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. 2021 Feb;94(2):116.e1-116.e11.
doi: 10.1016/j.anpedi.2020.09.005. Epub 2020 Oct 31.

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

[Article in Spanish]
Affiliations

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

[Article in Spanish]
Alberto García-Salido et al. An Pediatr (Engl Ed). 2021 Feb.

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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Publication types

Supplementary concepts