Himebauch AS, et al. - In this retrospective, single-center cohort study involving 74 children, researchers tested the assumption that new or persistent right ventricular systolic dysfunction and pulmonary hypertension would be correlated with worse patient outcomes. Between July 1, 2012, and April 30, 2018, they included children who had at least two echocardiograms (the first echocardiogram was performed a median of 0.61 days and the second echocardiogram was performed a median of 2.57 days) less than 8 days following pediatric acute respiratory distress syndrome diagnosis. According to findings, new or persistent right ventricular systolic dysfunction over the first week following pediatric acute respiratory distress syndrome onset was linked to worse patient outcomes, including a reduced chance of extubation and higher pediatric intensive care unit mortality.