Acute flaccid paralysis
Acute flaccid paralysis is an emergency and includes a variety of diagnostic possibilities. Identification of life threatening problems and emergency stabilization should precede further diagnostic evaluation. The common differential diagnoses in the post polio eradication era include Guillain Bane...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Journal of Pediatric Critical Care |
| Subjects: | |
| Online Access: | http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2015;volume=2;issue=3;spage=49;epage=57;aulast=Baalaaji |
| _version_ | 1818342760149680128 |
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| author | Muliai Baalaaji Muralidharan Jayashree |
| author_facet | Muliai Baalaaji Muralidharan Jayashree |
| author_sort | Muliai Baalaaji |
| collection | DOAJ |
| description | Acute flaccid paralysis is an emergency and includes a variety of diagnostic possibilities. Identification of life threatening problems and emergency stabilization should precede further diagnostic evaluation. The common differential diagnoses in the post polio eradication era include Guillain Bane syndrome, acute transverse myelitis and traumatic neuritis. It is essential to rule out reversible causes such as hypokalemia and snake envenomation in the appropriate clinical setting. Stabilization of spine is imperative when trauma is suspected, and early neuroimaging is essential in any child who presents with features of myelopathy to mie out compressive lesions. Careful monitoring of respiratory muscle strength is essential especially in children who progress rapidly and early institution of mechanical ventilation is essential. Management of these children is largely supportive, and includes appropriate ventilator support, provision of early enteral nutrition, physical therapy, strict asepsis, good musing care, bowel and bladder care and psychosocial support. Immunotherapy is useful in certain patients with Guillain Bane syndrome, transverse myelitis and myasthenic crisis. Prolonged ventilation is anticipated in children with severe disease and necessitates tracheostomy to increase patient comfort and facilitate weaning from ventilation. Children who are admitted in intensive care for various disease processes may develop weakness due to critical illness related neuromuscular weakness, no effective treatment exists and management is aimed at identification of risk factors and prevention strategies. |
| first_indexed | 2024-12-13T16:19:48Z |
| format | Article |
| id | doaj.art-6228f8770ff6448cb682e5e957c0de7f |
| institution | Directory Open Access Journal |
| issn | 2349-6592 2455-7099 |
| language | English |
| last_indexed | 2024-12-13T16:19:48Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pediatric Critical Care |
| spelling | doaj.art-6228f8770ff6448cb682e5e957c0de7f2022-12-21T23:38:45ZengWolters Kluwer Medknow PublicationsJournal of Pediatric Critical Care2349-65922455-70992015-01-0123495710.21304/2015.0203.00079Acute flaccid paralysisMuliai BaalaajiMuralidharan JayashreeAcute flaccid paralysis is an emergency and includes a variety of diagnostic possibilities. Identification of life threatening problems and emergency stabilization should precede further diagnostic evaluation. The common differential diagnoses in the post polio eradication era include Guillain Bane syndrome, acute transverse myelitis and traumatic neuritis. It is essential to rule out reversible causes such as hypokalemia and snake envenomation in the appropriate clinical setting. Stabilization of spine is imperative when trauma is suspected, and early neuroimaging is essential in any child who presents with features of myelopathy to mie out compressive lesions. Careful monitoring of respiratory muscle strength is essential especially in children who progress rapidly and early institution of mechanical ventilation is essential. Management of these children is largely supportive, and includes appropriate ventilator support, provision of early enteral nutrition, physical therapy, strict asepsis, good musing care, bowel and bladder care and psychosocial support. Immunotherapy is useful in certain patients with Guillain Bane syndrome, transverse myelitis and myasthenic crisis. Prolonged ventilation is anticipated in children with severe disease and necessitates tracheostomy to increase patient comfort and facilitate weaning from ventilation. Children who are admitted in intensive care for various disease processes may develop weakness due to critical illness related neuromuscular weakness, no effective treatment exists and management is aimed at identification of risk factors and prevention strategies.http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2015;volume=2;issue=3;spage=49;epage=57;aulast=Baalaajineuromuscular weaknessflaccid paralysischildrenguillain barreventilation |
| spellingShingle | Muliai Baalaaji Muralidharan Jayashree Acute flaccid paralysis Journal of Pediatric Critical Care neuromuscular weakness flaccid paralysis children guillain barre ventilation |
| title | Acute flaccid paralysis |
| title_full | Acute flaccid paralysis |
| title_fullStr | Acute flaccid paralysis |
| title_full_unstemmed | Acute flaccid paralysis |
| title_short | Acute flaccid paralysis |
| title_sort | acute flaccid paralysis |
| topic | neuromuscular weakness flaccid paralysis children guillain barre ventilation |
| url | http://www.jpcc.org.in/article.asp?issn=2349-6592;year=2015;volume=2;issue=3;spage=49;epage=57;aulast=Baalaaji |
| work_keys_str_mv | AT muliaibaalaaji acuteflaccidparalysis AT muralidharanjayashree acuteflaccidparalysis |