Health Condition 1: B95-B97- Bacterial and viral infectious agents
Conditions
Interventions
Intervention1: ultrasound guided fluid olus therapy:
ULTRASOUND GROUP â?? Patients enrolled into this group are to be initially administered a fluid bolus of 20ml/kg in the ER (as per inclusion crite
Sponsors
Department of Paediatric Medicine Medical College and Hospital Kolkata
Eligibility
Inclusion criteria
Inclusion criteria: 1. Suspected infection with temperature >38 deg C or 2. Systemic inflammatory response syndrome with Tachycardia (temperature corrected heart rate more than normal for age ) or Tachypnea, prolonged CRT , increased core to peripheral temperature difference. 3. Signs of shock with lowered Systolic blood pressure 4. Parents sign written informed consent .
Exclusion criteria
Exclusion criteria: 1.Any coexisting Myocarditis with heart failure. 2. Prior existence of congenital/acquired heart disease . 3. Other causes of shock like anaphylaxis, hypovolemia, pre existing adrenal insufficiency, Dengue Shock Syndrome. 4. Ascites, dilated bowel loops . 5. Any concomitant exacerbation of reactive airway disease or asthma. 6. Any known case of Interstitial lung disease. 7. Any known case of end stage renal disease .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| amount of fluid bolus, cumulative fluid balance, total dose of lasix, shock reversal time.Timepoint: 24 Hours, 72 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of PICU stay, Number of ventilator days, Length of hospital stay, Eventual outcomeTimepoint: not applicable. | — |
Countries
India
Contacts
Public ContactRYAN SOHAIL KAISER
Department of Paediatric Medicine, Medical College and Hospital, Kolkata.
Outcome results
None listed