Prevalence of Shock and its Outcome in Children Admitted in A Tertiary Care Centre
Journal Title: IJAR-Indian Journal of Applied Research - Year 2016, Vol 6, Issue 10
Abstract
Introduction: Shock is a syndrome that results from inadequate oxygen delivery to meet metabolic demands. Sequelae of shock are metabolic acidosis, organ dysfunction and death. Aim: To study the prevalence of pediatric shock in children admitted to Intensive care unit and to identify possible etiology and the response to treatment. Methods: Child from 1 month and 12 years admitted to Pediatrics ward with the suspicion of shock are assessed by using the rapid cardiopulmonary assessment and diagnosed as suffering from shock. Children are classified based on severity as compensated and de compensated shock and upon their etiology as hypovolemic ,cardiogenic ,anaphylactic shock or obstructive shock ,septic ,distributive shock. Results: Among the 57 cases studied septic (19.3%) was the major type among infants and 28.1% among the total group. Hypovolemic shock was seen in 15.85 of cases and distributive in 22.8% of cases cardiogenic shock was seen in 12.2%. Children who were managed only with crystalloids were 11(19.3%)and 28(49.2%) of shock required inotropic support In addition to crystalloids. 8 children required initiation of adrenaline infusion after fluid resuscitation directly as they were in post resuscitative stabilization phase .8 children went on to catecholamine resistant requiring epinephrine infusion. Conclusion: Shock constitutes a significant percentage of diagnosis in critically ill children. Infants Septic shock accounts for majority of decompensated shock and poor outcome to management.
Authors and Affiliations
VENKATRAMAN L. , NARESH B, HEBER ANANDAN
Keywords
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