Which invasive procedures are performed in the diagnosis and treatment for Reye syndrome?

Updated: Apr 02, 2018
  • Author: Debra L Weiner, MD, PhD; Chief Editor: Kirsten A Bechtel, MD  more...
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Answer

The following procedures may be helpful for workup, treatment, and monitoring:

  • Vascular access (arterial, central venous, or both)

  • Lumbar puncture if the patient is hemodynamically stable and shows no signs of increased intracranial pressure (ICP) – Opening pressure may or may not be increased; the white blood cell (WBC) count in the cerebrospinal fluid (CSF) is 8/µL or fewer

  • Intubation to maintain airway and ventilation and to manage ICP

  • Nasogastric tube placement to decompress the abdomen

  • Bladder catheterization to monitor urine output

  • Percutaneous liver biopsy (if indicated) to exclude an IEM or toxic liver disease

  • Placement of an intracranial device for ICP monitoring in patients with increased ICP

Coagulopathy must be corrected before invasive procedures are performed.


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