Management of respiratory failure in acute respiratory distress syndrome (A
RDS) typically requires ventilatory assistance. If traditional approaches t
o mechanical ventilation and adjunctive measures fail to succeed in achievi
ng adequate oxygenation, alternative measures should be considered. We desc
ribe an ARDS patient with respiratory failure caused by a severe Chlamydiac
eae species community-acquired pneumonia (CAP). Aerosolized prostacyclin (P
GI(2)) treatment was successfully instituted for refractory hypoxemia. (C)
2001 Elsevier Science B.V. All rights reserved.