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

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

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30209 Paediatrics

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 2.835

RIV identification code

RIV/00216224:14110/21:00122589

Organization unit

Faculty of Medicine

UT WoS

000689033300001

Keywords in English

ischemic stroke; pediatric; child; management; initial approach

Tags

International impact, Reviewed
Změněno: 18/10/2021 09:39, Mgr. Tereza Miškechová

Abstract

V originále

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