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URL: https://pubmed.ncbi.nlm.nih.gov/33132066/

⇱ [Spanish consensus document on diagnosis, stabilisation and treatment of pediatric multisystem inflammatory syndrome related to SARS-CoV-2 (SIM-PedS)] - PubMed

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Abstract

A new paediatric multisystem inflammatory syndrome, linked to SARS-CoV-2, has been described. The clinical picture is variable and is associated with an active or recent infection due to SARS-CoV-2. A review of the existing literature by a multidisciplinary group of paediatric specialists is presented in this document. Later, they make recommendations on the stabilisation, diagnosis, and treatment of this syndrome.

Se ha descrito un nuevo síndrome inflamatorio multisistémico pediátrico vinculado a SARS-CoV-2. Este cuadro presenta una expresividad clínica variable y se asocia a infección activa o reciente por SARS-CoV-2. En este documento se revisa la literatura existente por parte de un grupo multidisciplinar de especialistas pediátricos. Posteriormente, se realizan recomendaciones sobre estabilización, diagnóstico y tratamiento de este síndrome.

Keywords: Multisystem inflammatory syndrome; Paediatrics; Pediatría; SARS-CoV-2; Síndrome inflamatorio multisistémico.

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Figures

👁 Figura 1
Figura 1
Algoritmo de manejo hemodinámico en el SIM-PedS. EB: exceso de bases; ECMO: circulación por membrana extracorpórea; FC: frecuencia cardiaca; FR: frecuencia respiratoria; IC: índice cardiaco; IV: intravenoso, PAS: presión arterial sistólica; OAF: oxigenoterapia de alto flujo; PAM: presión arterial media; PVC: presión venosa central; RVSI: índice de resistencia sistémicas; SvCO2: saturación venosa central. Modificada de American College of Critical Care Medicine Clinical Practice Parameters for Hemodynamic Support of Pediatric and Neonatal Septic Shock. Critical Care Medicine 2017;45:1062-1093.
👁 Figura 2
Figura 2
Tratamiento y seguimiento hospitalario del paciente con SIM-PedS.

References

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    1. Moraleda C., Serna-Pascual M., Soriano-Arandes A., Simo S., Epalza C., Santos M. Multi-inflammatory syndrome in children related to SARS-CoV-2 in Spain. Clin Infect Dis. 2020 doi: 10.1093/cid/ciaa1042. ciaa1042. - DOI - PMC - PubMed
    1. Emergency preparedness and response Multisystem In ammatory Syndrome in Children (MIS-C) Associated with Coronavirus Disease. 2020 [consultado 16 Jun 2020]. Disponible en: https://emergency.cdc.gov/coca/calls/2020/callinfo_051920.asp
    1. Guidance: Paediatric multisystem inflammatory syndrome temporally associated with COVID-19. 2020 [consultado 6 Jun 2020]. Disponible en: https://www.rcpch.ac.uk/resources/guidance-paediatric-multisystem-inflam...

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