What do you need to do to set up Childhood stroke Protocols and Pathways?
Although guidelines for acute stroke management in children exist, pediatric stroke treatment remains heterogeneous. In the past years children with acute ischemic stroke were increasingly treated with reperfusion therapies, intravenous tissue plasminogen activator (IV-tPA), and mechanical thrombectomy.
However, treatment with reperfusion therapies requires timely identification of stroke, which is a significant challenge for hospitals and practitioners. Setting up dedicated Childhood Stroke Protocols and Pathways has been shown to improve number of children receiving reperfusion treatments and to decrease in-hospital delays, here are some minimal recommendations that Childhood Stroke Pathways should contain:
Minimal recommendations for Childhood Protocols:
Childhood stroke protocols and pathways are desperately needed to improve access to reperfusion therapies. They were shown to reduce the time to imaging and time to treatment and ensure optimization throughout the difficult pre-treatment phase of a childhood stroke, where errors are usually committed that lead to important delays in diagnosis. Clear directions and inter-hospitals protocols should be in place to reduce confusion in the acute setting once practitioners are faced with a rare situation.
Device in use:
Chaperon™ by Microvention
Headway™ by Microvention
Sofia™ by Microvention
Envoy™ by Cerenovus
3MAX by Penumbra
pRESET lite by Phenox
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