Complicated evolution in a child with trasplantation of hematopoietic progenitors

Abstract

Cancer patients constitute a significant number of hospital admissions at the PICU, especially, hematopoietic malignancies for their increased incidence of organ failure and aggressive support techniques such as VMI and renal replacement therapy among others. Therapeutic withdrawal is always a possibility to consider in cases of special severity. In recent years, the prognosis has been improved, with increased survival. Pulmonary complications are usual on these patients. They have a better evolution thanks to the advances in mechanical ventilation, as the use of non-invasive ventilation. Sinusoidal hepatic obstruction syndrom is another usual complication. The present case illustrates that despite being a challenge the management of these patients in the PICU with a high mortality, it seems appropriate to use all available support treatments, on a case by case approach according to the particular circumstances.