Hemodynamic Monitoring In Critically Ill Patients in Paediatric ICU

Patient presented with sepsis according to pSOFA score system at time of enrolment Exclusion criteria included Any structural heart disease either congenital or acquired, macrophage activation syndrome, chronic kidney disease, known Raynaud's phenomenon, after gastrointestinal surgery or having...

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Published inAustralasian Medical Journal (Online) Vol. 16; no. 9; pp. 752 - 756
Main Authors Abdelgawad, Tarek Ahmed, Magdy, Sondos Mohamed, Nassef, Marwa Waheed Abd Elhady, Ebrahim, Beshoy Attaallah
Format Journal Article
LanguageEnglish
Published Floreat Australasian Medical Journal 01.01.2023
Subjects
Age groups
Blood pressure
Children & youth
Dopamine
Drug dosages
Ejection fraction
Hemodynamics
Hospital costs
Intensive care
Mortality
Observational studies
Patients
Pediatrics
Sepsis
Ventilators
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Summary:Patient presented with sepsis according to pSOFA score system at time of enrolment Exclusion criteria included Any structural heart disease either congenital or acquired, macrophage activation syndrome, chronic kidney disease, known Raynaud's phenomenon, after gastrointestinal surgery or having inflammatory bowel disease or other chronic disease affecting gastro intestinal tract. Vital data There was a statistically significant difference in mean blood pressure between three groups as shown in (Table 2). Concerning the mean readings of vital data obtained before and after twenty four hours of initiating vasoactive medication, our analysis showed that mean blood pressure values were significantly higher in patients in noradrenaline group compared to other groups (P-value < 0.000). In our study, there was a statistically significant difference between the echocardiography parameters that were recorded before and after twenty four hours of starting inotropic medications, in the form of higher EF, FS, SV in the adrenaline group in comparison to noradrenaline and dopamine groups.
ISSN:1936-1935
DOI:10.21767/AMJ.2022.3801