Departamento de Pediatria, Hospital das Clinicas, Faculdade de Medicina de Ribeirao Preto, Universidade de Sao Paulo, Ribeirao Preto, SP, BR.
Instituto da Crianca e do Adolescente (Icr), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, BR.
Clinics (Sao Paulo). 2020 Apr 17;75:e1894. doi: 10.6061/clinics/2020/e1894. eCollection 2020.
This 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.
本综述旨在验证 2019 年冠状病毒病（COVID-19）危重症儿科患者的主要流行病学、临床、实验室相关和治疗方面。对 COVID-19 的医学文献进行了广泛的回顾，主要侧重于儿科患者的重症监护，同时考虑了与这种新疾病相关的专家意见和最新报告。来自巴西一所大型公立大学的专家分析了所有最近发表的材料，以撰写一份报告，旨在规范危重症儿童和青少年的护理。该报告强调了 COVID-19 患儿的临床表现和通气支持。它建立了一个流程图，以指导卫生保健人员对危重症病例进行分诊。COVID-19 对大多数儿科重症监护专业人员来说基本上是一种未知的临床病症。专家制定的指南可以帮助所有从业者规范他们的态度并改善 COVID-19 的治疗。
