• Clinics · Jan 2020

    Review

    COVID-19 Diagnostic and Management Protocol for Pediatric Patients.

    • CarlottiAna Paula de Carvalho PanzeriAPCP0000-0003-2760-8801Departamento de Pediatria, Hospital das Clinicas, Faculdade de Medicina de Ribeirao Preto, Universidade de Sao Paulo, Ribeirao Preto, SP, BR., CarvalhoWerther Brunow deWB0000-0002-9164-616XInstituto da Crianca e do Adolescente (Icr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR., Cíntia Johnston, Isadora Souza Rodriguez, and Artur Figueiredo Delgado.
    • Departamento de Pediatria, Hospital das Clinicas, Faculdade de Medicina de Ribeirao Preto, Universidade de Sao Paulo, Ribeirao Preto, SP, BR.
    • Clinics (Sao Paulo). 2020 Jan 1; 75: e1894.

    AbstractThis review aims to verify the main epidemiologic, clinical, laboratory-related, and therapeutic aspects of coronavirus disease 2019 (COVID-19) in critically ill pediatric patients. An extensive review of the medical literature on COVID-19 was performed, mainly focusing on the critical care of pediatric patients, considering expert opinions and recent reports related to this new disease. Experts from a large Brazilian public university analyzed all recently published material to produce a report aiming to standardize the care of critically ill children and adolescents. The report emphasizes on the clinical presentations of the disease and ventilatory support in pediatric patients with COVID-19. It establishes a flowchart to guide health practitioners on triaging critical cases. COVID-19 is essentially an unknown clinical condition for the majority of pediatric intensive care professionals. Guidelines developed by experts can help all practitioners standardize their attitudes and improve the treatment of COVID-19.

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