Pediatric Patient with Ischemic Stroke: Initial Approach and
Early Management

J 2021

Pediatric Patient with Ischemic Stroke: Initial Approach and Early Management

KLUČKA, Jozef; Eva KLABUSAYOVÁ; Tereza MUSILOVÁ; Tereza KRAMPLOVÁ; Tamara SKŘÍŠOVSKÁ et al.

Basic information

Original name

Pediatric Patient with Ischemic Stroke: Initial Approach and Early Management

Authors

Edition

Children-Basel, BASEL, SWITZERLAND, MDPI AG, 2021, 2227-9067

Other information

Language

English

Type of outcome

Article in a journal

Field of Study

30209 Paediatrics

Country of publisher

Switzerland

Confidentiality degree

is not subject to a state or trade secret

References:

URL

Impact factor

Impact factor: 2.835

Marked to be transferred to RIV

Yes

RIV identification code

RIV/00216224:14110/21:00122589

Organization unit

Faculty of Medicine

Keywords in English

ischemic stroke; pediatric; child; management; initial approach

Abstract

In the original language

Acute Ischemic Stroke (AIS) in children is an acute neurologic emergency associated with significant morbidity and mortality. Although the incidence of AIS in pediatric patients is considerably lower than in adults, the overall cumulative negative impact of the quality of life could be even higher in children. The age-related variable clinical presentation could result in a delay in diagnosis and could negatively influence the overall outcome. The early management should be based on early recognition, acute transfer to pediatric AIS centre, standardised approach (ABCDE), early neurologic examination together with neuroimaging (preferable Magnetic Resonance Imaging-MRI). The treatment is based on supportive therapy (normoxemia, normocapnia, normotension and normoglycemia) in combination with intravenous/intraarterial thrombolytic therapy and/or mechanical thrombectomy in selected cases. Pediatric stroke centres, together with the implementation of local stroke management protocols, could further improve the outcome of pediatric patients with AIS.

Links

MUNI/A/1153/2020, interní kód MU

Name: Simulační trénink v identifikaci a prevenci kritických událostí v anesteziologii a intenzivní medicíně II. (Acronym: SIMUCRITICAL)

Investor: Masaryk University

MUNI/A/1178/2020, interní kód MU

Name: Protektivní plicní ventilace během celkové anestezie a intenzivní péče u pediatrických pacientů: retrospektivní studie II (Acronym: TIVAC 2)

Investor: Masaryk University

Cite

KLUČKA, Jozef; Eva KLABUSAYOVÁ; Tereza MUSILOVÁ; Tereza KRAMPLOVÁ; Tamara SKŘÍŠOVSKÁ; Milan KRATOCHVÍL; Martina KOSINOVÁ; Ondřej HORÁK; Hana OŠLEJŠKOVÁ; Petr JABANDŽIEV and Petr ŠTOURAČ. Pediatric Patient with Ischemic Stroke: Initial Approach and Early Management. Children-Basel. BASEL, SWITZERLAND: MDPI AG, 2021, vol. 8, No 8, p. 1-11. ISSN 2227-9067. Available from: https://doi.org/10.3390/children8080649.

@article{1798263,
   author = {Klučka, Jozef and Klabusayová, Eva and Musilová, Tereza and Kramplová, Tereza and Skříšovská, Tamara and Kratochvíl, Milan and Kosinová, Martina and Horák, Ondřej and Ošlejšková, Hana and Jabandžiev, Petr and Štourač, Petr},
   article_location = {BASEL, SWITZERLAND},
   article_number = {8},
   doi = {https://doi.org/10.3390/children8080649},
   keywords = {ischemic stroke; pediatric; child; management; initial approach},
   language = {eng},
   issn = {2227-9067},
   journal = {Children-Basel},
   title = {Pediatric Patient with Ischemic Stroke: Initial Approach and Early Management},
   url = {https://www.mdpi.com/2227-9067/8/8/649},
   volume = {8},
   year = {2021}
}

TY  - JOUR
ID  - 1798263
AU  - Klučka, Jozef - Klabusayová, Eva - Musilová, Tereza - Kramplová, Tereza - Skříšovská, Tamara - Kratochvíl, Milan - Kosinová, Martina - Horák, Ondřej - Ošlejšková, Hana - Jabandžiev, Petr - Štourač, Petr
PY  - 2021
TI  - Pediatric Patient with Ischemic Stroke: Initial Approach and Early Management
JF  - Children-Basel
VL  - 8
IS  - 8
SP  - 1-11
EP  - 1-11
PB  - MDPI AG
SN  - 22279067
KW  - ischemic stroke
KW  - pediatric
KW  - child
KW  - management
KW  - initial approach
UR  - https://www.mdpi.com/2227-9067/8/8/649
N2  - Acute Ischemic Stroke (AIS) in children is an acute neurologic emergency associated with significant morbidity and mortality. Although the incidence of AIS in pediatric patients is considerably lower than in adults, the overall cumulative negative impact of the quality of life could be even higher in children. The age-related variable clinical presentation could result in a delay in diagnosis and could negatively influence the overall outcome. The early management should be based on early recognition, acute transfer to pediatric AIS centre, standardised approach (ABCDE), early neurologic examination together with neuroimaging (preferable Magnetic Resonance Imaging-MRI). The treatment is based on supportive therapy (normoxemia, normocapnia, normotension and normoglycemia) in combination with intravenous/intraarterial thrombolytic therapy and/or mechanical thrombectomy in selected cases. Pediatric stroke centres, together with the implementation of local stroke management protocols, could further improve the outcome of pediatric patients with AIS.
ER  -

KLUČKA, Jozef; Eva KLABUSAYOVÁ; Tereza MUSILOVÁ; Tereza KRAMPLOVÁ; Tamara SKŘÍŠOVSKÁ; Milan KRATOCHVÍL; Martina KOSINOVÁ; Ondřej HORÁK; Hana OŠLEJŠKOVÁ; Petr JABANDŽIEV and Petr ŠTOURAČ. Pediatric Patient with Ischemic Stroke: Initial Approach and Early Management. \textit{Children-Basel}. BASEL, SWITZERLAND: MDPI AG, 2021, vol.~8, No~8, p.~1-11. ISSN~2227-9067. Available from: https://doi.org/10.3390/children8080649.

Přehled o publikaci