Health Condition 1: R652- Severe sepsis
Conditions
Interventions
Intervention1: Cardiometry monitoring along with Standard clinical monitoring till resolution of shock: Attachment of Electrocardiometry device(ICON)
Control Intervention1: standard clinical monitorin
Sponsors
Suman Sudha Moharana
Eligibility
Inclusion criteria
Inclusion criteria: Children aged 2 months to 18 years with septic shock,defined as children with suspect or confirmed sepsis & unresolved shock/hypoperfusion after initial 10 ml/kg fluid bolus
Exclusion criteria
Exclusion criteria: Children with fulminant Myocarditis Children with unrepaired congenital heart disease Post arrest cardiac dysfunction & shock Children with Severe acute malnutrition Children with chronic kidney disese Moribound patients with anticipated survival Not willing to participate in study Children who received fluid bolus in outside facility
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To Evaluate the difference in fluid volume requirement in first 6 hours between two groupsTimepoint: 6 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of children achieving shock resolution at 6 12 24 48 and 72 hours of resuscitation Vasoactive-inotrope score at 6 12 24 48 and 72 hours Fluid overload percent at 24 48 and 72 hours Organ dysfunction scores pSOFA and PELOD2 and severity of illness score PRISM at 24 48 and 72 hours Need for and duration of mechanical ventilation Need for RRT within 28 days Length of PICU stay and hospital stay Early within 7 days and late 7 to 28 day mortality Timepoint: 6 hour 12 hour 24 hour 72 hour | — |
Countries
India
Contacts
Public ContactSuman Sudha Moharana
St. John,s Medical College
Outcome results
None listed