id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-288567-1nmk9qhr	Frieden, Ilona J.	Management of infantile hemangiomas during the COVID pandemic	2020-05-16		.txt	text/plain	2218	121	36	The use of beta-blockers in the treatment of IH has revolutionized care, and recent American Academy of Pediatrics (AAP) clinical practice guidelines (CPG) emphasize that early therapeutic intervention is critical for complicated IH to prevent medical complications or permanent disfigurement. We give recommendations to help guide decisions about when telehealth may be an alternative to in-office visits, including initiation, dosage changes, and continued evaluation for those patients requiring treatment. [2] [3] [4] [5] [6] [7] [8] [9] Consensus recommendations prior to the FDA/EMA approval in 2014 included the following 10 : (a) screening for contraindications to propranolol, (b) performing or obtaining documentation of, a recent normal cardiovascular and pulmonary history and examination, (c) obtaining key historical data including poor feeding, dyspnea, tachypnea, diaphoresis, wheezing, heart murmur, or family history of heart block or arrhythmia, and (d) prolonged in-office monitoring.	./cache/cord-288567-1nmk9qhr.txt	./txt/cord-288567-1nmk9qhr.txt