[The clinical assessment and intensive treatment of meningoencephalitis in newborns and children of subsequent ages].
We focused on the best timing and management when admitting into intensive care unit a pediatric patient with central nervous system infection. The modified scales for pediatric patients did not prove satisfactory and reliable for making such decision. In fact the final score is obtained by adding the partial scores regarding the different clinical aspects. That bears a loss of informations. For this reason we think that the cardiorespiratory and metabolic parameters, assessed in a period of time, may indicate the moment when it is necessary to start an intensive care in these patients, regardless of consciousness. We therefore discussed the monitoring precociously required in these patients after assessing the initial clinical status. We also discussed the intensive care procedure employed in severely ill patients with cardio-circulatory and metabolic problems due to septic shock caused by bacterial meningoencephalitis (infants) and meningitis (other pediatric ages). In patients affected by infectious or post-infective encephalitis with respiratory failure and/or brain edema, it is essential to apply the organ protection procedures and particularly neuroprotection.
Tuo
P
P
Unità di Terapia Intensiva Neonatale e Pediatrica, Istituto G. Gaslini, Genova, Italia.
Pallecchi
A E
AE
Pessagno
A
A
Silvestri
G
G
Mantero
E
E
Pisano
F
F
Tumolo
M
M
Fossa
S
S
Mazzarello
G
G
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003128:Coma / Q000175:diagnosis / Q000628:therapy; D003422:Critical Care / Q000379:methods; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008590:Meningoencephalitis / Q000175:diagnosis* / Q000628:therapy*; D008991:Monitoring, Physiologic / Q000379:methods; D012772:Shock, Septic / Q000175:diagnosis / Q000628:therapy
Valutazione clinica e trattamento intensivo delle meningo-encefaliti in età neonatale e successive età pediatriche.