Beyond ventilatory support: challenges in general practice and in the treatment of critically Ill children and adolescents with SARS-CoV-2 infection.
Rev Assoc Med Bras (1992)
; 66(4): 521-527, 2020 Apr.
Article
in English
| MEDLINE | ID: covidwho-613692
ABSTRACT
Severe acute respiratory syndrome coronavirus 2 (Sars-CoV-2 infection) is a new challenge for all countries, and children are predisposed to acquire this disease. Some studies have demonstrated more severe diseases in adults, but critically ill pediatric patients have been described in all ages. Pulmonary involvement is the major feature, and ventilatory support is common in critical cases. Nevertheless, other very important therapeutic approaches must be considered. In this article, we reviewed extensively all recent medical literature to point out the main clinical attitudes to support these pediatric patients during their period in respiratory support. Radiologic findings, fluid therapy, hemodynamic support, use of inotropic/vasopressors, nutritional therapy, antiviral therapy, corticosteroids, antithrombotic therapy, and immunoglobulins are analyzed to guide all professionals during hospitalization. We emphasize the importance of a multi-professional approach for adequate recovery.
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonia, Viral
/
Respiration, Artificial
/
Coronavirus Infections
/
General Practice
Type of study:
Prognostic study
Limits:
Adolescent
/
Child
/
Humans
Language:
English
Journal:
Rev Assoc Med Bras (1992)
Year:
2020
Document Type:
Article
Affiliation country:
1806-9282.66.4.521
Similar
MEDLINE
...
LILACS
LIS