IMPACT OF FLUID RESUSCITATION ON THE OUTCOMES OF CRITICALLY ILL CHILDREN IN EMERGENCY ROOM

Document Type : Original Article

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Abstract

Background: Critically ill people may lose fluid because of serious conditions, sepsis, and need additional fluids urgently to prevent dehydration or kidney failure. Appropriate early fluid resuscitation improves survival. There are relatively easy and practical measurements to use in the clinical context. One of them is inferior vena cava aortic index.
Objectives: To evaluate the association between fluid resuscitation and outcomes in critically ill children, and to estimate the accuracy of newly introduced ultrasound index in assessing fluid responsiveness in critically ill patients.
Subjects and Methods: This prospective study was carried in Luxor international hospital pediatric intensive care unit. It included 100 critically ill pediatric patients to evaluate the association between fluid resuscitation and outcomes and to Estimate the accuracy of newly introduced ultrasound index in assessing fluid responsiveness in critically ill patients.
Results: 28 day mortality was significantly higher among fluid non- responders than fluid responders .there was significant difference between the two groups regarding PICU stay .It also showed that after fluid bolus, there was significant difference between responders and non-responders regarding heart rate, O2 saturation and serum osmolarity. There was weak positive correlation between post- resuscitation IVC-Aortic index and CVP.
Conclusion: Fluid resuscitation affects the mortality rate, picu stay and haemodynamics in critically ill children. Also, IVC/Aorta index assessment seems to be a quick, simple, noninvasive, and reliable method to access the fluid status in the emergency room.

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Al-Azhar Journal of Pediatrics
Volume 23, Issue 1
January 2020
Pages 689-712

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