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://dx.doi.org/10.3390/children8080649.
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Basic information
Original name Pediatric Patient with Ischemic Stroke: Initial Approach and Early Management
Authors KLUČKA, Jozef (703 Slovakia, belonging to the institution), Eva KLABUSAYOVÁ (203 Czech Republic, belonging to the institution), Tereza MUSILOVÁ (203 Czech Republic, belonging to the institution), Tereza KRAMPLOVÁ (203 Czech Republic, belonging to the institution), Tamara SKŘÍŠOVSKÁ (203 Czech Republic, belonging to the institution), Milan KRATOCHVÍL (703 Slovakia, belonging to the institution), Martina KOSINOVÁ (203 Czech Republic, guarantor, belonging to the institution), Ondřej HORÁK (203 Czech Republic, belonging to the institution), Hana OŠLEJŠKOVÁ (203 Czech Republic, belonging to the institution), Petr JABANDŽIEV (203 Czech Republic, belonging to the institution) and Petr ŠTOURAČ (203 Czech Republic, belonging to the institution).
Edition Children-Basel, BASEL, SWITZERLAND, MDPI AG, 2021, 2227-9067.
Other information
Original 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
WWW URL
Impact factor Impact factor: 2.835
RIV identification code RIV/00216224:14110/21:00122589
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.3390/children8080649
UT WoS 000689033300001
Keywords in English ischemic stroke; pediatric; child; management; initial approach
Tags 14110317, 14110320, 14110322, rivok
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 18/10/2021 09:39.
Abstract
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 MUName: 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 MUName: Protektivní plicní ventilace během celkové anestezie a intenzivní péče u pediatrických pacientů: retrospektivní studie II (Acronym: TIVAC 2)
Investor: Masaryk University
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