertise will provide a framework for future progress.
- Improving the understanding and management of pediatric ALI is essential to reduce patient morbidity and mortality.
Objective:
To describe the planned aims and methodology of the Pediatric Acute Lung Injury Consensus Conference.
Design:
Consensus conference of experts in pediatric acute lung injury.
Methods:
A panel of 26 experts in pediatric acute lung injury will meet over the course of one year to develop a better taxonomy to define pediatric acute lung injury, specifically predisposing factors, etiology, and pathophysiology. A modified Delphi approach that emphasizes strong professional agreement will be utilized.
Results:
The Pediatric Acute Lung Injury Consensus Conference will aim for consensus development on the following topics related to pediatric acute lung injury: 1) definition, incidence, and epidemiology; 2) comorbidities and severity; 3) ventilatory support; 4) pulmonary-specific ancillary treatment; 5) nonpulmonary treatment; 6) monitoring; 7) noninvasive support and ventilation; 8) extracorporeal support; and 9) morbidity and long-term outcomes.
Conclusions:
The importance of this effort for improving care and guiding future research in pediatric acute lung injury is clear. Despite the many epidemiologic, interventional, and outcome studies undertaken by pediatric intensivists worldwide, our understanding of this disease process is limited, and morbidity and mortality remain unacceptably high. By consolidating the knowledge and expertise of the leaders of the field of pediatric acute lung injury, we hope to develop a framework for future progress.
Related Concept Videos
Pulmonary Cycle: Exhalation
Pneumonia I: Introduction
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
Pharmacokinetics in Pediatric Patients: Drug Excretion
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Drug Dosing: Infants and Children
