scholarly journals 1459: FLUID OVERLOAD IN PEDIATRIC SEPSIS

2021 ◽  
Vol 50 (1) ◽  
pp. 732-732
Author(s):  
Aayush Khanal ◽  
Tara Neumayr ◽  
Matthew Goldsmith ◽  
Eileen Ciccia ◽  
Michael Wallendorf ◽  
...  
Keyword(s):  
Fluid Overload ◽  
Pediatric Sepsis

scholarly journals Fluid overload and length of mechanical ventilation in pediatric sepsis

2019 ◽  
Vol 59 (4) ◽  
pp. 211-6
Author(s):  
Winda Paramitha ◽  
Rina Triasih ◽  
Desy Rusmawatiningtyas
Keyword(s):  
Mechanical Ventilation ◽  
Fluid Overload ◽  
Secondary Data ◽  
Pediatric Intensive Care ◽  
Extubation Failure ◽  
Critically Ill Children ◽  
Inclusion Criteria ◽  
Mechanically Ventilated ◽  
Mechanical Ventilation Duration ◽  
Pediatric Sepsis

Background Children with sepsis often experience hemodynamic failure and would benefit from fluid resuscitation. On the other hand, critically ill children with sepsis have a higher risk of fluid accumulation due to increased capillary hydrostatic pressure and permeability. Therefore, fluid overload may result in higher morbidity and mortality during pediatric intensive care unit (PICU) hospitalization. Objective To evaluate the correlation between fluid overload and the length of mechanical ventilation in children with sepsis admitted to the PICU. Methods Our retrospective cohort study included children aged 1 month-18 years with sepsis who were admitted to the PICU between January 2013 and June 2018 and mechanically-ventilated. Secondary data was extracted from subjects’ medical records. Data analyses used were independent T-test and survival analysis. Results Of 444 children admitted to the PICU, 166 initially met the inclusion criteria. Of those, 17 children were excluded due to congenital heart disease. Subjects’ median age was 19 months and median PELOD-2 score was 8. Eighteen children (12.1%) had positive fluid balance in the first 48 hours. Median mechanical ventilation duration was 5 days. Fluid overload was significantly correlated with length of mechanical ventilation (P=0.01) and PICU mortality (RR=2.06; 95%CI 2.56 to 166; P=0.001). Neither length of PICU stay nor extubation failure were significantly correlated to fluid overload. Conclusion Fluid overload was significantly correlated with length of mechanical ventilation and may be a predictor of mortality in children with sepsis in the PICU.

Serum albumin[mdash ]A marker of fluid overload in dialysis patients?

2001 ◽  
Vol 11 (2) ◽  
pp. 59-61 ◽  
Author(s):  
C.H. Jones
Keyword(s):  
Serum Albumin ◽  
Fluid Overload ◽  
Dialysis Patients

BIOMARKERS IN PEDIATRIC SEPSIS: A SYSTEMATIC REVIEW

2017 ◽  
Author(s):  
Maria-Zoi Oikonomakou
Keyword(s):  
Systematic Review ◽  
Pediatric Sepsis

latrogenic Hyponatraemia of the Newborn Due to Maternal Fluid Overload

1982 ◽  
Vol 37 (5) ◽  
pp. 329-330
Author(s):  
WILLIAM O. TARNOW-MORDI ◽  
JONATHAN C. L. SHAW ◽  
DAVID LIU ◽  
DAVID A. GARDNER ◽  
FREDERICK V. FLYNN
Keyword(s):  
Fluid Overload

scholarly journals Serum Thrombomodulin to Predict Severity in Pediatric Sepsis—Fancy or Frenzy?

2021 ◽  
Author(s):  
Namita Ravikumar ◽  
Arun Bansal
Keyword(s):  
Pediatric Sepsis

Fluid Overload and Underload

2021 ◽  
pp. 239-244
Author(s):  
Renate Wendler
Keyword(s):  
Fluid Overload

scholarly journals Individualized Hemodynamic Management in Sepsis

2021 ◽  
Vol 11 (2) ◽  
pp. 157
Author(s):  
Marcell Virág ◽  
Tamas Leiner ◽  
Mate Rottler ◽  
Klementina Ocskay ◽  
Zsolt Molnar
Keyword(s):  
Fluid Overload ◽  
Fluid Management ◽  
Multiple Organ ◽  
Treatment Protocols ◽  
Hemodynamic Management ◽  
New Approach ◽  
Hemodynamic Optimization ◽  
The Individual ◽  
Sepsis And Septic Shock ◽  
Insight Into

Hemodynamic optimization remains the cornerstone of resuscitation in the treatment of sepsis and septic shock. Delay or inadequate management will inevitably lead to hypoperfusion, tissue hypoxia or edema, and fluid overload, leading eventually to multiple organ failure, seriously affecting outcomes. According to a large international survey (FENICE study), physicians frequently use inadequate indices to guide fluid management in intensive care units. Goal-directed and “restrictive” infusion strategies have been recommended by guidelines over “liberal” approaches for several years. Unfortunately, these “fixed regimen” treatment protocols neglect the patient’s individual needs, and what is shown to be beneficial for a given population may not be so for the individual patient. However, applying multimodal, contextualized, and personalized management could potentially overcome this problem. The aim of this review was to give an insight into the pathophysiological rationale and clinical application of this relatively new approach in the hemodynamic management of septic patients.

scholarly journals Reactivation Viremia in Pediatric Sepsis*

2020 ◽  
Vol 21 (4) ◽  
pp. e152-e159
Author(s):  
Moonjoo Han ◽  
Anna L. Roberts ◽  
Brooke A. Migliore ◽  
Ana María Cárdenas ◽  
Scott L. Weiss
Keyword(s):  
Pediatric Sepsis
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