Advances in Shock Management and Fluid Resuscitation in Children

Abstract Shock in children is associated with significant mortality and morbidity, particularly in resource-limited settings. The principles of management include early recognition, fluid resuscitation, appropriate inotropes, antibiotic therapy in sepsis, supportive therapy for organ dysfunction, and regular hemodynamic monitoring. During the past decade, each step has undergone several changes and evolved as evidence that has been translated into recommendations and practice. There is a paradigm shift from protocolized-based care to personalized management, from liberal strategies to restrictive strategies in terms of fluids, blood transfusion, ventilation, and antibiotics, and from clinical monitoring to multimodal monitoring using bedside technologies. However, uncertainties are still prevailing in terms of the volume of fluids, use of steroids, and use of extracorporeal and newer therapies while managing shock. These changes have been summarized along with evidence in this article with the aim of adopting an evidence-based approach while managing children with shock..

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:90

Enthalten in:

Indian journal of pediatrics - 90(2023), 3 vom: 30. Jan., Seite 280-288

Sprache:

Englisch

Beteiligte Personen:

Gupta, Samriti [VerfasserIn]
Sankar, Jhuma [VerfasserIn]

Links:

Volltext [lizenzpflichtig]

Themen:

Dynamic indices
Fluid resuscitation
Multimodal monitoring
Protocolized care
Septic shock
Surviving sepsis campaign guidelines

Anmerkungen:

© The Author(s), under exclusive licence to Dr. K C Chaudhuri Foundation 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s12098-022-04434-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2134077344

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