Health Condition 1: I959- Hypotension, unspecified
Conditions
Interventions
Intervention1: Invasive blood pressure: This would be measured with invasive peripheral arterial line
Control Intervention1: Non Invasive Blood pressure: This would be measured with cuff in same limb
Sponsors
Surya Mother and Child Superspeciality hospital
Eligibility
Inclusion criteria
Inclusion criteria: All patients presenting to PICU with septic shock refractory to fluid boluses and needing vasopressors would be enrolled
Exclusion criteria
Exclusion criteria: Patients with contraindications to cuff application/inflation: 1. arm injuries or wounds, limb oedema 2. presence of arrhythmias 3. at high risk for intravascular thrombosis (diabetic ketoacidosis, nephrotic syndrome and hypercoagulable states) 4. non-functional arterial catheter (defined as presence of overshooting or undershooting phenomenon following rapid flush test) 5. absent pulses 6. having confounders of NIBP monitoring (chronic hypertension, obstructive airway disease and obesity) 7. Patients referred from other centre who has received vasopressors for more than 24 hours will also excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Agreement between the Non invasive and Invasive blood pressure recordings.Timepoint: Assessed one hourly or during change in dose of vasoactive agent. Will be assessed while the child is receiving vasoactive agents during PICU stay | — |
Secondary
| Measure | Time frame |
|---|---|
| Complications associated with each method of blood pressure recordingTimepoint: Hourly and daily | — |
Countries
India
Contacts
Public ContactDr Sachin Shah
Surya Mother and Child Superspeciality hospital, Pune
Outcome results
None listed